Lee SoJung, Kim Yejin, Han Minsub
Division of Sports Medicine, Graduate School of Physical Education, Kyung Hee University, Yongin, Korea.
Graduate School, Kyung Hee University, Yongin, Korea.
J Obes Metab Syndr. 2022 Dec 30;31(4):296-302. doi: 10.7570/jomes22046. Epub 2022 Oct 24.
Although the rate of childhood obesity seems to have plateaued in recent years, the prevalence of obesity among children and adolescents remains high. Childhood obesity is a major public health concern as overweight and obese youth suffer from many co-morbid conditions once considered exclusive to adults. It is now well demonstrated that abdominal obesity as measured by waist circumference (WC) is an independent risk factor for cardiovascular disease and metabolic dysfunction in youth. Despite the strong associations between WC and cardiometabolic risk factors, there is no consensus regarding the optimal WC measurement sites to assess abdominal obesity and obesity-related health risk in children and adolescents. Currently, the WC measurement site that provides the best reflections of visceral fat and the best correlations with cardiometabolic risk factors is unclear. The purpose of this review is to explore whether WC measurement sites influence the relationships between WC, visceral fat, and cardiometabolic risk factors in children and adolescents.
尽管近年来儿童肥胖率似乎已趋于平稳，但儿童和青少年中的肥胖患病率仍然很高。儿童肥胖是一个主要的公共卫生问题，因为超重和肥胖的青少年患有许多曾经被认为是成年人独有的合并症。现在已经充分证明，通过腰围（WC）测量的腹部肥胖是青少年心血管疾病和代谢功能障碍的独立危险因素。尽管WC与心脏代谢危险因素之间存在密切关联，但对于评估儿童和青少年腹部肥胖及肥胖相关健康风险的最佳WC测量部位尚无共识。目前，尚不清楚哪个WC测量部位能最好地反映内脏脂肪以及与心脏代谢危险因素具有最佳相关性。本综述的目的是探讨WC测量部位是否会影响儿童和青少年中WC、内脏脂肪与心脏代谢危险因素之间的关系。
