目的：比较1985年，2000年身高标准、体质量标准和BMI标准在筛查中小学生超重和肥胖发生率上的差异，为选择科学的评价标准提供依据。方法用整群抽样的方法对山东省诸城市12个学校6~15岁中小学生共28628人2011年体质健康调研数据进行营养评价，计算三种筛查标准的超重、肥胖检出率。结果1985年标准、2000年标准和BMI标准筛查结果显示，男生超重检出率分别25.89%、22.64%和17.14%，肥胖检出率分别为15.10%、6.79%和17.83%；女生超重检出率分别为14.62%、15.46%和9.6%，肥胖检出率分别为14.24%，7.28%和12.06%。结论1985年，2000年身高标准、体质量标准存在一定缺陷，而BMI标准具有现实性和前瞻性，使用简便，更直观。%Objective Compare 1985, 2000, height, body weight and BMI standards in screening for small and medium-sized students differences in incidence of overweight and obesity, provide a basis for selecting scientific evaluation criteria. Methods Zhucheng of shandong province with cluster sampling method 12 school aged between 6 and 15 years of primary and middle school students physical health in 2011 total of 28628 people nutrition assessment survey data, the calculation of three kinds of screening criteria of overweight, obesity detection rate. Result In 1985, 2000 standards, and BMI standard screening, according to the results of the boy overweight detection rates were 25.89%, 22.64%and 17.14%, obesity rate were 15.10%, 6.79%and 17.83%;Girl overweight detection rates were 14.62%, 15.46%and 9.6%, obesity rate were 14.24%, 7.28%and 12.06%. Conclusion 1985, 2000, there are some defects, height, weight and BMI standard realistic and forward-looking, use convenient, more intuitive.
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