Van den Broeck J, Wit J M
Bureau of the Dutch Growth Foundation, Sophia Kinderziekenhuis, Rotterdam, The Netherlands.
Horm Res. 1997;48 Suppl 1:33-42. doi: 10.1159/000191265.
Changes in body fat, fat-free mass and extracellular water occur in many disorders, and during normal growth in children. Thus, body composition is an increasingly important measurement in paediatric clinical practice, and is used for diagnostic purposes, for decisions for treatment and for monitoring improvement. A number of different methods exist for determining body composition in children; however, their use is complicated by the absence of a gold standard and the lack of validity data in children both with and without growth disorders. In this report, validity and usefulness are compared among anthropometric methods and weighted against other techniques used in children. Recent recommendations of a number of expert committees are discussed.
身体脂肪、去脂体重和细胞外液的变化发生在许多疾病中,以及儿童的正常生长过程中。因此,身体成分在儿科临床实践中是一项越来越重要的测量指标,用于诊断目的、治疗决策和监测改善情况。存在多种不同的方法来测定儿童的身体成分;然而,由于缺乏金标准以及患有和未患有生长障碍的儿童的有效性数据,这些方法的使用变得复杂。在本报告中,对人体测量方法的有效性和实用性进行了比较,并与儿童使用的其他技术进行了权衡。讨论了一些专家委员会最近的建议。