于BMI判定超重肥胖4个标准的比较案例.docVIP

于BMI判定超重肥胖4个标准的比较 【摘要】? 　　目的 比较WGOC标准、WHO/NCHS标准、IOTF标准、美国CDC标准判定超重肥胖的差异及能力，为与国外儿童青少年超重肥胖率进行比较以及促进儿童青少年超重肥胖预防措施的制定提供参考。方法 应用2005年全国学生体质调研资料，分析基于BMI判定超重、肥胖的4个标准的筛选差异；以中国肥胖问题工作组公布的“中国学龄儿童超重、肥胖BMI筛查分类”参考标准作为“金标准”，分别计算WHO/NCHS标准、IOTF标准、美国CDC标准的灵敏度、特异度以及符合率，对比3种国际标准在我国儿童青少年中的适用性。结果 在超重、肥胖的筛查能力方面，WHO的标准具有较高的灵敏度、特异度，符合率也最好。当需要与国外儿童青少年超重肥胖检出率进行比较时，WHO标准更适用于我国儿童青少年超重肥胖的筛查。结论 应用国际标准进行我国儿童青少年超重肥胖筛查时，需根据研究目的谨慎选择，以达到最佳的效果。 【关键词】? 人体质量指数 超重 肥胖症 参考标准 学生保健服务 　　Comparison of Four BMI Criteria for Overweight and Obesity/ 　　ZHANG Ji, MA Jun, LI Baihui, et al. 　　Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing (100191), China??? 　　【Abstract】? Objective? To assess the difference among the BMI criteria of WGOC, WHO / NCHS, IOTF, USCDC in diagnosing overweight and obesity in Chinese schoolage children, and to provide reference for the comparison with teenagers abroad and promoting the control and prevention measure ment. Methods? With the data of National Physical Fitness and Health Surveillance of Chinese School Students in 2005, the prevalence rates of overweight and obesity were calculated by using four different BMI criteria. Using the criteria Chinese BMI criteria for screening overweight and obesity in children and adolescents released by the Working Group of Chinese Obesity as the gold standard , the sensitivity, specificity, and agreement rate of the WHO / NCHS, IOTF, and USCDC criteria were calculated, respectively, in order to compare the applicability of the three international criteria for schoolage children in China. Results? For screening overweight and obesity, the WHO criteria showed higher sensitivity, specificity and agreement rate. For comparison of the difference in prevalence of obesity and overweight among Chinese and foreign countries, WHO criteria was more applicable for Chinese schoolage children. Conclusion? It should be cautious to choose international criteria to screen overweight and obesity in the Chinese