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首页> 外文期刊>Asia-Pacific journal of public health >Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?
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Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?

机译：斯里兰卡儿童营养状况评估：当前人体测量截止的有效性吗？

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摘要

Despite socioeconomic improvement, undernutrition rates stagnate in Sri Lanka, while a slow rise in obesity and noncommunicable diseases (NCD) is seen. Inability to improve undernutrition and detection of NCD could be due to overdiagnosing stunting/wasting and underdiagnosing overweight/obesity. Obesity, being a risk factor for NCDs, needs correct tools for early diagnosis. Although body mass index (BMI) is a commonly used surrogate index, the validity of universal cutoffs is questioned. Evidence shows that body composition varies with ethnic origin and cutoff value reflecting fat mass (FM) varies in different ethnic groups. This study was conducted in 12 788, 5- to 15-year-old children from 8 schools in Negombo, Sri Lanka, to identify the validity of current anthropometric cutoffs. Obesity prevalence identified by body fat content was high. International BMI cutoffs had high specificity but varied sensitivity. Locally developed BMI cutoffs had high sensitivity and specificity. Validity of internationally developed anthropometric cutoffs in South Asian children is unsatisfactory; hence, locally/regionally developed anthropometric tools should be used for screening of obesity.
机译：尽管社会经济改进，但斯里兰卡的营养不良率停滞不前，而肥胖症和非传染性疾病（NCD）的缓慢升高。无法改善NCD的缺点和检测可能是由于过度收敛/浪费和减少超重/肥胖。肥胖是NCD的危险因素，需要正确的早期诊断工具。虽然体重指数（BMI）是常用的代理指数，但普遍截止的有效性受到质疑。证据表明，身体组成因族裔原产地而异，反射脂肪量（FM）的截止值在不同的族群中变化。这项研究于12名788年，5岁儿童，斯里兰卡的8所学校，识别当前人类测量截止的有效性。体脂含量鉴定的肥胖患病率高。国际BMI截止物具有高特异性，但敏感度不同。本地开发的BMI截止值具有高灵敏度和特异性。南亚儿童的国际开发的人体测量截止的有效性不满意;因此，本地/区域开发的人类测量工具应用于筛选肥胖症。

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