Gerner Bibi, McCallum Zoe, Sheehan Jane, Harris Claire, Wake Melissa
Centre for Community Child Health, Royal Children's Hospital, The University of Melbourne, Department of Paediatrics, Murdoch Childrens Research Institute, Australia.
J Paediatr Child Health. 2006 Apr;42(4):206-11. doi: 10.1111/j.1440-1754.2006.00831.x.
To ascertain the extent to which general practitioners (GPs) routinely weigh, measure and calculate body mass index (BMI) in children, and to assess the accuracy and accessibility of their anthropometric equipment.
A convenience sample of 34 GPs from 29 primary care family medical practices in Melbourne, Australia, completed a questionnaire regarding their routine anthropometric practice for 5-10-year-old children and perceived role in managing childhood overweight and obesity. Practice audits (April-June 2002) assessed the accuracy and accessibility of anthropometric equipment.
Forty-four per cent of GPs reported regularly weighing children; 38% regularly measured children's height. Only one regularly calculated children's BMI. Formal training in child anthropometry and servicing of anthropometric equipment was rare. The majority of equipment was accessible. Stadiometers on average measured the height of a 'short' pole (true height 92.68 cm) as 92.52 cm (SD = 0.8), and measured the height of a 'tall' pole (true height 157.64 cm) as 157.55 cm (SD = 0.9). On average, calibration weights of 20 kg and 80 kg were recorded as 19.7 kg (SD = 0.6) and 79.2 kg (SD = 1.5) respectively. Despite these shortcomings, these GPs generally felt they played a key role in managing overweight in children.
Self-reported practice by these GPs falls well short of 2003 National Health and Medical Research Council guidelines recommending bi-annual measuring of all children in the primary care setting. The variability of anthropometric equipment audited could result in widely discrepant BMI values, leading to serious misclassification of many children's weight status.
确定全科医生（GP）对儿童进行常规体重测量、身高测量及计算体重指数（BMI）的程度，并评估其人体测量设备的准确性和可及性。
从澳大利亚墨尔本29家初级保健家庭医疗诊所中选取34名全科医生作为便利样本，他们完成了一份关于其对5至10岁儿童常规人体测量做法以及在管理儿童超重和肥胖方面所感知作用的问卷。实践审核（2002年4月至6月）评估了人体测量设备的准确性和可及性。
44%的全科医生报告定期给儿童称重；38%定期测量儿童身高。只有一人定期计算儿童的BMI。儿童人体测量的正规培训和人体测量设备的维护很少见。大多数设备是可使用的。身高计平均将一根“短”杆（实际高度92.68厘米）的高度测量为92.52厘米（标准差 = 0.8），将一根“高”杆（实际高度157.64厘米）的高度测量为157.55厘米（标准差 = 0.9）。平均而言，20千克和80千克的校准砝码分别被记录为19.7千克（标准差 = 0.6）和79.2千克（标准差 = 1.5）。尽管存在这些缺点，这些全科医生普遍认为他们在管理儿童超重方面发挥着关键作用。
这些全科医生自我报告的做法远未达到2003年国家卫生与医学研究委员会的指南要求，该指南建议在初级保健环境中对所有儿童每半年测量一次。经审核的人体测量设备的变异性可能导致BMI值差异很大，从而导致许多儿童体重状况的严重误分类。
