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通过人体测量学预测非卧床老年人的体重。

Prediction of body weight for the nonambulatory elderly from anthropometry.

作者信息

Chumlea W C, Guo S, Roche A F, Steinbaugh M L

机构信息

Department of Pediatrics, Wright State University School of Medicine, Yellow Springs, Ohio.

出版信息

J Am Diet Assoc. 1988 May;88(5):564-8.

PMID:3367012
Abstract

Body weight is one of the most important measurements in assessing nutritional status. Weight is also an important variable in equations that are needed to predict caloric expenditure and in indexes of body composition. Equations to predict the body weight of nonambulatory elderly persons with known errors should make use of body measurements that are indexes of the actual constituents of body composition and that can be collected regardless of an elderly person's level of mobility. The study samples consisted of a validation sample of 228 ambulatory white elderly persons, a cross-validation sample, and a clinical-validation sample of nonambulatory white elderly persons. Equations to predict body weight in the validation sample were derived from recumbent measures of arm and calf circumferences, triceps and subscapular skinfolds, and knee height. The accuracy, sensitivity, and validity of the equations were independently tested in the cross-validation sample; mean signed differences in actual and predicted weight ranged from 0.1 to 1.8 kg. In the clinical-validation sample, the mean differences were larger. Prediction equations are presented using two, three, and four body measurements to allow the selection of an equation based upon those measurements that are possible to collect from a nonambulatory person on an individual basis.

摘要

体重是评估营养状况时最重要的指标之一。在预测热量消耗所需的公式以及身体成分指标中,体重也是一个重要变量。预测已知误差的非卧床老年人体重的公式应采用作为身体成分实际组成部分指标的身体测量数据,且无论老年人的活动能力如何均可收集这些数据。研究样本包括228名能走动的白人老年人的验证样本、一个交叉验证样本以及非卧床白人老年人的临床验证样本。验证样本中预测体重的公式源自对臂围、小腿围、三头肌和肩胛下皮褶厚度以及膝高的卧位测量。这些公式的准确性、敏感性和有效性在交叉验证样本中进行了独立测试;实际体重与预测体重的平均符号差在0.1至1.8千克之间。在临床验证样本中,平均差异更大。文中给出了使用两项、三项和四项身体测量数据的预测公式,以便根据能够从非卧床个体身上逐个收集的测量数据来选择公式。

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