Abstract
王宏亮,徐培培,曹薇,庞学红,潘慧,徐韬,陈博文,王玉英,杨振宇,张倩,赵文华.中国3~17岁儿童体质指数与体脂百分比关系的研究[J].Chinese journal of Epidemiology,2024,45(11):1501-1506
中国3~17岁儿童体质指数与体脂百分比关系的研究
Relationship between body mass index and fat mass percentage in children aged 3-17 years in China
Received:May 14, 2024  
DOI:10.3760/cma.j.cn112338-20240514-00271
KeyWord: 儿童  体质指数  体脂百分比
English Key Word: Children  Body mass index  Fat mass percentage
FundProject:科技基础资源调查专项(2017FY101100)
Author NameAffiliationE-mail
Wang Hongliang National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Xu Peipei National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Cao Wei National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Pang Xuehong National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Pan Hui National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Xu Tao National Center for Women and Children's Health, National Health Commission, Beijing 100081, China  
Chen Bowen Capital Institute of Pediatrics, Beijing 100020, China  
Wang Yuying National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Yang Zhenyu National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Zhang Qian National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China  
Zhao Wenhua National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing 100050, China zhaowh@chinacdc.cn 
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Abstract:
      目的 分析中国3~17岁儿童体质指数(BMI)与体脂百分比(FMP)的关系。方法 对中国0~18岁儿童营养与健康系统调查与应用项目中3~17岁儿童的BMI和FMP数据进行分析。采用BMI-Z评分/BMI和FMP分别对研究对象进行分类。采用Spearman相关分析BMI与FMP的相关性,采用Kappa检验分析BMI-Z评分/BMI和FMP对研究对象进行分类的一致性。结果 10~13岁组男童营养不足、正常和超重/肥胖的FMP均高于其他年龄组(均P<0.001),女童各营养状况的FMP均随年龄增长而增加(均P<0.05)。男童各FMP水平组的BMI均随年龄增长而增加(均P<0.05);女童FMP为25%~、≥30%时,BMI随年龄增长而增加(均P<0.001)。BMI与FMP的相关性较强(r=0.705,P<0.001),其中男童r值为0.618,女童r值为0.884。BMI-Z评分/BMI和FMP对研究对象进行分类的一致性为中度(Kappa=0.574,P<0.001)。结论 BMI与FMP的相关性较强,BMI-Z评分/BMI和FMP对研究对象进行分类的一致性为中度。
English Abstract:
      Objective To analyze the relationship between body mass index (BMI) and fat mass percentage (FMP) in children aged 3-17 years in China. Methods The BMI and FMP data of children aged 3-17 years from the National Nutrition and Health Systematic Survey in 0-18 years old children in China was analyzed. BMI-Z score/BMI and FMP were used to classify the subjects, respectively. Spearman correlation was used to analyze the correlation between BMI and FMP. The consistency between BMI-Z score/BMI and FMP in classifying the subjects was measured using Kappa coefficient. Results The FMP of malnutrition, normal and overweight/obesity in boys was higher in age group 10-13-year than in other age groups (all P<0.001). The FMP of all nutritional status in girls increased with age (all P<0.05). The BMI of boys in all the FMP levels increased with age (all P<0.05). When the FMP of girls was 25%- or ≥30%, BMI increased with age (all P<0.001). The relationship between BMI and FMP was strong (r=0.705, P<0.001), with r of 0.618 in boys and 0.884 in girls. The consistency between BMI-Z score/BMI and FMP in classifying the subjects was found to be moderate (Kappa=0.574, P<0.001). Conclusions There was a strong relationship between BMI and FMP. The consistency between BMI-Z score/BMI and FMP in classifying the subjects was moderate.
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