首页|生物电阻抗法与双能X线吸收法测定中国6~17岁儿童体成分的一致性分析

生物电阻抗法与双能X线吸收法测定中国6~17岁儿童体成分的一致性分析

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目的 比较生物电阻抗法(BIA)与双能X线吸收法(DXA)测定6~17岁儿童体成分的一致性.方法 利用便携式生物电阻抗仪和双能X线吸收仪同时测量1 161名儿童的去脂体重、体脂质量和体脂百分比,t检验或符号秩检验比较2种方法测量儿童去脂体重、体脂质量和体脂百分比的差异,采用Spearman相关系数(r值)和Bland-Altman分析评价2种方法测量结果的相关性和一致性.结果 BIA与DXA测定6~17岁儿童体成分为正相关(体脂质量r=0.95,去脂体重r=0.98,体脂百分比r=0.86,均P<0.05).与DXA相比,BIA低估了儿童体脂质量[差值的均值为-3.15 kg,SD为2.35 kg,95%一致性界限(LoA)为-7.74-1.45 kg]和体脂百分比(差值的均值为-8.45%,SD为4.63%,95%LoA为-17.53%~0.64%).结论 BIA与DXA测定6~17岁儿童体成分结果呈高度正相关,在测量6~17岁儿童体脂质量、去脂体重等体成分指标中具有应用价值.
Consistency between bioelectrical impedance analysis and dual-energy X-ray absorptiometry in body composition measurement in children aged 6-17 years in China
Objective To evaluate the consistency between bioelectrical impedance analysis(BIA)and dual-energy X-ray absorptiometry(DXA)in the measurement of body composition in children aged 6-17 years in China.Methods Fat-free mass,fat mass and fat mass percentage were measured by both BIA and DXA in 1 161 children.t-test or Wilcoxon paired test was used to evaluate the different outcome of the two methods.The correlation and consistency between the methods were evaluated by Spearman correlation coefficients(r)and Bland-Altman analysis.Results Body compositions measured by BIA was positively correlated with those measured by DXA(fat mass r=0.95,fat-free mass r=0.98,fat mass percentage r=0.86,all P<0.05).Comparing with DXA,BIA underestimate children's fat mass[the mean difference is-3.15 kg,and the SD is 2.35 kg,95%limits of agreement(LoA):-7.74-1.45 kg]and fat mass percentage(the mean difference is-8.45%,and the SD is 4.63%,95%LoA:-17.53%-0.64%).Conclusions Body compositions measured by BIA was highly positively correlated with those measured by DXA.BIA has certain application value in the measurement of body fat mass and fat-free mass of children aged 6-17 years.

Bioelectrical impedance analysisDual-energy X-ray absorptiometryBody compositionFat massFat-free massFat mass percentage

罗瑞鹤、沈丽萍、张倩、曹薇、王宏亮、徐培培、杨振宇、甘倩、庞学红、徐韬、陈博文、王玉英、赵文华

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中国疾病预防控制中心营养与健康所/国家卫生健康委公共营养与健康重点实验室/中国疾病预防控制中心母乳科学研究重点实验室,北京 100050

上海市疾病预防控制中心健康危害因素监测与控制所,上海 200336

国家卫生健康委妇幼健康中心,北京 100081

首都儿科研究所,北京 100020

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生物电阻抗法 双能X线吸收法 体成分 体脂质量 去脂体重 体脂百分比

2024

中华流行病学杂志
中华医学会

中华流行病学杂志

CSTPCD北大核心
影响因子:1.985
ISSN:0254-6450
年,卷(期):2024.45(11)