居住在南欧的儿童和青少年的身体成分：根据不同国际参考标准的超重和肥胖患病率
Body Composition in Children and Adolescents Residing in Southern Europe: Prevalence of Overweight and Obesity According to Different International References.
作者信息
López-Sánchez Guillermo Felipe, Sgroi Maurizio, D'Ottavio Stefano, Díaz-Suárez Arturo, González-Víllora Sixto, Veronese Nicola, Smith Lee
机构信息
Faculty of Sports Sciences, University of Murcia, Murcia, Spain.
Faculty of Medicine and Surgery, University of Rome Tor Vergata, Rome, Italy.
出版信息
Front Physiol. 2019 Feb 19;10:130. doi: 10.3389/fphys.2019.00130. eCollection 2019.
The objective was to analyze body composition in children and adolescents of Southern Europe to identify prevalence of overweight and obesity. This investigation involved 512 girls and 488 boys between 7-to 19-years. Variables evaluated were Body Mass Index (BMI) and Fat Mass (FM; electrical bioimpedance). The references used to establish prevalence according to BMI were those of the World Health Organization (WHO) and the International Obesity Task Force (IOTF); in the case of FM, the Child Growth Foundation (CGF) reference was used. There were significant differences ( < 0.05) in the prevalence of overweight and obesity between the three classifications (32.3% according to IOTF, 37.3% according to WHO, and 39.8% according to CGF), being higher in males. WHO-IOTF concordance was substantial (kappa = 0.793), whereas concordances WHO-CGF (kappa = 0.504) and IOTF-CGF (kappa = 0.447) were moderate. The authors recommend evaluating overweight and obesity not only with BMI, but also with FM, and always specify the references used.
目的是分析南欧儿童和青少年的身体成分，以确定超重和肥胖的患病率。这项调查涉及512名女孩和488名7至19岁的男孩。评估的变量有体重指数（BMI）和脂肪量（FM；生物电阻抗法）。根据BMI确定患病率所使用的参考标准是世界卫生组织（WHO）和国际肥胖特别工作组（IOTF）的标准；对于FM，则使用儿童生长基金会（CGF）的参考标准。三种分类之间超重和肥胖的患病率存在显著差异（<0.05）（根据IOTF为32.3%，根据WHO为37.3%，根据CGF为39.8%），男性患病率更高。WHO与IOTF的一致性较高（kappa = 0.793），而WHO与CGF（kappa = 0.504）以及IOTF与CGF（kappa = 0.447）的一致性为中等。作者建议不仅要用BMI评估超重和肥胖，还要用FM评估，并始终明确所使用的参考标准。
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