Trzcińska Dorota, Tabor Piotr, Olszewska Elżbieta
Department of Corrective Movement Exercise, The Joseph Piłsudski University of Physical Education in Warsaw, Poland.
Pediatr Endocrinol Diabetes Metab. 2012;18(3):107-11.
Beside the positive tendencies in somatic development seen in the population of children and adolescents in Poland (e.g. the trend of increasing body height that has continued over many years), certain unfavorable phenomena are also observed. In recent decades, disorders connected with a deficiency or excess of body mass - excessive adiposity in particular - have become important health and social problems. This poses a considerable threat for being overweight, for obesity, and for other diseases of civilization.
The research targeted the evaluation of selected anthropometric parameters: height-weight indices, circumferences, and skinfold thicknesses in the population of 6-year-old children in Warsaw in comparison with their peer population in 1996-1999, as well as estimation of the frequency of abnormal percentile values of the aforementioned anthropometric parameters: values below the 10th percentile and above the 90th percentile.
The research included a sample of 160 randomly chosen children (81 boys and 79 girls) born in 2005 who attended public and private kindergartens in Warsaw. The average age of this group was 5.71 ± 0.28 years. The study was carried out in the first quarter of 2011. The following somatic parameters were measured: body height, body mass, chest and arm circumference, triceps, and subscapular and abdominal skinfold thickness. The height-weight indices including Rohrer's Index and Body Mass Index (BMI) were calculated. Using a method of normalization of numerical data, the obtained measurements were compared to the measurements of the peer population (n=233) from 1996 to 1999, and the significance of differences between mean values in both groups was assessed with Student's t-tests. The percentage tables with the ranges of the below normative (<10th percentile) and above normative (>90th percentile) percentile values of the studied parameters and indices were prepared on the basis of the percentile charts that presented the anthropometric parameters of children in Warsaw 12-15 years prior to this research.
Results especially worth underscoring are higher skinfold thickness values for children who took part in the research compared to the peer population examined in 1996-1999. This tendency was more typical of girls than boys and was observed mostly in subscapular skinfold thickness. Some of the differences between the studied population and the control group were statistically significant (girls: triceps skinfold thickness p <0.05, subscapular skinfold thickness p <0.01, sum of 3 skinfolds p <0.05; boys: subscapular skinfold thickness p <0.01).
During the last 12-15 years, a certain tendency for greater body fatness in 6-year-old children in Warsaw has been noticed. In the present research, the alarming symptoms that indicate the threat for being overweight and for obesity were observed on the basis of measurement of skinfold thickness. However, these symptoms were not found in the case of the analysis of selected height-weight indices. The relatively high percentages of extreme values (values below the 10th percentile and above the 90th percentile) of the analyzed parameters suggest that there are many children with a non-normative somatic build in the examined group.
除了在波兰儿童和青少年群体中看到的身体发育积极趋势(例如持续多年的身高增长趋势)外,还观察到某些不利现象。近几十年来,与体重不足或超重相关的疾病,尤其是过度肥胖,已成为重要的健康和社会问题。这对超重、肥胖以及其他文明病构成了相当大的威胁。
本研究旨在评估选定的人体测量参数:华沙6岁儿童群体的身高体重指数、周长和皮褶厚度,并与1996 - 1999年的同龄人群体进行比较,同时估计上述人体测量参数异常百分位数的频率:低于第10百分位数和高于第90百分位数的值。
该研究纳入了160名随机选择的儿童样本(81名男孩和79名女孩),他们于2005年出生,就读于华沙的公立和私立幼儿园。该组儿童的平均年龄为5.71 ± 0.28岁。研究于2011年第一季度进行。测量了以下身体参数:身高、体重、胸围和臂围、肱三头肌、肩胛下和腹部皮褶厚度。计算了包括罗勒指数和体重指数(BMI)在内的身高体重指数。使用数值数据归一化方法,将获得的测量值与1996年至1999年同龄人群体(n = 233)的测量值进行比较,并使用学生t检验评估两组平均值之间差异的显著性。根据本研究前12 - 15年华沙儿童人体测量参数的百分位数图表,编制了所研究参数和指数低于标准(<第10百分位数)和高于标准(>第90百分位数)百分位数范围的百分比表。
特别值得强调的结果是,与1996 - 1999年检查的同龄人群体相比,参与研究的儿童皮褶厚度值更高。这种趋势在女孩中比男孩更典型,主要在肩胛下皮褶厚度中观察到。研究人群与对照组之间的一些差异具有统计学意义(女孩:肱三头肌皮褶厚度p <0.05,肩胛下皮褶厚度p <0.01,3个皮褶之和p <0.05;男孩:肩胛下皮褶厚度p <0.01)。
在过去12 - 15年中,注意到华沙6岁儿童有一定的身体脂肪增加趋势。在本研究中,根据皮褶厚度测量观察到了表明超重和肥胖威胁的警示症状。然而,在分析选定的身高体重指数时未发现这些症状。所分析参数的极端值(低于第10百分位数和高于第90百分位数的值)相对较高的百分比表明,在所检查的群体中有许多儿童身体发育不规范。