Department of Biochemistry and Experimental Medicine, The Children's Memorial Health Institute, Warsaw, Poland.
Eur J Pediatr. 2012 Aug;171(8):1215-21. doi: 10.1007/s00431-012-1717-5. Epub 2012 Mar 21.
Skinfold thicknesses are used as valid anthropometric indicators of regional body fatness. Actual population-based values for skinfold thicknesses for Polish children are not available. The purpose of this study was to provide population-based values for triceps, subscapular, and abdominal skinfold thicknesses in healthy children and adolescents. A total number of 17,416 boys and girls aged 6.5-18.5 years, randomly selected from whole Polish population of children and adolescents, were enrolled in the study. Skinfold thicknesses (triceps, subscapular, and abdominal) were measured using Harpenden skinfold caliper. All measurements were taken after the training of participating investigators. The LMS method was used to fit percentile curves across age for each skinfold. Q tests for fit were used to assess the global goodness of fit of our final models. The study shows for the first time smoothed population-based values of body fat distribution indices for Polish children and adolescents 7-18 years of age. Reported skinfold centiles are higher compared to previously established for Warsaw children and very close to the actual US data.
Our study provided for the first time population-based values for skinfold thicknesses evaluation in a way allowing to calculate reliable Z scores. The early detection of abnormal fat stores, using our population-based values and respective Z scores, may be now implemented for practice.
皮褶厚度被用作人体体脂区域性的有效人体测量学指标。波兰儿童皮褶厚度的实际基于人群的数值尚未可知。本研究旨在为健康儿童和青少年的肱三头肌、肩胛下和腹部皮褶厚度提供基于人群的数值。从波兰儿童和青少年的全体人群中随机选择了 17416 名年龄在 6.5-18.5 岁的男孩和女孩参与了本研究。使用 Harpenden 皮褶卡尺测量皮褶厚度(肱三头肌、肩胛下和腹部)。所有测量均在参与研究人员培训后进行。使用 LMS 方法为每个皮褶绘制横跨年龄的百分位数曲线。Q 检验用于拟合度用于评估我们最终模型的整体拟合优度。本研究首次为 7-18 岁的波兰儿童和青少年展示了身体脂肪分布指数的平滑基于人群的数值。报告的皮褶百分位数高于华沙儿童的先前建立值,且非常接近实际的美国数据。
本研究首次提供了皮褶厚度评估的基于人群的数值,可计算可靠的 Z 分数。现在可以使用我们的基于人群的数值和相应的 Z 分数来早期检测异常脂肪储存,以便付诸实践。