Abstract
萧黎,莫宝庆,陈新峰,袁飞,俞晓红,姜庆五.两种标准筛检的肥胖儿童血生化指标的分析[J].Chinese journal of Epidemiology,2006,27(5):384-386
两种标准筛检的肥胖儿童血生化指标的分析
Study on blood bloc6emical variables of obese children screened by new BMI and weight-for-height crlterlon
Received:July 28, 2005  
DOI:
KeyWord: 肥胖标准  体重指数  儿童  肝功能  血脂
English Key Word: Obese criterion  Body mass index  Children  Liver functions  Blaod lipids
FundProject:
Author NameAffiliation
XIAO Li Department of Epidemiology, School of Public Health, Fudan University 
MO Bao-qing Department of Epidemiology, School of Public Health, Fudan University 
CHEN Xin-feng Shanghai 200023, China Public Health School 
YUAN Fei Nanjing Medical University, Nanjing 210029, China 
YU Xiao-hong Nanjing Medical University, Nanjing 210029, China 
JIANG Qing-wu Nanjing Medical University, Nanjing 210029, China 
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Abstract:
      目的用新体重指数(BMI)标准法和身高标准体重法筛选肥胖儿童并评价肥胖影响肝功能和血脂的情况。方法用1:1病例对照研究,对肥胖儿童和对照儿童进行肝功能、血脂等14项指标测定。结果用身高标准体重法筛选出的280名肥胖儿童,其中仅有125名被新BMI标准判定为肥胖。BMI标准筛选的肥胖儿童7项指标的异常率(10.4%-22.9%)高于对照儿童,BMI标准排除的155名“肥胖”儿童5项指标的异常率(3.23%-13.0%)高于对照儿童。结论新BMI标准比原身高标准体重法标准高,身高标准体重法标准筛选出的肥胖儿童仅不足1/2被新BMI标准判为肥胖。部分被新BMI标准定为超重的儿童也存在肝功能异常和血脂高的现象。
English Abstract:
      Objective To evaluate the abnormal state of liver function and plasma lipid levels of obese schoolchildren who were screened by weight-for-height criterion and new body mass index criterion respectively. Methods 280 obese children were screened by weight-for-height criterion and 125 obese children were screened by body mass index criterion in a routine school check-up program. All of the latter subjects was included in the former one. One obese child and 1 non-obese child were matched for gender and age. 14 items related to liver functions and plasma lipids were measured.Results Of the abnormal items,?items in 125 obese children screened by new BMI criterion and 5 items in 155 "obese children" excluded by BMI criterion, were significantly higher than those children among controlled group. The abnormal rates were 10. 4 %-22. 9 % in the former and 3. 2%一13.0% in the latter. Conclusion The new BMI criterion seemed to be more stringent than weight-for-height. Less than a half of the obese children screened by weight-for-height were taken on obese children by new BMI criterion. The overweight children who were screened by BMI criterion also had abnormal liver functions and plasma lipids.
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