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首页> 外文期刊>BMC Pediatrics >Overweight and obesity prevalence among Cree youth of Eeyou Istchee according to three body mass index classification systems
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Overweight and obesity prevalence among Cree youth of Eeyou Istchee according to three body mass index classification systems

机译：根据三种体重指数分类系统，Eeyou Istchee的Cree青年中的超重和肥胖患病率

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Little is known about the suitability of three commonly used body mass index (BMI) classification systems for Indigenous youth. We estimated overweight and obesity prevalence among Cree youth of Eeyou Istchee according to three BMI classification systems, assessed the level of agreement between them, and evaluated their accuracy through body fat and cardiometabolic risk factors. Data on 288 youth (aged 8–17?years) were collected. Overweight and obesity prevalence were estimated with Centers for Disease Control and Prevention (CDC), International Obesity Task Force (IOTF) and World Health Organization (WHO) criteria. Agreement was measured with weighted kappa (κw). Associations with body fat and cardiometabolic risk factors were evaluated by analysis of variance. Obesity prevalence was 42.7% with IOTF, 47.2% with CDC, and 49.3% with WHO criteria. Agreement was almost perfect between IOTF and CDC (κw?=?0.93), IOTF and WHO (κw?=?0.91), and WHO and CDC (κw?=?0.94). Means of body fat and cardiometabolic risk factors were significantly higher (P trend?
机译：三种常用的体重指数（BMI）分类系统对土著青年的适用性知之甚少。我们根据三种BMI分类系统估算了Eeyou Istchee的Cree青年中的超重和肥胖患病率，评估了它们之间的一致性水平，并通过体脂和心脏代谢风险因素评估了其准确性。收集了288名青年（8-17岁）的数据。根据疾病控制和预防中心（CDC），国际肥胖特别工作组（IOTF）和世界卫生组织（WHO）的标准估算了超重和肥胖的患病率。用加权κ（κw）来测量一致性。通过方差分析评估与体脂和心脏代谢危险因素的关联。 IOTF肥胖发生率为42.7％，CDC肥胖发生率为47.2％，WHO标准肥胖发生率为49.3％。 IOTF和CDC（κw？=？0.93），IOTF和WHO（κw？=？0.91），WHO和CDC（κw？=？0.94）之间的一致性几乎是完美的。从正常体重到肥胖，无论使用哪种系统，体内脂肪和心脏代谢危险因素的平均值均显着较高（P趋势≤0.001）。被IOTF认为超重但CDC或WHO肥胖的青年表现出较轻的临床肥胖。 IOTF在识别Cree青年中的肥胖症方面似乎更为准确。

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