Dollman James, Olds Timothy Stephen
School of Health Sciences, University of South Australia, Adelaide, South Australia.
Int J Pediatr Obes. 2006;1(2):109-13. doi: 10.1080/17477160600684260.
To investigate secular trends in waist girth and skinfold measures among Australian children from 1985 and 1997/2002, matched for body size.
A total of 2604 children (10-12 years old) measured in the 1985 Australian Health and Fitness Survey and in two later surveys of South Australian schoolchildren (1997/2002), were matched for age, stature, weight and body mass index (BMI). Measurements. The matched children were compared by ANOVA on waist and hip girths, waist-to-hip ratio (WHR) and abdominal and triceps skinfolds, taken by trained anthropometrists.
Between the survey periods, there were significant increases in waist girth, WHR, and the two skinfold measures, but more so for abdominal skinfold. The differences in abdominal skinfold, waist girth and WHR were greater for girls than boys.
In Australian children matched for body size, there have been increases in measures of fatness and central adiposity over the last 20 years. This suggests that reported secular trends in BMI may be under-estimating the looming public health crisis.
调查1985年至1997/2002年间澳大利亚儿童腰围和皮褶测量值的长期趋势，并根据体型进行匹配。
共有2604名儿童（10至12岁）参与研究，这些儿童在1985年澳大利亚健康与体能调查以及随后两次南澳大利亚学童调查（1997/2002年）中接受了测量，并根据年龄、身高、体重和体重指数（BMI）进行了匹配。测量：由训练有素的人体测量师对匹配的儿童进行腰围、臀围、腰臀比（WHR）以及腹部和肱三头肌皮褶的测量，并通过方差分析进行比较。
在不同调查期间，腰围、WHR以及两项皮褶测量值均显著增加，腹部皮褶增加更为明显。女孩在腹部皮褶、腰围和WHR方面的差异大于男孩。
在体型匹配的澳大利亚儿童中，过去20年里肥胖和中心性肥胖指标有所增加。这表明报告的BMI长期趋势可能低估了即将到来的公共卫生危机。
