成都体育学院学报
成都體育學院學報
성도체육학원학보
Journal of Chengdu Physical Education Institute
2013年
12期
64~70
,共null页
尹小俭 季成叶 季浏 郭强
尹小儉 季成葉 季瀏 郭彊
윤소검 계성협 계류 곽강
儿童青少年 腰围 ROC曲线 超重 肥胖 BMI
兒童青少年 腰圍 ROC麯線 超重 肥胖 BMI
인동청소년 요위 ROC곡선 초중 비반 BMI
children and adolescents ; waist circumference ; ROC curve ; overweight ; obesity; BMI
目的:了解中国儿童青少年腰围正常值分布,为建立中国学龄儿童青少年腰围超重与肥胖筛查标准提供依据.方法:以2008年全国学生体质健康监测15省市区146 306名7-18岁汉族中小学生为参照人群,以LMS法建立腰围界值点分布,并运用ROC曲线法分析和判断腰围的超重和肥胖界值点.结果:BMI与腰围间相关系数,男生普遍在0.8以上,女生除7岁外均在0.7以上;在超重层面上腰围界值点,男孩7-12岁主要集中P70(腰围:58.1.0-68.3cm),13-18岁主要集中在P75(腰围:71.5-76.0cm),女孩7-8岁主要集中在P75(腰围:56.3-58.1 cm),9-18岁主要集中在P80(腰围:61.3-72.9cm),在肥胖层面上腰围界值点,男孩7-12岁主要集中在P85(腰围:62.4-73.8cm),13-18岁主要集中在P90(腰围:78.8-82.1cm),女孩7-10岁主要集中在P85(腰围:59.1-65.3 cm),11-18岁主要集中在P9)(腰围:70.1-76.4cm).结论:研究提供了中国儿童青少年腰围界值点分布,建议在超重层面上,腰围界值点,男性为P75,女性为P80;在肥胖层面上,腰围界值点青春期前为P85,青春期后期为P90(中国男女生青春期分别大约为13岁和11岁左右).
目的:瞭解中國兒童青少年腰圍正常值分佈,為建立中國學齡兒童青少年腰圍超重與肥胖篩查標準提供依據.方法:以2008年全國學生體質健康鑑測15省市區146 306名7-18歲漢族中小學生為參照人群,以LMS法建立腰圍界值點分佈,併運用ROC麯線法分析和判斷腰圍的超重和肥胖界值點.結果:BMI與腰圍間相關繫數,男生普遍在0.8以上,女生除7歲外均在0.7以上;在超重層麵上腰圍界值點,男孩7-12歲主要集中P70(腰圍:58.1.0-68.3cm),13-18歲主要集中在P75(腰圍:71.5-76.0cm),女孩7-8歲主要集中在P75(腰圍:56.3-58.1 cm),9-18歲主要集中在P80(腰圍:61.3-72.9cm),在肥胖層麵上腰圍界值點,男孩7-12歲主要集中在P85(腰圍:62.4-73.8cm),13-18歲主要集中在P90(腰圍:78.8-82.1cm),女孩7-10歲主要集中在P85(腰圍:59.1-65.3 cm),11-18歲主要集中在P9)(腰圍:70.1-76.4cm).結論:研究提供瞭中國兒童青少年腰圍界值點分佈,建議在超重層麵上,腰圍界值點,男性為P75,女性為P80;在肥胖層麵上,腰圍界值點青春期前為P85,青春期後期為P90(中國男女生青春期分彆大約為13歲和11歲左右).
목적:료해중국인동청소년요위정상치분포,위건립중국학령인동청소년요위초중여비반사사표준제공의거.방법:이2008년전국학생체질건강감측15성시구146 306명7-18세한족중소학생위삼조인군,이LMS법건립요위계치점분포,병운용ROC곡선법분석화판단요위적초중화비반계치점.결과:BMI여요위간상관계수,남생보편재0.8이상,녀생제7세외균재0.7이상;재초중층면상요위계치점,남해7-12세주요집중P70(요위:58.1.0-68.3cm),13-18세주요집중재P75(요위:71.5-76.0cm),녀해7-8세주요집중재P75(요위:56.3-58.1 cm),9-18세주요집중재P80(요위:61.3-72.9cm),재비반층면상요위계치점,남해7-12세주요집중재P85(요위:62.4-73.8cm),13-18세주요집중재P90(요위:78.8-82.1cm),녀해7-10세주요집중재P85(요위:59.1-65.3 cm),11-18세주요집중재P9)(요위:70.1-76.4cm).결론:연구제공료중국인동청소년요위계치점분포,건의재초중층면상,요위계치점,남성위P75,녀성위P80;재비반층면상,요위계치점청춘기전위P85,청춘기후기위P90(중국남녀생청춘기분별대약위13세화11세좌우).
Objective: To study the distribution of normal WC and provide a reference for the establishment of the screening criteria of overweight and obesity in Chinese children and adolescent by utilizing the BMI criteria for children and adolescents developed by WGOC. Methods: 146,306 Han primary and middle school students aged 7 -18 years old from 15 provinces or cities monitored by National Student Physical Health Survey in 2008 were recruited as subjects. Using BMI criteria for children and adolescents developed by The WGOC as the reference, the WC cutoff points of overweight and obesity in children and adolescents were analyzed with ROC curve. Results: The correlation coefficients between BMI and WC were generally beyond 0. 8 for boys, and 0. 7 for girls ( except 7 - year - old girls) ; For overweight category, WC cutoff point of 7 - 12 years boys were mainly at the 70th percentile ( WC : 58.1.0 - 68.3em), forl3 - 18 years, 75th percentile(71.5 -76.0cm), and the sensitivities and the specificities were between 0.808 -0.922 and 0. 824-0.912 respectively. WC cutoff point of 7 -8 -year girls were mainly at the 75th percentile (WC :56.3 -58. 1 cm) , and 9 -18 years, the 80th percentile (WC :61.3 -72.9cm)with the sensitivities and the specificities being between 0. 770 -0. 905 and 0.811 -0.983 respectively. For obesity category, WC cutoff point of 7 - 12 year - old boys were mainly at the 85th percentile ( WC : 62.4 - 73.8cm), 13 - 18 years, at the 90th percentile ( WC :78.8 - 82.1 cm) with the sensitivities and the specificities being between 0. 872 - 0. 937 and 0. 868 - 0. 943 respectively. WC cutoff point of 7 - 10 year -old girls were mainly at the 85th percentile (WC :59.1 -65.3cm), and 11 - 18 years at the 90th percentile (WC :70.1 -76.4cm) with the sensitivities and the specificities being between 0.789 -0. 936 and 0. 881 -0. 932 respectively. Conclusion: For overweight category, the WC cutoff points were proposed at the 75th percentile for boys and the 80th for girls. For obesity category, the WC cutoff points before puberty were proposed at the 85th percentile and the 90th percentile after the puberty (boys of 13 years old, girls of 11 years old or so in China).