饮食失调和肥胖症中的诊断问题。

Diagnostic issues in eating disorders and obesity.

作者信息

Hebebrand Johannes

机构信息

Department of Child and Adolescent Psychiatry, University of Duisburg-Essen, Virchowstrasse 174, 45147 Essen, Germany.

出版信息

Child Adolesc Psychiatr Clin N Am. 2009 Jan;18(1):1-16. doi: 10.1016/j.chc.2008.07.007.

DOI:10.1016/j.chc.2008.07.007

PMID:19014854

Abstract

A thorough understanding of weight related issues is required for the assessment of patients with obesity and eating disorders. Body weight adjusted for height is used for the diagnosis of both anorexia nervosa (AN) and obesity. For AN, the DSM IV A criterion refers to 85 % of expected weight as a guideline, for overweight and obesity BMI cut-offs are commonly used. Because the BMI distribution changes during childhood and adolescence, the 85(th) and 95(th) BMI centiles are used in the USA to classify children as at risk of overweight and obesity, respectively. 85 % of expected weight is approximately equivalent to the 10(th) BMI centile.

摘要

评估肥胖和饮食失调患者需要全面了解与体重相关的问题。根据身高调整后的体重用于神经性厌食症（AN）和肥胖症的诊断。对于AN，《精神疾病诊断与统计手册》第四版A标准将预期体重的85%作为指导标准，而超重和肥胖通常使用体重指数（BMI）临界值。由于BMI分布在儿童期和青春期会发生变化，美国使用第85和第95百分位的BMI来分别将儿童归类为有超重和肥胖风险。预期体重的85%大约相当于第10百分位的BMI。