腰围和上臂中部周长在6至17岁儿童肥胖评估中的应用
Waist circumference and mid-upper arm circumference in evaluation of obesity in children aged between 6 and 17 years.
作者信息
Mazıcıoğlu M Mümtaz, Hatipoğlu Nihal, Oztürk Ahmet, Ciçek Betül, Ustünbaş H Bahri, Kurtoğlu Selim
机构信息
Department of Family Medicine, School of Medicine, Erciyes University, Kayseri, Turkey.
出版信息
J Clin Res Pediatr Endocrinol. 2010;2(4):144-50. doi: 10.4274/jcrpe.v2i4.144. Epub 2010 Dec 10.
OBJECTIVE
The purpose of this study was to determine the cut-off values for waist circumference (WC) and mid-upper arm circumference (MUAC) and to assess their use in screening for obesity in children.
METHODS
Anthropometric measurements of a total of 2621 boys and 2737 girls aged 6-17 years were analyzed. WC and MUAC values were compared with ROC analysis using body mass index (BMI) cut-off values of the International Obesity Task Force (IOTF) and using WC≥ 90th percentile.for MUAC.
RESULTS
In both genders, except for boys and girls in the 6-year age group and post-pubertal boys, the differences between area under curve (AUC) values for WC and MUAC were not significant, indicating that both indices performed equally well in predicting obesity. Sensitivity was suboptimal through age groups 6-9 years in the boys and sensitivity was suboptimal at 6, 7,14 and 17 years both in boys and girls.
CONCLUSIONS
We conclude that MUAC can be a useful parameter in screening obesity and body fat distribution in children and, can be applied in epidemiological studies and in clinical practice.
目的
本研究旨在确定腰围（WC）和上臂中部周长（MUAC）的截断值，并评估它们在儿童肥胖筛查中的应用。
方法
对总共2621名6至17岁男孩和2737名女孩进行人体测量分析。使用国际肥胖特别工作组（IOTF）的体重指数（BMI）截断值以及MUAC的WC≥第90百分位数，通过ROC分析比较WC和MUAC值。
结果
在两个性别中，除了6岁年龄组的男孩和女孩以及青春期后男孩外，WC和MUAC的曲线下面积（AUC）值之间的差异不显著，表明这两个指标在预测肥胖方面表现相当。6至9岁男孩各年龄组的敏感性欠佳，6、7、14和17岁男孩和女孩的敏感性均欠佳。
结论
我们得出结论，MUAC可以作为筛查儿童肥胖和身体脂肪分布的有用参数，并可应用于流行病学研究和临床实践。
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