Harvey Kathy Schiro
Puget Sound Kidney Centers, Mountlake Terrace, WA 98043, USA.
J Ren Nutr. 2006 Jul;16(3):269-76. doi: 10.1053/j.jrn.2006.01.008.
Several formulas for calculating desirable body weight are used in chronic kidney failure patients. Ideal body weight (IBW) derived from Metropolitan Life Insurance tables has been available since the 1950s. The Hamwi formula was proposed in the 1960s as a simple tool for quickly estimating desirable body weight, especially in people with diabetes. Since the 1970s, National Health and Nutrition Evaluation Surveys I, II, and III have provided an in-depth evaluation of the average body weights of Americans. These standard body weights (SBW) are often interpreted to be normal and healthy weight goals. Body mass index (BMI) has also been studied for decades and is used internationally as the standard for determining healthy weight, especially in relationship to obesity. These 4 methods are discussed and compared along with a brief review of the history of using the adjusted body weight (ABW) formulas, followed by recommendations for clinical practice.
慢性肾衰竭患者使用多种公式来计算理想体重。自20世纪50年代起就有了源自大都会人寿保险表的理想体重（IBW）。哈姆维公式于20世纪60年代被提出，作为一种快速估算理想体重的简便工具，尤其适用于糖尿病患者。自20世纪70年代以来，美国国立卫生统计中心第一、二、三次健康与营养检查调查对美国人的平均体重进行了深入评估。这些标准体重（SBW）常被视为正常且健康的体重目标。几十年来，体重指数（BMI）也一直受到研究，并在国际上用作确定健康体重的标准，尤其是在与肥胖相关的方面。本文将对这四种方法进行讨论和比较，并简要回顾调整体重（ABW）公式的使用历史，随后给出临床实践建议。
