Agrelo F, Lobo B, Bazán M, Mas L B, Lozada C, Jazán G, Orellana L
Centro de Estudios del crecimiento y Desarrollo del Niño Hospital Pediátrico del Niño Jesús Córdoba, Argentina.
Arch Latinoam Nutr. 1988 Mar;38(1):69-80.
Findings of a nutritional evaluation study, using triceps skinfold, are reported. The study was carried out in 1,615 school-children from 5 to 12 years, pertaining to the low socioeconomic status of the city of Córdoba, Argentina. Measurements were done during the years 1983 and 1984 by Center's examiners with a Lange caliper, according to international anthropometric methodology. Interintra observer technical error was found to be within tolerance limits reported by other authors. Local standards were used to determine the prevalence of thinness and excessive fatness, by comparing them to tricep skinfold of each child, and selecting those children where this parameter presented values less than or equal to 10th percentile and fatness greater than or equal to 90th percentile. Furthermore, comparison between median triceps skinfold of the examined group, the local standards and Frisancho's norms for US population was also made. Results revealed that: a) the prevalence of thinness (19.9%) was almost twice the percentage expected for a normal population; in contrast, occurrence of excessive fatness (6.4%) was found to be below the expected value; b) prevalence of thinness was not statistically associated to age nor sex; c) frequency of excessive fatness was significantly higher in the 8-11 year-old male group (8, 9%, p much less than 0.0005) and in the girls group (10.8%), P much less than 0.005) the prevalence of fatness in girls increased with age, and figures revealed that from eight years onwards this exceeded the expected percentage, and d) median triceps skinfold of the group under study was generally below local and foreign norms. It is concluded that potential or real nutrition problems as those mentioned above, may be grossly identified using the triceps skinfold as the single anthropometric indicator.
本文报告了一项使用肱三头肌皮褶厚度进行营养评估研究的结果。该研究在阿根廷科尔多瓦市1615名5至12岁、社会经济地位较低的学童中开展。1983年至1984年间，该中心的检查人员按照国际人体测量方法，使用兰格卡尺进行测量。观察者间和观察者内的技术误差均在其他作者报告的容许范围内。通过将每个孩子的肱三头肌皮褶厚度与当地标准进行比较，并挑选出该参数值小于或等于第10百分位数以及肥胖度大于或等于第90百分位数的孩子，来确定消瘦和肥胖的患病率。此外，还对被检查组的肱三头肌皮褶厚度中位数、当地标准以及美国人群的弗里桑乔标准进行了比较。结果显示：a）消瘦的患病率（19.9%）几乎是正常人群预期百分比的两倍；相比之下，肥胖的发生率（6.4%）低于预期值；b）消瘦的患病率与年龄和性别均无统计学关联；c）肥胖在8至11岁男性组中的发生率显著更高（8.9%，p远小于0.0005），在女孩组中也较高（10.8%，p远小于0.005），女孩的肥胖率随年龄增加，数据显示从8岁起该比率超过预期百分比；d）研究组的肱三头肌皮褶厚度中位数总体低于当地和国外标准。结论是，使用肱三头肌皮褶厚度作为单一人体测量指标，可以大致识别上述潜在或实际的营养问题。
