Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
Department of Nutrition and Food Hygiene, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
Front Endocrinol (Lausanne). 2021 Oct 21;12:694681. doi: 10.3389/fendo.2021.694681. eCollection 2021.
Because of the limitation of body mass index (BMI) in distinguishing adipose mass from muscle, the tri-ponderal mass index (TMI) has been proposed as a new indicator for better assessing adiposity in children and adolescents. However, it remains unclear whether TMI performs better than BMI or other adiposity indices in predicting obesity status in childhood and obesity-related cardiovascular risk factors (CVRFs) in childhood or adulthood. We searched PubMed, Cochrane Library, and Web of Science for eligible publications until June 15, 2021. A total of 32 eligible studies were included in this systematic review. We found that TMI had a similar or better ability to predict body fat among children and adolescents than BMI. However, most of the included studies suggested that TMI was similar to BMI in identifying metabolic syndrome although TMI was suggested to be a useful tool when used in combination with other indicators (e.g., BMI and waist circumference). In addition, limited evidence showed that TMI did not perform better than BMI for identifying specific CVRFs, including insulin resistance, high blood pressure, dyslipidemia, and inflammation in children and adolescents, as well as CVRFs in adults.
https://www.crd.york.ac.uk/prospero, CRD42021260356.
由于体重指数（BMI）在区分脂肪质量和肌肉质量方面的局限性，三比重质量指数（TMI）已被提出作为一种更好地评估儿童和青少年肥胖的新指标。然而，TMI 是否优于 BMI 或其他肥胖指数来预测儿童期肥胖状态以及儿童期或成年期肥胖相关心血管风险因素（CVRFs），目前仍不清楚。
我们在 2021 年 6 月 15 日之前在 PubMed、Cochrane Library 和 Web of Science 上搜索了符合条件的出版物。本系统评价共纳入 32 项符合条件的研究。我们发现，TMI 在预测儿童和青少年体脂肪方面的能力与 BMI 相似或更好。然而，大多数纳入的研究表明，TMI 在识别代谢综合征方面与 BMI 相似，尽管 TMI 与其他指标（如 BMI 和腰围）结合使用时被认为是一种有用的工具。此外，有限的证据表明，TMI 在识别儿童和青少年的特定 CVRFs（包括胰岛素抵抗、高血压、血脂异常和炎症）以及成人的 CVRFs 方面并不优于 BMI。
https://www.crd.york.ac.uk/prospero, CRD42021260356。
