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JAMA Pediatr:TMI青少年体重评价的新标准

2017-05-16 zhangfan MedSci原创

TMI是8-17岁的青少年人群体重评估的准确方法,该方法比BMI z指数更准确,比改良的BMI指数使用方便,因此,在青少年人群中应当推广TMI体重评估法

体重指数(BMI)是全球通用的肥胖诊断依据,但有证据表明,青少年人群体重与身高的平方并不完全相匹配。考虑到这一点,卫生保健部门制订了每个年龄段的BMI百分位数(BMI z分数)和改良的BMI法。近日研究人员评估了青少肥胖诊断方法的准确性。

研究数据收集工作从1999年至2006年间进行,数据分析工作从2015年至2016年进行。研究人员利用双能x线吸收仪和人体测量数据来确定身体脂肪水平和身体比例变化以及体重、身高和身体脂肪百分比之间的比例关系。为了评估每个肥胖指数的准确性,采用了3种标准:随年龄增长的稳定性、体脂估计精度、判断正常体重与超重的准确性。

共2285名非西班牙裔白人参与研究,年龄8至29岁。研究发现TMI(体重除以身高的立方)是衡量青少年体重的最佳方法。对于8至17岁青少年,TMI较BMI对年龄以及体脂估计精度更稳定(男孩R2=0.64 vs 0.38,女孩R2=0.72 vs 0.66)。TMI较BMI对于青少年是否超重的错误率更低(TMI,8.4%; 95% CI,7.3%-9.5% vs BMI, 19.4%; 95% CI, 17.8%-20.0%; P<0.001)。TMI与改良的BMI表现出相近的准确性(TMI,8.4%;95% CI,7.3%-9.5% vs BMI,8.0%;95% CI,6.9%-9.1%;P=0.62).

研究认为,TMI是8-17岁的青少年人群体重评估的准确方法,该方法比BMI z指数更准确,比改良的BMI指数使用方便,因此,在青少年人群中应当推广TMI体重评估法。

原始出处:


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    2017-06-20 feather89
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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun May 21 14:05:29 CST 2017, time=2017-05-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444212, encodeId=b9091444212a3, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Thu May 18 05:33:00 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199318, encodeId=1b7619931895, content=肥胖现在越来越流行了, beContent=null, objectType=article, channel=null, level=null, 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time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=198914, encodeId=69fe198914dd, content=现在大肚子的胖子越来越多啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuBA90ng5ibXMmibn1feGOQ2cjw0S48DKsF0icicFlmRxwHibIic2TNGd22vVqkKRMj2cRSWbpqZAPBPgdt/0, createdBy=81031668757, createdName=林3301, createdTime=Tue May 16 21:43:14 CST 2017, time=2017-05-16, status=1, ipAttribution=)]
    2017-05-21 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

    0

  5. 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    2017-05-18 huagfeg
  6. 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time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=198914, encodeId=69fe198914dd, content=现在大肚子的胖子越来越多啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuBA90ng5ibXMmibn1feGOQ2cjw0S48DKsF0icicFlmRxwHibIic2TNGd22vVqkKRMj2cRSWbpqZAPBPgdt/0, createdBy=81031668757, createdName=林3301, createdTime=Tue May 16 21:43:14 CST 2017, time=2017-05-16, status=1, ipAttribution=)]
    2017-05-17 Mr.Li先生

    肥胖现在越来越流行了

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun May 21 14:05:29 CST 2017, time=2017-05-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444212, encodeId=b9091444212a3, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Thu May 18 05:33:00 CST 2017, time=2017-05-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199318, encodeId=1b7619931895, content=肥胖现在越来越流行了, beContent=null, objectType=article, channel=null, level=null, 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encodeId=4d4f1990895c, content=控制儿童肥胖很必要, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Wed May 17 07:41:06 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199078, encodeId=33271990e893, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Wed May 17 07:31:18 CST 2017, time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=198914, encodeId=69fe198914dd, content=现在大肚子的胖子越来越多啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuBA90ng5ibXMmibn1feGOQ2cjw0S48DKsF0icicFlmRxwHibIic2TNGd22vVqkKRMj2cRSWbpqZAPBPgdt/0, createdBy=81031668757, createdName=林3301, createdTime=Tue May 16 21:43:14 CST 2017, time=2017-05-16, status=1, ipAttribution=)]
    2017-05-17 flyingzyx

    感谢分享,认真学习一下。

    0

  8. 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time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=198914, encodeId=69fe198914dd, content=现在大肚子的胖子越来越多啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuBA90ng5ibXMmibn1feGOQ2cjw0S48DKsF0icicFlmRxwHibIic2TNGd22vVqkKRMj2cRSWbpqZAPBPgdt/0, createdBy=81031668757, createdName=林3301, createdTime=Tue May 16 21:43:14 CST 2017, time=2017-05-16, status=1, ipAttribution=)]
    2017-05-17 深海的鱼

    控制儿童肥胖很必要

    0

  9. 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time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=198914, encodeId=69fe198914dd, content=现在大肚子的胖子越来越多啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuBA90ng5ibXMmibn1feGOQ2cjw0S48DKsF0icicFlmRxwHibIic2TNGd22vVqkKRMj2cRSWbpqZAPBPgdt/0, createdBy=81031668757, createdName=林3301, createdTime=Tue May 16 21:43:14 CST 2017, time=2017-05-16, status=1, ipAttribution=)]
    2017-05-17 daiyaozu

    学习了,不错

    0

  10. 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time=2017-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=198914, encodeId=69fe198914dd, content=现在大肚子的胖子越来越多啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuBA90ng5ibXMmibn1feGOQ2cjw0S48DKsF0icicFlmRxwHibIic2TNGd22vVqkKRMj2cRSWbpqZAPBPgdt/0, createdBy=81031668757, createdName=林3301, createdTime=Tue May 16 21:43:14 CST 2017, time=2017-05-16, status=1, ipAttribution=)]
    2017-05-16 林3301

    现在大肚子的胖子越来越多啊

    0

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