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目的:比较肥胖和正常学龄儿童的体格测量指标,了解肥胖对各项体格测量指标的影响,为儿童肥胖的辅助诊断提供科学的依据。方法:选取成都市城区771名6～12岁儿童按照1∶2比例进行病例对照研究。测量所有儿童的血压、体围(腰围、臀围、大腿围)和皮褶厚度(二头肌、三头肌、肩胛下、髂嵴上)。结果:肥胖组儿童的收缩压、体围和皮褶厚度在同性别、不同年龄组均显著高于对照组(P<0.05),两对照组之间差异无统计学意义;各年龄组儿童体格测量指标和BM I呈正相关,相关性受年龄和性别影响。结论:体格测量指标可以作为儿童肥胖的辅助诊断依据,监测相关指标可及早发现和预防肥胖的发生,监测过程中要考虑年龄和性别的影响。
OBJECTIVE: To compare the physical measurement indexes of obese and normal school-aged children, to understand the influence of obesity on various physical measurement indexes and to provide a scientific basis for the auxiliary diagnosis of childhood obesity. Methods: A total of 771 children aged 6 ~ 12 in Chengdu City were selected as the case-control study according to the ratio of 1: 2. Blood pressure, body circumference (waist circumference, hip circumference, thigh circumference) and skinfold thickness (biceps, triceps, subscapular, iliac crest) were measured for all children. Results: The systolic pressure, body circumference and skinfold thickness of obese children were significantly higher in the same sex and different age groups than those in the control group (P <0.05). There was no significant difference between the two control groups. The body weight The measurement index was positively correlated with BM I, and the correlation was affected by age and gender. Conclusion: The physical measurement index can be used as the auxiliary diagnosis basis of childhood obesity. Monitoring related indicators can detect and prevent the occurrence of obesity as soon as possible. The monitoring process should consider the influence of age and gender.