Sala Alessandra, Webber Colin E, Morrison Judy, Beaumont Lesley F, Barr Ronald D
McMaster Children's Hospital. Department of Pediatrics, McMaster University, Hamilton, ON.
Can Assoc Radiol J. 2007 Feb;58(1):46-52.
Measurements of body composition have evident value in evaluating growing children and adolescents, and dual-energy X-ray absorptiometry (DXA) is a tool that provides accurate measurements of whole-body bone mineral content (WBBMC), lean body mass (LBM), and fat mass (FM). To interpret such measurements in the context of ill health, normative values must be available. Such information could be expected to be regionally specific because of differences in ethnic, dietary, and physical activity determinants. In this study, DXA was performed with Hologic densitometers in normal girls (n = 91) and boys (n = 88) between 3 and 18 years of age. The derivation of normal ranges is presented for boys and girls. The correlation of the sum of WBBMC, LBM, and FM with directly measured body weight was almost perfect (r > 0.997). As expected, FM and body mass index correlated strongly. The normal values for WBBMC, LBM, and FM from this study are compared with other Canadian data and with published normative data from Argentina and the Netherlands, all of which use different densitometers. The results of this study allow the calculation of z scores for each facet of body composition and facilitate the use of DXA to report routine evaluations of body composition in children and adolescents.
身体成分测量对于评估成长中的儿童和青少年具有明显价值,双能X线吸收法(DXA)是一种能准确测量全身骨矿物质含量(WBBMC)、瘦体重(LBM)和脂肪量(FM)的工具。为了在健康不佳的背景下解读此类测量结果,必须有规范值。由于种族、饮食和身体活动决定因素的差异,此类信息可能因地区而异。在本研究中,使用Hologic骨密度仪对3至18岁的正常女孩(n = 91)和男孩(n = 88)进行了DXA检测。给出了男孩和女孩正常范围的推导。WBBMC、LBM和FM之和与直接测量的体重之间的相关性几乎完美(r > 0.997)。正如预期的那样,FM与体重指数密切相关。本研究中WBBMC、LBM和FM的正常值与其他加拿大数据以及来自阿根廷和荷兰的已发表规范数据进行了比较,所有这些数据使用的骨密度仪都不同。本研究结果允许计算身体成分各方面的z分数,并有助于使用DXA报告儿童和青少年身体成分的常规评估。