Knapp T R
JAMA. 1983;250(4):506-10.
This article raises several objections to the procedures that were employed to determine ideal (optimal, desirable) weights in the 1959 and 1979 Build and Blood Pressure studies, the Framingham (Mass) study, and the recent study of the relationship between weight and mortality carried out by the American Cancer Society. The new height-weight tables based on the 1979 Build and Blood Pressure study are also criticized. The article concludes with the recommendation that the concept of ideal weight be abandoned and that attention be devoted to the morbidity and mortality experience of "outliers" (the very thin and the very obese).
本文对1959年和1979年的体型与血压研究、弗雷明汉(马萨诸塞州)研究以及美国癌症协会最近进行的体重与死亡率关系研究中用于确定理想(最佳、可取)体重的程序提出了若干异议。基于1979年体型与血压研究的新身高体重表也受到了批评。文章最后建议摒弃理想体重的概念,并将注意力转向“异常值”(极瘦者和极胖者)的发病情况和死亡情况。