Acta Anthropologica Sinica ›› 2021, Vol. 40 ›› Issue (02): 328-345.doi: 10.16359/j.cnki.cn11-1963/q.2020.0042
• Literature Reviews • Previous Articles
XI Huanjiu(), LI Wenhui, LIU Yingying
Received:
2018-06-27
Revised:
2019-09-04
Online:
2021-04-15
Published:
2020-09-28
CLC Number:
XI Huanjiu, LI Wenhui, LIU Yingying. Application of anthropometry in study of overweight and obesity[J]. Acta Anthropologica Sinica, 2021, 40(02): 328-345.
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URL: https://www.anthropol.ac.cn/EN/10.16359/j.cnki.cn11-1963/q.2020.0042
时间/Time | 国家或地区/Country or Area | 年龄/Years | 超重/Overweigh | 肥胖/Obesity |
---|---|---|---|---|
2013 | 全球/All the World | 18+ | n=12.5亿 | n=6.5亿 |
<5 | n>4100万 | n>4100万 | ||
5-19 | n>340万 | n>340万 | ||
2000-2016 | 非洲/Africa | <5 | 增近50% | |
亚洲/Asia | ? | 近1/2 | 近1/2 | |
1975-2016 | 全球/All the World | 5-19 | 4%-18% | |
2017 | 中国大陆/Mainland China | ? | Male 10.8%; Female 14.8% | |
20< | Male 23%; Female 14% | Male 23%; Female 14% |
Tab.1 Trends of overweight and obesity
时间/Time | 国家或地区/Country or Area | 年龄/Years | 超重/Overweigh | 肥胖/Obesity |
---|---|---|---|---|
2013 | 全球/All the World | 18+ | n=12.5亿 | n=6.5亿 |
<5 | n>4100万 | n>4100万 | ||
5-19 | n>340万 | n>340万 | ||
2000-2016 | 非洲/Africa | <5 | 增近50% | |
亚洲/Asia | ? | 近1/2 | 近1/2 | |
1975-2016 | 全球/All the World | 5-19 | 4%-18% | |
2017 | 中国大陆/Mainland China | ? | Male 10.8%; Female 14.8% | |
20< | Male 23%; Female 14% | Male 23%; Female 14% |
作者/Author | 样本男/Male | 样本女/ Female | 年龄/Years | 测定方法一致性偏差/Deviation | 主要发现/Evaluation |
---|---|---|---|---|---|
Robinson et al | 22 | 26 | 30-50 | BAP 女5.0% 男6.0% | 低估了体脂率 |
Thirel et al | 58 | 61 | 12-16 | 3.4% | 过高估体脂率 |
Bergman et al | 1733 | 20-50 | DXA-BAI 相关r=0.95 | 适当、准确 | |
Segheto et al | 331 | 395 | 20-59 | BAP女5.0%, 男5.4% | 高估体脂率 |
Carpio-Rivera | 106 | 93 | 18.9±26 | BAP女7.2%, 男2.9% | 女低估, 男高估 |
Cerqueira et al | - | 102 | 60.3±9.8 | 3.2% | 高估 |
Esco et al | - | 30(女运动员) | 20.0±1.3 | 5.8% | 高估 |
Chang et al | 483 | 471 | 55-96 | 5.1% | 高估 |
Lemacks et al | - | 187(绝经后超重/肥胖) | 55.8±3.3 | 相关系数r=0.39 | 高估,与DXA一致性差 |
