Pandey Ravindra M, Madhavan Malini, Misra Anoop, Kalaivani Mani, Vikram Naval K, Dhingra Vibha
Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Metab Syndr Relat Disord. 2009 Apr;7(2):133-41. doi: 10.1089/met.2008.0053.
This study aimed to develop age- and sex-specific reference values for body mass index (BMI), percentage body fat (%BF), waist circumference, waist-to-hip circumference ratio, and triceps and subscapular skinfold thicknesses for 14- to 18-year-old urban Asian Indians and to develop BMI cut-off points using specific centiles linked to the adult BMI cut-off points.
A cross-sectional population survey of adolescents and young adults (14-25 years of age) in North India included 684 boys and 541 girls. Smoothed 5(th), 10(th), 25(th), 50(th), 75(th), 85(th), 90(th), and 95(th) percentiles for the various anthropometric parameters were derived using the least mean squares (LMS) method for constructing normalized growth standards. Age-sex specific cut-off values for body mass index for 14-17 years were obtained corresponding to the centiles that pass through BMI (kg/m(2)) of 23, 25, 27.5, and 30 at 18 years of age.
In most instances, the centiles of BMI and waist circumference were lower and those of %BF and triceps and subscapular skinfolds were higher than those recorded in the populations of United States and Canada. The age- and sex-specific BMI cut-off points in 14- to 18-year-old Asian Indian adolescents are also described for the first time.
These reference data could be used to identify adolescents with an elevated risk of developing obesity-related disorders and provide a baseline for future studies of temporal trends.
本研究旨在为14至18岁的城市印度裔亚洲人制定体重指数(BMI)、体脂百分比(%BF)、腰围、腰臀围比、肱三头肌和肩胛下皮褶厚度的年龄和性别特异性参考值,并使用与成人BMI切点相关的特定百分位数制定BMI切点。
对印度北部青少年和青年(14至25岁)进行的横断面人群调查包括684名男孩和541名女孩。使用构建标准化生长标准的最小二乘法(LMS)得出各种人体测量参数的平滑第5、第10、第25、第50、第75、第85、第90和第95百分位数。获得14至17岁体重指数的年龄和性别特异性切点值,对应于18岁时BMI(kg/m²)为23、25、27.5和30的百分位数。
在大多数情况下,BMI和腰围的百分位数低于美国和加拿大人群记录的值,而%BF以及肱三头肌和肩胛下皮褶的百分位数高于这些值。首次描述了14至18岁印度裔亚洲青少年的年龄和性别特异性BMI切点。
这些参考数据可用于识别肥胖相关疾病风险升高的青少年,并为未来时间趋势研究提供基线。