Department of Pediatrics, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
Indian Pediatr. 2012 Jan;49(1):29-34. doi: 10.1007/s13312-012-0011-y. Epub 2011 May 30.
To develop age and sex specific cut offs for BMI to screen for overweight and obesity in Indian children linked to an adult BMI of 23 and 28 kg/m2 respectively, using contemporary Indian data.
Cross-sectional.
Multicentric, School based.
19834 children were measured from 11 affluent schools from five major geographical regions of India. Data were analyzed using the LMS method, which constructs growth reference percentiles adjusted for skewness.
Compared to the cut-offs suggested for European populations and those by the Indian Academy of Pediatrics 2007 Guidelines, the age and sex specific cut off points for body mass index for overweight and obesity for Indian children suggested by this study are lower.
Contemporary cross-sectional age and sex specific BMI cut-offs for Indian children linked to Asian cut-offs of 23 and 28 kg/m2 for the assessment of risk of overweight and obesity, respectively are presented.
利用当代印度数据,为印度儿童制定与成人 BMI 分别为 23kg/m2 和 28kg/m2 相关的 BMI 超重和肥胖筛查的年龄和性别特异性切点,这些切点基于与成人 BMI 为 23kg/m2 和 28kg/m2 相关的印度儿童 BMI。
横断面研究。
多中心,基于学校。
从印度五个主要地理区域的 11 所富裕学校中测量了 19834 名儿童。使用 LMS 方法分析数据,该方法构建了针对偏度进行调整的生长参考百分位数。
与欧洲人群的切点以及印度儿科学会 2007 年指南建议的切点相比,本研究提出的印度儿童超重和肥胖的 BMI 切点在年龄和性别上更为具体,且数值更低。
本研究提出了与亚洲切点(超重风险评估分别为 23kg/m2 和肥胖风险评估分别为 28kg/m2)相关的、用于评估印度儿童超重和肥胖风险的当代 BMI 切点。这些切点是基于年龄和性别特异性的,且适用于印度儿童。