Krebs Nancy F, Himes John H, Jacobson Dawn, Nicklas Theresa A, Guilday Patricia, Styne Dennis
Department of Pediatrics, University of Colorado School of Medicine, 4200 E. Ninth Ave, Box C225, Denver, CO 80262, USA.
Pediatrics. 2007 Dec;120 Suppl 4:S193-228. doi: 10.1542/peds.2007-2329D.
Accurate appropriate assessment of overweight and obesity in children and adolescents is a critical aspect of contemporary medical care. However, physicians and other health care professionals may find this a somewhat thorny field to enter. The BMI has become the standard as a reliable indicator of overweight and obesity. The BMI is incomplete, however, without consideration of the complex behavioral factors that influence obesity. Because of limited time and resources, clinicians need to have quick, evidence-based interventions that can help patients and their families recognize the importance of reducing overweight and obesity and take action. In an era of fast food, computers, and DVDs, it is not easy to persuade patients to modify their diets and to become more physically active. Because research concerning effective assessment of childhood obesity contains many gaps, this report is intended to provide a comprehensive approach to assessment and to present the evidence available to support key aspects of assessment. The discussion and recommendations are based on >300 studies published since 1995, which examined an array of assessment tools. With this information, clinicians should find themselves better equipped to face the challenges of assessing childhood overweight and obesity accurately.
准确、恰当地评估儿童和青少年的超重与肥胖情况是当代医疗保健的一个关键方面。然而，医生和其他医疗保健专业人员可能会发现这是一个有点棘手的领域。体重指数（BMI）已成为超重和肥胖的可靠指标标准。然而，如果不考虑影响肥胖的复杂行为因素，BMI 是不完整的。由于时间和资源有限，临床医生需要有快速、基于证据的干预措施，以帮助患者及其家人认识到减轻超重和肥胖的重要性并采取行动。在快餐、电脑和 DVD 的时代，说服患者改变饮食习惯并增加体育活动并非易事。由于关于儿童肥胖有效评估的研究存在许多空白，本报告旨在提供一种全面的评估方法，并呈现支持评估关键方面的现有证据。讨论和建议基于自 1995 年以来发表的 300 多项研究，这些研究考察了一系列评估工具。有了这些信息，临床医生应该会发现自己更有能力应对准确评估儿童超重和肥胖的挑战。
