双能X线吸收法与生物电阻抗法测量儿童身体成分结果比较.docVIP

HYPERLINK / 专利查询 Http://Www.Yaokuo.Com 双能X线吸收法与生物电阻抗法测量儿童身体成分结果比较 【关键词】 光密度测定法,X线;电阻抗;身体成分;儿童;对比研究 【摘要】 目的 比较儿童双能X线吸收法与生物电阻抗法身体成分结果，为儿童体成分研究提供方法学基础。 方法 选择7～15岁体重正常儿童180名，每性别、年龄组约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2种方法测量结果的相关性和一致性。 结果 7～15岁儿童肌肉组织、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，除个别年龄段的个别指标外，均有统计学意义（P值均0.05）;各年龄组女生脂肪组织和脂肪百分比测量值相关系数均高于男生。BIA与DEXA脂肪百分比测量结果的平均差值随年龄增长而降低，但男生差值标准差随年龄增长而增加，女生相对稳定。Bland-Altman图分析男生BIA与DEXA脂肪百分比结果的一致性限男生为-7.6%～12.6%，女生为-3.2%～10.4%。男、女生BIA得出的非脂肪组织指数（FFMI）大于DEXA结果，差值在2.0以内，男生有随脂肪百分比含量升高而增加的趋势;女生20%～30%脂肪百分比组差值最小。 结论 儿童BIA与DEXA身体成分测量值相关性好。BIA与DEXA相比，可低估脂肪组织含量和脂肪百分比，高估肌肉组织含量和骨矿含量。 【关键词】 光密度测定法，X线;电阻抗;身体成分;儿童;对比研究 Comparison Between Bioelectrical Impedance Analysis and Dual Energy X-ray Absorptiometry in Chidrens Body Composition Measurement/ 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 Analysis（BIA）and Dual Energy X-ray Absorptiometry（DEXA）measurement in body composition of normal-weight children aged7-15years old，and to provide bases for the research of childrens body composition.Methods For each gen-der and age group from7to15years old，about10normal-weight children（180totally）were selected to receive body composition measurement by both BIA and DEXA.Correlation and agreement of the two methods were analyzed.Results Most correlation coefficients of BIA and DEXA measurement in muscle，bone mineral content，fat and body fat percentage were statistically significant（P0.05）.The correlation coefficients for female fat tissue and body fat per-centage were higher than those of male.The difference in fat percentage between BIA and DEXA decreased with age，but the standard deviation of boys in-creased with age while the girls was comparatively stable.Bland-Altman plot analysis showed that the agreement limit for body fat percentage between BIA and DEXA was from-7.6%to12.6%and from-3.2%to10.4%respectively.Fat-free mass