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首页> 外文期刊>The Open Obesity Journal >Charts Based on Body Mass Index and Waist-to-Height Ratio to Assess the Health Risks of Obesity: A Review
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Charts Based on Body Mass Index and Waist-to-Height Ratio to Assess the Health Risks of Obesity: A Review

机译：基于体重指数和腰高比的图表评估肥胖的健康风险：综述

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This review focuses on the rationale behind the charts that have been used as public health tools to assess thehealth risks of obesity, with special emphasis on where the boundary values are placed. A chart based on body mass index(BMI) was introduced in the 1980s to replace Tables of best weights for heights and this BMI chart (based on adult weightfor height) is still very much in use today. Although the importance of the distribution of body fat, as opposed to the totalamount of body fat, in determining health risks of obesity was first suggested in the 1940s, it was not until the mid 1990sthat a chart based on Shape was suggested. The Ashwell? Shape Chart was based on the use of waist-to-height ratio(WHtR) as a proxy for abdominal obesity. The chart contains three boundary values for WHtR: 0.4, 0.5 and 0.6; originallyset on pragmatic decisions. Substantial evidence from a recent systematic review now supports the global boundary valueWHtR of 0.5 for Consider Action. WHtR of 0.6 has been proposed for Take Action. An exciting prospect is that the sameShape Chart might be used to assess risk for adults and children in several ethnic groups. Use of the Shape Chart couldalso improve the efficiency for screening for cardiometabolic risk and could provide substantial cost savings in terms ofobesity treatment. The public health message could not be simpler: "Keep your waist circumference to less than half yourheight".
机译：这篇综述着重于被用作公共卫生工具评估肥胖健康风险的图表背后的基本原理，并特别强调了界限值的位置。在1980年代引入了一种基于体重指数（BMI）的图表来代替身高最佳体重表，而该BMI图表（基于成年人的身高体重）今天仍在使用。尽管在1940年代首次提出在确定肥胖的健康风险中，相对于人体脂肪总量而言，分布脂肪的重要性，但直到1990年代中期才提出了基于Shape的图表。阿什韦尔？形状图是基于腰高比（WHtR）替代腹部肥胖的。该图表包含WHtR的三个边界值：0.4、0.5和0.6;以及最初是基于务实的决定。现在，来自最近的系统评估的大量证据支持“考虑行动”的全局边界值WHtR为0.5。建议采取行动的WHtR为0.6。一个令人兴奋的前景是，相同的形状图可用于评估几个种族群体中成人和儿童的风险。使用形状表还可以提高筛查心脏代谢风险的效率，并且可以在肥胖症治疗方面节省大量成本。公共卫生信息再简单不过了：“将腰围保持在身高的一半以下”。

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