Health Center, Keio University, Tokyo, Japan.
Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
J Pediatr Endocrinol Metab. 2020 Dec 18;34(3):349-356. doi: 10.1515/jpem-2020-0418. Print 2021 Mar 26.
During 1978-1981 the Japanese Standards Association conducted a national survey to collect 64 distinct body measurements for Japanese children and adults. During 1978-1981, the prevalence of childhood obesity was relatively low yet the population was well nourished in Japanese children. The aim of this study is to construct waist circumference and waist circumference to stature ratio reference centile curves for Japanese preschool children.
We utilized 1978-1981 national survey data on body sizes. There are 4937 boys and 4758 girls age 0-6 years for waist circumference measurements. Waist circumference was measured at the level of the umbilicus. Using LMS method, centile curves were constructed for waist circumference and waist circumference to stature ratio. These reference values were compared with those of Dutch, Swedish and Turkish children.
Centile reference curves were made for clinical and epidemiological use. Japanese children had smaller waist circumference centile values as compared to waist circumference measured at the midpoint of the lowest rib cage and the iliac crest of Dutch, Swedish and Turkish children. However, Japanese children had comparable waist circumference to stature ratio centile values to those of Dutch and Turkish children.
This study presents the first age-, sex-, and ethnicity-specific reference values for waist circumference and waist circumference to stature ratio in Japanese preschool children.
1978 年至 1981 年期间，日本标准协会进行了一项全国性调查，以收集 64 项独特的日本儿童和成人身体测量数据。1978 年至 1981 年间，日本儿童的肥胖患病率相对较低，但营养状况良好。本研究旨在为日本学龄前儿童构建腰围和腰围与身高比的参考百分位曲线。
我们利用了 1978 年至 1981 年全国体型调查数据。有 4937 名男孩和 4758 名女孩年龄在 0-6 岁，用于腰围测量。腰围在脐部水平测量。使用 LMS 方法，为腰围和腰围与身高比构建百分位曲线。将这些参考值与荷兰、瑞典和土耳其儿童的参考值进行了比较。
制作了临床和流行病学使用的百分位参考曲线。与荷兰、瑞典和土耳其儿童的肋弓中点和髂嵴处测量的腰围相比，日本儿童的腰围百分位值较小。然而，日本儿童的腰围与身高比百分位值与荷兰和土耳其儿童相当。
本研究提供了日本学龄前儿童腰围和腰围与身高比的第一个年龄、性别和种族特异性参考值。
