van Leeuwen Janneke, van Middelkoop Marienke, Paulis Winifred D, Bindels Patrick J E, Koes Bart W
1Department of General Practice,Erasmus MC,University Medical Center,Rotterdam,The Netherlands.
2Department of Physical Therapy Studies,Rotterdam University of Applied Sciences,Rotterdam,The Netherlands.
Prim Health Care Res Dev. 2019 Jan;20:e14. doi: 10.1017/S1463423618000713. Epub 2018 Oct 8.
The aim of this study is to investigate the differences between reported and measured weight and height for underweight, normal-weight, and overweight children, particularly in a general practitioner setting.
Screening, signaling, and treatment of childhood obesity by the general practitioner depends on accurate weight and height measurements.
Data on reported and measured weight and height from a cohort including 715 normal-weight and overweight children aged 2-17 were used. Means of reported and measured weight and height were compared using the paired T-test.
Of the 715 included children, 17.5% were defined as being underweight, 63.2% normal-weight, and 19.3% overweight according to direct measured height and weight. In the age group 2-8 years, parents of underweight children reported a significantly higher weight than measured weight [mean differences (MD) 0.32 kg (0.02, 0.62)], whereas parents of overweight young children reported a significantly lower weight [MD -1.08 kg (-1.77, -0.39)]. In the age group 9-17 years, normal-weight [MD -0.51 kg (-0.79, -0.23)] and overweight children [MD -1.28 kg (-2.08, -0.47)] reported a significantly lower weight than measured weight.
General practitioners cannot rely on reported weight and height measures from parents and children. In case of suspected under- or overweight in children, it should be advised to measure weight and height in general practice.
本研究旨在调查体重过轻、体重正常和超重儿童报告的体重和身高与测量的体重和身高之间的差异，特别是在全科医生环境中。
全科医生对儿童肥胖的筛查、信号提示和治疗取决于准确的体重和身高测量。
使用了来自一个队列的数据，该队列包括715名2至17岁的体重正常和超重儿童，这些儿童报告的体重和身高以及测量的体重和身高。使用配对t检验比较报告的体重和身高与测量的体重和身高的均值。
在纳入的715名儿童中，根据直接测量的身高和体重，17.5%被定义为体重过轻，63.2%体重正常，19.3%超重。在2至8岁年龄组中，体重过轻儿童的父母报告的体重显著高于测量体重[平均差异(MD)0.32千克(0.02, 0.62)]，而超重幼儿的父母报告的体重显著低于测量体重[MD -1.08千克(-1.77, -0.39)]。在9至17岁年龄组中，体重正常儿童[MD -0.51千克(-0.79, -0.23)]和超重儿童[MD -1.28千克(-2.08, -0.47)]报告的体重显著低于测量体重。
全科医生不能依赖父母和儿童报告的体重和身高测量值。如果怀疑儿童体重过轻或超重，建议在全科医疗中测量体重和身高。
