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“我的体重应该是多少?”——奎特莱特公式、体重上限与体质指数修正值

"How much should I weigh?"--Quetelet's equation, upper weight limits, and BMI prime.

作者信息

Gadzik James

机构信息

Department of Surgery, Norwalk Hospital, USA.

出版信息

Conn Med. 2006 Feb;70(2):81-8.

Abstract

Body mass index (BMI) is derived from Quetelet's equation. Federal guidelines define a healthy BMI range of 18.5 to 24.9. Unfortunately, few physicians can quickly convert these BMI recommendations into corresponding weights, because Quetelet's formula is tedious to compute. Two new linear equations (one metric, the other Avoirdupois) are introduced to allow easy calculation of the weight limits above which adults would be considered unhealthy. From these formulas, simple equations to calculate lower weight limits, obese weight limits, morbidly obese weight limits, and BMI follow. In fact, for any given height, it is possible to reproduce the entire BMI table, independent of Quetelet's formula. An isolated BMI value, under the current system, not only fails to convey a quantitative sense of obesity, but is also expressed in confusing units. It is proposed that the current BMI system be modified to yield a more pertinent BMI Prime system, which relates a patient's actual weight to his upper weight limit.

摘要

体重指数(BMI)源自凯特勒公式。联邦指南将健康的BMI范围定义为18.5至24.9。遗憾的是,很少有医生能迅速将这些BMI建议换算成相应的体重,因为凯特勒公式计算起来很繁琐。本文引入了两个新的线性方程(一个为公制,另一个为常衡制),以便轻松计算出成年人超重即被视为不健康的体重上限。根据这些公式,可以得出用于计算较低体重下限、肥胖体重上限、病态肥胖体重上限以及BMI的简单方程。事实上,对于任何给定的身高,无需借助凯特勒公式就能重现整个BMI表格。在当前系统下,单一的BMI值不仅无法传达肥胖的量化概念,而且其单位也令人困惑。建议对当前的BMI系统进行修改,以产生一个更具相关性的BMI Prime系统,该系统将患者的实际体重与其体重上限联系起来。

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