Vinknes et al | 5193 | 47-72 | — | 低体脂率者高估(男),高估超重、肥胖体脂率 | |
Robinson et al | 903 | 21.4±3.3 | BAP男9.5%,女3.2%,总6.4% | 总BAI过高估,对超重者高估,肥胖者低估(男女) | |
Geliebter et al | - | 19 (超重、肥胖术前无糖尿病) | 32.6±7.7 | BAP 2.2% | 低估 |
Bernhard et al | 240(超重肥胖) | 44.1±11.1 | 组内相关0.74, 95%可信间隔0.68-0.79 | 二法相近 | |
Ezeukwu et al | - | 30(肥胖) | 22.8±3.3 | BAP 15.0% | 低估 |
David et al | 1151 | 18-110 | 体脂率男偏高3.9%,女偏低2.5% | 男高估,女低估 |
Tab.2 BAI parameter comparison
作者/Author | 样本男/Male | 样本女/ Female | 年龄/Years | 测定方法一致性偏差/Deviation | 主要发现/Evaluation |
---|---|---|---|---|---|
Robinson et al | 22 | 26 | 30-50 | BAP 女5.0% 男6.0% | 低估了体脂率 |
Thirel et al | 58 | 61 | 12-16 | 3.4% | 过高估体脂率 |
Bergman et al | 1733 | 20-50 | DXA-BAI 相关r=0.95 | 适当、准确 | |
Segheto et al | 331 | 395 | 20-59 | BAP女5.0%, 男5.4% | 高估体脂率 |
Carpio-Rivera | 106 | 93 | 18.9±26 | BAP女7.2%, 男2.9% | 女低估, 男高估 |
Cerqueira et al | - | 102 | 60.3±9.8 | 3.2% | 高估 |
Esco et al | - | 30(女运动员) | 20.0±1.3 | 5.8% | 高估 |
Chang et al | 483 | 471 | 55-96 | 5.1% | 高估 |
Lemacks et al | - | 187(绝经后超重/肥胖) | 55.8±3.3 | 相关系数r=0.39 | 高估,与DXA一致性差 |
Vinknes et al | 5193 | 47-72 | — | 低体脂率者高估(男),高估超重、肥胖体脂率 | |
Robinson et al | 903 | 21.4±3.3 | BAP男9.5%,女3.2%,总6.4% | 总BAI过高估,对超重者高估,肥胖者低估(男女) | |
Geliebter et al | - | 19 (超重、肥胖术前无糖尿病) | 32.6±7.7 | BAP 2.2% | 低估 |
Bernhard et al | 240(超重肥胖) | 44.1±11.1 | 组内相关0.74, 95%可信间隔0.68-0.79 | 二法相近 | |
Ezeukwu et al | - | 30(肥胖) | 22.8±3.3 | BAP 15.0% | 低估 |
David et al | 1151 | 18-110 | 体脂率男偏高3.9%,女偏低2.5% | 男高估,女低估 |
文献/Reference | 相关系数/r | 说明/Note |
---|---|---|
Moliner-Urdiales et al (39) | 0.78 | 8050/2259*追踪个体 |
Angel et al (8) | 0.64 | 地中海白人 |
Lemacks et al (54) | 0.90 | 美绝经后白人 |
Allan et al(52) | 0.90 | 临床重度肥胖妇女 |
Robinson et al[ | 0.885 | - - |
Regi et al (3) | 0.698 | - - |
Seghetow et al(51) | 0.86 | 评价DS |
Tab.3 Correlation between BAI and BMI
文献/Reference | 相关系数/r | 说明/Note |
---|---|---|
Moliner-Urdiales et al (39) | 0.78 | 8050/2259*追踪个体 |
Angel et al (8) | 0.64 | 地中海白人 |
Lemacks et al (54) | 0.90 | 美绝经后白人 |
Allan et al(52) | 0.90 | 临床重度肥胖妇女 |
