Stevens J, Truesdale K P, McClain J E, Cai J
Department of Nutrition, School of Public Health, University of North Carolina, Chapel Hill, USA.
Int J Obes (Lond). 2006 Mar;30(3):391-9. doi: 10.1038/sj.ijo.0803175.
There is currently no consensus on the definition of weight maintenance in adults. Issues to consider in setting a standard definition include expert opinion, precedents set in previous studies, public health and clinical applications, comparability across body sizes, measurement error, normal weight fluctuations and biologic relevance. To be useful, this definition should indicate an amount of change less than is clinically relevant, but more than expected from measurement error or fluctuations in fluid balance under normal conditions. It is an advantage for the definition to be graded by body size and to be easily understood by the public as well as scientists. Taking all these factors into consideration, the authors recommend that long-term weight maintenance in adults be defined as a weight change of <3% of body weight.
目前,对于成年人体重维持的定义尚无共识。制定标准定义时需考虑的问题包括专家意见、以往研究中的先例、公共卫生和临床应用、不同体型间的可比性、测量误差、正常体重波动以及生物学相关性。为了具有实用性,该定义应表明变化量小于临床相关量,但大于正常情况下测量误差或液体平衡波动所预期的量。该定义按体型分级且易于公众和科学家理解是其优势。综合考虑所有这些因素,作者建议将成年人的长期体重维持定义为体重变化<3%。