腰围身高比值筛查学龄儿童超重肥胖的可行性研究  

Study on Feasibility of Waist to Height Ratio for the Screening of Overweight and Obesity in School- children

作　　者：尹福在[1] 马春明[1] 刘晓丽[1] 娄东辉[1] 王锐[1] 陆强[1] 

机构地区：[1]河北省秦皇岛市第一医院内分泌科,河北秦皇岛066000

出　　处：《医学临床研究》2013年第1期75-77,共3页Journal of Clinical Research

摘　　要：【目的】探讨腰围身高比值（WHtR）作为肥胖筛查指标在小学体检中应用的可行性。【方法】采用分层整群随机抽样法，选取秦皇岛市7～12岁学生1507人（男763人，女744人）作为研究对象，测量身高、体重和腰围（wC），计算体质指数（BMI）和WHtR。【结果]WHtR与年龄无相关（男生r=-0．008，女生r=0．005，P〉0．05）。男生WHtR与BMI（r=0．879）和WC（r=0．892）呈正相关（P〈0．01）。女生WHtR与BMI（r=0．779）和wC（r=0．837）呈正相关（P〈0．01）。WHtR识别儿童超重肥胖的ROC曲线下面积均在0．9以上（P〈0．01），准确性高。【结论】WHtR作为相对简单的测量方法，可有效识别儿童超重肥胖，便于校医操作，应列为学生体检的常规测量项目。[Objective] To explore the feasibility of waist to height ratio（WHtR） as the screening index of obe- sity in health examination. [Methods] The stratified cluster random sampling method was used to choose I507 students aged 7-12 years old（763 boys and 744 girls） in Qinhuangdao city as the study subjects. Height, weight and waist circumference（WC） were measured. Body mass index（BMI） and WHtR were calculated. [Results] There was no correlation between WHtR and age（boys r=-0. 008 and girls r=0. 005, P 〉0.05）. WHtR showed a strong positive correlation with BMI（boys r=0. 879 and girls r=0. 779） and WC（boys r=0. 892 and girls r= 0. 837）（ P〈0.01）. The accuracy levels of WHtR for identifying overweight and obesity（as assessed by area un- der the curve） were both over 0.9（ P〈0.01）. [Conclusion] WHtR is a relatively easy measurement method, and can effectively identify overweight and obesity in children, and is convenient to be used by school doctors. There- fore, WHtR should be used as the routine measurement item of physical examination for schoolchildren.

关 键 词：肥胖症 身高 

分 类 号：R589.25[医药卫生—内分泌]