哈尔滨医科大学-儿童少年卫生学-儿童少年单纯性肥胖

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1、ObesityinChildhoodandAdolescence儿童少年单纯性肥胖张慧颖Bibliography《儿童少年卫生学》（第6版），季成叶主编。人民卫生出版社FalknerF.andTannerJ.M.HumanGrowth.PlenumPress.NewYorkandLondonLowreyGH.Growthanddevelopmentofchildren.7thed,Chicago,London:YearBookMedicalPublishers《现代儿童少年卫生学》，叶广俊主编。人民卫生出版社《儿童少年生长发育》

2、唐锡麟人民卫生出版社I.General1997,WHOformallyannouncedthatobesityisadiseaseobesitywillbecomethebiggestenemytothreatenhumanhealthandlifesatisfactionin21century----IOTF国际肥胖特别工作组InternationalObesityTaskForceII.DefiningObesityObesityisdefinedasanexcessiveaccumulationofbodyfat.incr

3、easingofbodyfatcellenlargementofbodyfatcellTwotypes:PrimaryobesitySecondaryobesity肥胖，是一种常见的营养代谢疾病，是指由于营养过剩、缺乏运动以及遗传因素共同作用引起的身体内脂肪过度堆积的现象，表现为全身脂肪组织异常性的增加III.Screeningobesityeyeballtestweight-for-heightbodymassindexbodyfatcontentwaist/hipratio……weight-for-height身高标准体重U

4、nder60%seriousmalnutrition60-80%moderatemalnutrition80-90%mildmalnutrition90-110%Normal110-120%Overweight120-130%mildobesity130-150%moderateobesityabove150%seriousobesityObesity:scalebyBMIBMI=Weight(kg)Height(m)2OverweightObesityChina≥24≥28WHO≥25≥30Classificationofbo

5、dyweightWHOandNHLBIclassificationofBMIBMICLASSIFICATIONWHOandNILBICHINA＜18.5Underweight18.5~24.9~24Normalrange25.0~29.224.0~27.9Overweight30.0~34.928.0~Obeseclass135.0~39.9Obeseclass2≥40.0Obeseclass3NHLBI:NationalHeart,Lung,andBloodInstituteAdaptedfromMckdadAH,etal.J

6、AMA.1999;282:1519-1522中国学龄儿童青少年超重、肥胖筛查BMI分类标准年龄（岁）男-超重男-肥胖女-超重女-肥胖7～17.419.217.218.98～18.120.318.119.99～18.921.419.021.010～19.622.520.022.111～20.323.621.123.312～21.024.721.924.513～21.925.722.625.614～22.626.423.026.315～23.126.923.426.916～23.527.423.727.417～23.827.823.

7、827.71824.028.024.028.0Waist-to-hipratio(WHR):fatdistributionWAIST-HIPRATIO(WHR)腰臀比Mostpeoplestoretheirbodyfatintwodistinctways:aroundtheirmiddle(appleshape)aroundtheirhips(pearshape).Women—≤0.8Man—≤0.95BMI----WHRWaistcircumference:腰围bestindicatorofvisceralfatFemale>

8、80cm=increaseriskMale>90cm=increaseriskcmWHO推荐：肥胖度=[实际体重(kg)—身高标准体重(kg)]/身高标准体重(kg)×100%凡肥胖度≥20%，两处的皮下脂肪厚度≥80百分位数或其中一处皮下脂肪厚度≥95百分位数