Robinson et al[ | 0.885 | - - |
Regi et al (3) | 0.698 | - - |
Seghetow et al(51) | 0.86 | 评价DS |
BAI | BMI | 文献/Reference |
---|---|---|
0.68/0.81 | 0.80/0.84 | [23] |
0.86 | 0.74 | [40] |
0.74 | 0.64 | [4] |
0.75 | 0.78 | [52] |
0.42 | 0.65 | [54] |
0.51 | 0.78 | [30] |
0.66/0.58 | 0.83/0.71 | [31] |
0.70/0.79 | 0.79/0.86 | [56] 皮褶厚度 法 |
0.65 | 0.72 | [57] |
Tab.4 Comparison of the correlation between BAI and body fat percent, and the correlation between BMI and body fat percent
BAI | BMI | 文献/Reference |
---|---|---|
0.68/0.81 | 0.80/0.84 | [23] |
0.86 | 0.74 | [40] |
0.74 | 0.64 | [4] |
0.75 | 0.78 | [52] |
0.42 | 0.65 | [54] |
0.51 | 0.78 | [30] |
0.66/0.58 | 0.83/0.71 | [31] |
0.70/0.79 | 0.79/0.86 | [56] 皮褶厚度 法 |
0.65 | 0.72 | [57] |
体脂率测定方法/Method | r | r2 | SEE |
---|---|---|---|
生物电阻抗/BIA | 0.87**/0.90** | 0.76/0.80 | 2.22/2.01 |
空气置换/ADP | 0.73**/0.81** | 0.53/0.65 | 3.99/3.45 |
双能X线吸收/DXA | 0.42/0.65** | 0.17/0.42 | 8.18/6.86 |
Tab.5 Correlation between BAI/BMI and BIA, ADP, DXA
体脂率测定方法/Method | r | r2 | SEE |
---|---|---|---|
生物电阻抗/BIA | 0.87**/0.90** | 0.76/0.80 | 2.22/2.01 |
空气置换/ADP | 0.73**/0.81** | 0.53/0.65 | 3.99/3.45 |
双能X线吸收/DXA | 0.42/0.65** | 0.17/0.42 | 8.18/6.86 |
腰臀比/WHR | 腰围身高比/WHtR | 腰围/Waist circumference | 体脂率 | |
---|---|---|---|---|
BMI | -0.065 | 0.624** | 0.488** | 0.368** |
BAI | -0.303** | 0.684** | 0.428** | 0.579** |
腰臀比/WHR | 0.632** | -0.300** | ||
腰围身高比/WHtR | 0.920** | 0.296** |
Tab.6 Comparison of correlation between anthropometry indexes
腰臀比/WHR | 腰围身高比/WHtR | 腰围/Waist circumference | 体脂率 | |
---|---|---|---|---|
BMI | -0.065 | 0.624** | 0.488** | 0.368** |
BAI | -0.303** | 0.684** | 0.428** | 0.579** |
腰臀比/WHR | 0.632** | -0.300** | ||
腰围身高比/WHtR | 0.920** | 0.296** |
方法/Method | 内容/Item | 部位/Position | 准确度/Accuracy | 精确度/Precise | 特点/Features |
---|---|---|---|---|---|
BMI | 脂肪和骨骼肌 | 全身 | 较差 | 较差 | 简便,价廉,无放射性,可用于筛查,但不能区分肌重与脂肪重,评价儿童和运动员有局限性 |
BAI | 脂肪和骨骼肌 | 全身 | 差 | 较差 | 不需要测体重,适于人口筛查 |
VAI | 脂肪 | 局部 | 良 | 一般 | 简便,是评价内脏脂肪分布、功能有价值的指标,适于代谢综合征等风险评估 |
腰围/Waist circumference | 脂肪 | 局部 | 一般 | 一般 | 简便,好于臀围,是中心性肥胖关键指标,但不能区分内脏与皮下脂肪 |
