双能X线吸收法及生物电阻抗法测量肥胖儿童身体成分结果比较.doc

双能X线吸收法及生物电阻抗法测量肥胖儿童身体成分结果比较【摘要】目的 比较7～15岁肥胖儿童双能X线吸收 法（DEXA）与生物电阻抗法（BIA）身体成分测量结果及其与正常儿童的比较，为BIA在肥胖 儿童体重控制中的应用提供基础数据。 方法 选择7～15岁体重正常和肥 胖儿童共356名，每组各性别、年龄约10名，分别采用DEXA和BIA测定身体脂肪组织和非脂肪 组织成分及骨矿含量，分析肥胖儿童2种方法测量结果的相关性和一致性以及与正常儿童的 差异。 结果 7～15岁男、女肥胖儿童肌肉组织、骨矿含量、脂肪组织和 脂肪百分比BIA与DEXA测量结果的相关系数除11～15岁女生骨矿含量外，差异均有统计学意 义（P值均＜0.05），脂肪组织相关系数高于其他指标。7～15岁肥胖儿童BIA与DEXA脂 肪百分比测量结果的差值均值有随年龄增长而降低的趋势。男生BIA与DEXA脂肪百分比测量 值比较的一致性限为-7.5%～8.6％，女生为-7.5%～11.0％。低年龄（＜13岁）高脂肪 百分比组（≥35%）和高年龄（≥13岁）低脂肪百分比组（＜35%）肥胖男、女生脂肪组织指 数(FMI)和非脂肪组织指数(FFMI)差值均值较小。 结论 肥胖儿童BIA与DE XA身体成分测量值的相关性以及一致性与体重正常儿童相比时，结果更好。 【关键词】 光密度测定法；X线；电阻抗；身体成分；肥胖症；儿童；对 比研究 【中图分类号】R 179R 195.2【文献标识码】A【文章编号】1000-98 17(2007)06-0484-04 Comparison Between Bioelectrical Impedance Analysis and Dual Energy X-r ayAbsorptiometry in Obese Children’s Body Composition Measurements/ MA Jun *, FENG Ning, Abudu Anni, et al. * Institute of Child and Adolescent Health,Peking University, Beijing(100083), China 【Abstract】Objective To compare Bioelectrical Impedance Anal ysis and Dual Energy X-ray Absorptiometry (DEXA) measurements in body compositi on of obese children aged 7-15 years and the differences between normal-weightand obese children, and to provide evidence for application of BIA among obese c hildren.MethodsThree hundred and fifty-six boys and girls a ged 7-15 years were recruited in this study. For each age and sexual group, abou t 10 children were chosen both in obese and normal groups to receive the measure ment of body composition with BIA and DEXA.Results Most corre lation coefficients of BIA and DEXA measurement in muscle,bone mineral content,fat and percent body fat were statistically significant(P＜0.05) and the cor relation coefficient of fat tissue was higher than others’. The difference in pe rcent body fat between BIA and DEXA decreased with age for obese children aged 7 -15 years old. Bland-Altman plot analysis showed that the agreement limit for b ody fat percent between BIA and DEXA ranged from -7.5% to 8.6% and -7.5% to 11.0 %