Bervoets L, Massa G
Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.
Pediatr Obes. 2014 Oct;9(5):e94-8. doi: 10.1111/j.2047-6310.2014.00217.x. Epub 2014 Feb 27.
Studies have reported that children who are obese are becoming more severely obese.
We aimed to classify obese children based on age- and gender-specific centile curves passing through body mass index (BMI) 30, 35 and 40 at age 18 as 'class I', 'class II' or severe, and 'class III' or morbid obesity.
In addition to the International Obesity Task Force BMI cut-offs corresponding to BMI 30 and 35, we calculated the BMI cut-offs corresponding to BMI 40 using the LMS method proposed by Cole and Lobstein. We classified 217 obese children according to these criteria.
Fifty-six (25.8%) children had class III obesity, 73 (33.6%) class II obesity and 88 (40.6%) class I obesity. Class III obese children had a higher waist circumference, systolic blood pressure and fasting insulinaemia compared with less obese children.
It is clinically important to classify obese children in different classes of obesity severity.
研究报告称肥胖儿童正变得越来越严重肥胖。
我们旨在根据18岁时通过体重指数（BMI）30、35和40的年龄和性别特异性百分位数曲线，将肥胖儿童分类为“Ⅰ类”、“Ⅱ类”或重度肥胖的“Ⅱ类”，以及“Ⅲ类”或病态肥胖。
除了国际肥胖特别工作组对应于BMI 30和35的BMI切点外，我们使用Cole和Lobstein提出的LMS方法计算了对应于BMI 40的BMI切点。我们根据这些标准对217名肥胖儿童进行了分类。
56名（25.8%）儿童患有Ⅲ类肥胖，73名（33.6%）患有Ⅱ类肥胖，88名（40.6%）患有Ⅰ类肥胖。与肥胖程度较轻的儿童相比，Ⅲ类肥胖儿童的腰围、收缩压和空腹胰岛素血症更高。
将肥胖儿童分类为不同肥胖严重程度类别在临床上具有重要意义。
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