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过去 30 年来(1983 年至 2010 年),波兰克拉科夫女孩的 BMI 和肥胖反弹的长期变化。

Long-term changes in BMI and adiposity rebound among girls from Kraków (Poland) over the last 30 years (from 1983 to 2010).

机构信息

Department of Human Biology, University School of Physical Education, 31-571, Krakow, Poland.

出版信息

Am J Hum Biol. 2013 May-Jun;25(3):300-6. doi: 10.1002/ajhb.22359. Epub 2013 Jan 24.

Abstract

BACKGROUND

Early adiposity rebound (AR, below 5 years) is an important predictor of adult obesity.

OBJECTIVES

The main purpose of this study was to explore changes in body weight and height, BMI, body fat, and AR timing in girls from Krakow within the last 3 decades.

METHODS

1,970 girls were measured in 2010. Using the results of body height, weight and skin folds measurements, the BMI and %BF was calculated. The LMS method was used to constructed BMI and %BF centiles. Three fractions were distinguished in individual age groups of the subjects-below the 15th percentile (underweight girls), 50th percentile and above 85th percentile (overweight girls). These data were compared with the results from previous survey series (1983 and 2000). The mean age of the menarche onset were calculated by means of the probit method.

RESULTS

The girls from last series are taller and heavier than girls measured in 1983. Before the time of AR, girls from last series have lowest BMI and %BF than girls from the first series. In spite of this, all girls measured in 2010 have the time of AR earlier than girls measured in 1983. The girls from the last series of measurements showed also acceleration of sexual maturation and the average menarche age was the earliest in them and equalled 12.68 years.

CONCLUSIONS

AR cannot be explained only by changes in body adiposity. Early AR could be a marker of acceleration of development already in an early postnatal ontogenesis.

摘要

背景

早期肥胖反弹(AR,5 岁以下)是成人肥胖的重要预测指标。

目的

本研究的主要目的是探讨过去 30 年来克拉科夫女孩的体重和身高、BMI、体脂肪和 AR 时间的变化。

方法

1970 名女孩于 2010 年进行了测量。使用身高、体重和皮肤褶皱测量结果,计算 BMI 和体脂肪百分比。使用 LMS 方法构建 BMI 和体脂肪百分比百分位数。在受试者的个体年龄组中区分了三个分数-低于第 15 百分位数(体重不足的女孩)、第 50 百分位和高于第 85 百分位(超重女孩)。将这些数据与之前的调查系列(1983 年和 2000 年)的结果进行比较。通过概率方法计算初潮开始的平均年龄。

结果

最后一系列的女孩比 1983 年测量的女孩更高更重。在 AR 之前,最后一系列的女孩的 BMI 和体脂肪百分比比第一系列的女孩低。尽管如此,所有在 2010 年测量的女孩的 AR 时间都比在 1983 年测量的女孩更早。最后一系列测量的女孩还表现出性成熟的加速,平均初潮年龄最早,为 12.68 岁。

结论

AR 不能仅通过身体脂肪的变化来解释。早期 AR 可能是发育加速的标志物,已经在出生后早期的个体发生中出现。

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