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Waist circumference percentiles for Kuwaiti children and adolescents. (Special Issue: Overweight and obesity.)

机译:科威特儿童和青少年的腰围百分比。 (特刊:超重和肥胖。)

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Objective: Abdominal obesity is a major risk factor for chronic diseases. Yet there are no waist circumference (WC) cut-offs for children in the Arabian Gulf. We developed smoothed WC percentiles for 5-19-year-old Kuwaiti children and adolescents, which could be used in clinical and public health practice. We also examined the percentages of children who had WC>=90th percentile, a value commonly associated with an elevated risk of CVD. Design: This is a cross-sectional study that was conducted by the Kuwait National Nutrition Surveillance System. Setting: Data were collected from representative primary-, intermediate- and secondary-school children as part of the yearly nutrition and health monitoring. Least mean square regression was used to develop smoothed WC curves. Subjects: A total of 9593 healthy 5.0-18.9-year-old children of both sexes were studied from all areas of Kuwait. Age, gender, residency, education level, weight, height and WC were collected for all participants. Results: We developed the first smoothed WC curves for Kuwaiti children. Male children had higher WC than female children. WC increased with age in both genders, but larger percentages of male children had WC>=90th percentile. Male children aged >10 years have higher WC percentiles than do female children at the 50th, 75th, 90th and 97th percentiles. Conclusions: Male children (especially those aged >10 years) are at higher risk than female children. Few health-care professionals routinely measure WC. WC measurement should be promoted as an important tool in paediatric primary care practice. The use of these age- and gender-specific percentiles can impact public health recommendations for Kuwaiti and other Arab children from the Gulf.Digital Object Identifier http://dx.doi.org/10.1017/S1368980010002600
机译:目的:腹部肥胖是慢性疾病的主要危险因素。但是,阿拉伯海湾的儿童没有腰围(WC)界限。我们为5-19岁的科威特儿童和青少年开发了平滑的WC百分位数,可用于临床和公共卫生实践。我们还检查了WC> = 90%的儿童的百分比,该值通常与CVD风险升高相关。设计:这是科威特国家营养监测系统进行的一项横断面研究。设置:数据是从代表性的小学,初中和中学儿童那里收集的,作为年度营养和健康监测的一部分。最小均方回归用于建立平滑的WC曲线。受试者:在科威特所有地区共研究了9593名5.0-18.9岁的健康儿童。收集了所有参与者的年龄,性别,居住,教育程度,体重,身高和WC。结果:我们为科威特儿童开发了第一条平滑的WC曲线。男性儿童的WC高于女性儿童。男性和女性的WC均随着年龄的增长而增加,但更大比例的男孩中WC> = 90%。年龄在10岁以上的男性儿童的WC百分位数高于在50、75、90和97%百分数的女童。结论:男性儿童(尤其是年龄大于10岁的儿童)的危险性高于女性儿童。很少有卫生保健专业人员定期测量WC。 WC测量应作为儿科初级保健实践中的重要工具而推广。这些特定于年龄和性别的百分位数的使用可能会影响科威特和来自海湾地区的其他阿拉伯儿童的公共健康建议。数字对象标识符http://dx.doi.org/10.1017/S1368980010002600

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