腰臀比/WHR | 脂肪 | 局部 | 一般 | 一般 | 简便,是评价健康尺度,筛查与体重相关疾病的工具 |
皮褶厚度/Skinfold thickness | 脂肪和骨骼肌 | 局部或全身 | 差 | 差 | 简便,廉价,反映脂肪组织分布特征,但重复性差,需要用DXA等校准 |
CT | 骨骼,脂肪和骨骼肌 | 局部或全身 | 很好 | 很好 | 探测细节好,但价高,放射性强 |
MRI | 脂肪和骨骼肌 (骨骼) | 局部或全身 | 很好 | 很好 | 探测细节较好,无放射性 但价高 |
DXA | 骨骼,脂肪和骨骼肌 | 局部或全身 | 很好 (骨,脂肪)或较好(骨骼肌) | 很好 (骨,脂肪)或较好(骨骼肌) | 放射性弱,适用人群广,操作简单, 但无探测细节(如骨松质和骨密质,肌间脂肪组织等)的功能 |
ADP | 通过测量体积研究体成分 | 全身 | 较好 | 较好 | 设备价高,不便携带,但从婴儿到老人,运动员,高身材(2m以上),肥胖者(>159kg)皆适用, 可靠性、顺应性佳 |
BIA | 脂肪和水(有的可测骨和骨骼肌) | 全身(有的可测局部) | 较好(脂肪和水)或不确定 (骨和骨骼肌) | 较好(脂肪和水)或不确定 (骨和骨骼肌) | 简便,价廉,无放射性,但影响测量结果的因素较多 |
定量超声/Quantitative ultrasonic | 骨含量和强度 (有的可测脂肪和骨骼肌) | 局部 | 较好(骨)或不确定 (脂肪和骨骼肌) | 较好(骨)或不确定 (脂肪和骨骼肌) | 简便,价廉,无放射性,但缺乏标准程序,结果受主观影响较大 |
生化检测/Biochemical examination | 骨的变化或骨骼肌含量 | 全身 | 好或不确定 | 好或不确定 | 无放射性,需取血或尿样 |
Tab.7 Comparison and analysis of anthropometry in human vivo for body composition
方法/Method | 内容/Item | 部位/Position | 准确度/Accuracy | 精确度/Precise | 特点/Features |
---|---|---|---|---|---|
BMI | 脂肪和骨骼肌 | 全身 | 较差 | 较差 | 简便,价廉,无放射性,可用于筛查,但不能区分肌重与脂肪重,评价儿童和运动员有局限性 |
BAI | 脂肪和骨骼肌 | 全身 | 差 | 较差 | 不需要测体重,适于人口筛查 |
VAI | 脂肪 | 局部 | 良 | 一般 | 简便,是评价内脏脂肪分布、功能有价值的指标,适于代谢综合征等风险评估 |
腰围/Waist circumference | 脂肪 | 局部 | 一般 | 一般 | 简便,好于臀围,是中心性肥胖关键指标,但不能区分内脏与皮下脂肪 |
腰臀比/WHR | 脂肪 | 局部 | 一般 | 一般 | 简便,是评价健康尺度,筛查与体重相关疾病的工具 |
皮褶厚度/Skinfold thickness | 脂肪和骨骼肌 | 局部或全身 | 差 | 差 | 简便,廉价,反映脂肪组织分布特征,但重复性差,需要用DXA等校准 |
CT | 骨骼,脂肪和骨骼肌 | 局部或全身 | 很好 | 很好 | 探测细节好,但价高,放射性强 |
MRI | 脂肪和骨骼肌 (骨骼) | 局部或全身 | 很好 | 很好 | 探测细节较好,无放射性 但价高 |
DXA | 骨骼,脂肪和骨骼肌 | 局部或全身 | 很好 (骨,脂肪)或较好(骨骼肌) | 很好 (骨,脂肪)或较好(骨骼肌) | 放射性弱,适用人群广,操作简单, 但无探测细节(如骨松质和骨密质,肌间脂肪组织等)的功能 |
ADP | 通过测量体积研究体成分 | 全身 | 较好 | 较好 | 设备价高,不便携带,但从婴儿到老人,运动员,高身材(2m以上),肥胖者(>159kg)皆适用, 可靠性、顺应性佳 |
BIA | 脂肪和水(有的可测骨和骨骼肌) | 全身(有的可测局部) | 较好(脂肪和水)或不确定 (骨和骨骼肌) | 较好(脂肪和水)或不确定 (骨和骨骼肌) | 简便,价廉,无放射性,但影响测量结果的因素较多 |
定量超声/Quantitative ultrasonic | 骨含量和强度 (有的可测脂肪和骨骼肌) | 局部 | 较好(骨)或不确定 (脂肪和骨骼肌) | 较好(骨)或不确定 (脂肪和骨骼肌) | 简便,价廉,无放射性,但缺乏标准程序,结果受主观影响较大 |
生化检测/Biochemical examination | 骨的变化或骨骼肌含量 | 全身 | 好或不确定 | 好或不确定 | 无放射性,需取血或尿样 |
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