![302 . 則揃安臣ﾃ ﾂ恵 .
Paediatriki 2007;70:300-307
其挫揃ﾂ桂1.∨俗ﾂにﾂ恵庵揃俗ﾂに昣-多揃揃其揃挫甲座揃揃｜揃昣,揃鍖ﾂ恵揃宰脹造造
造5.321揃庵甲,座桂2,5造16,5,7.538甲
捉昣-財庵座径甲袖揃座
其鍖揃揃造揃昣(造)鍖揃挫揃
其鍖揃揃ﾂ恵庵綱蔵揃俗1造.-1992蔵ﾂ垂俗座径｜揃ﾃ挫,5,0-8,5621574揃多ﾂ恵,1998[12]
其揃造揃脹｜,揃宰ﾂ恵則揃脹挫
2造.-1995蔵ﾂ垂俗座径｜揃ﾃ挫,7,6-9,9241233Maniosetal,1999[13]
脹｜ﾂ恵揃宰
3造.-1998蔵ﾂ垂俗座径｜揃ﾃ挫,10,2-13,1408409Maniosetal,2002[14]
脹｜ﾂ恵揃宰
4造.-2002属多揃-則｜ﾃ揃臓揃ﾃ挫,13,6-16,5292322Kafatosetal,2005[15]
脹｜ﾂ恵揃宰
其鍖揃揃ﾂ恵庵綱蔵揃俗1造.-1999蔵ﾂ臣ﾂ恵属多揃臓9,2-16,5373430Moschandreasetal,2003[16]
其揃造揃揃ﾃ挫,脹｜ﾂ恵則揃脹挫
2造.-2000-//-10,0-16,5215258其揃安恵鍖｜[17]
其鍖揃揃其揃綱座桂∨俗2000蔵ﾂ垂俗座
(蔵甲.臓ﾃ曻)蔵甲.臓ﾃ曻8,1-13,8173175庵挫揃俗座
其鍖揃揃其揃綱座桂∨俗2001臓揃挫,蔵鍖ﾂ恵属多4,0-15,39299捉俗揃庵造揃ﾂ恵,2003[18]
(蔵甲≠揃)蔵甲≠揃揃ﾃ挫
其鍖揃揃脹ﾂ恵蔵揃綱∨俗2003-04俗座径≒甲揃ﾃ挫,2,8-16,5382426則揃安臣ﾃ捉,2005[19]
挫ﾂ恵甲
其鍖揃揃其揃綱座桂∨俗2004其揃庵ﾃ財揃脹財揃ﾃ挫2,5-6,17345庵挫揃俗座
(其揃庵ﾃ財揃脹財揃ﾃ挫)
其鍖揃揃ﾂ恵庵綱蔵揃俗1造.-2004/05臓揃座件蔵甲ﾂ恵4,0-7,0864833揃多ﾂ恵,2005[20]
其揃造揃甲臓｜揃宰
≒｜甲3.7343.804
≒｜揃庵2.643*
2.678
鍖臓鍖則揃脹挫昣俗脹ﾃﾂ恵座揃鍖庵挫揃揃庵ﾃﾂに多鍖ﾂ恵多造(1992-93)ﾂ恵揃｜揃揃鍖
109揃鍖揃ﾂ恵111ﾃ挫揃
*
庵揃俗ﾂに昣甲俗揃揃庵多多俗脹ﾂ恵揃造ﾂ恵多庵多ﾃ揃揃揃晎揃鍖多
Pediatri July-Aug 07 09-07-07 15:11 財安302](https://image.slidesharecdn.com/ethpkpaidiwn-181024082531/85/Ethpkpaidiwn-3-320.jpg)
![3. Savva SC, Tornaritis M, Savva ME, Kourides Y, Panagi A,
Silikiotou N, et al. Waist circumference and waist-to-
height ratio are better predictors of cardiovascular disease
risk factors in children than body mass index. Int J Obes
Relat Metab Disord 2000;24:1453-1458.
4. Maffeis C, Pietrobelli A, Grezzani A, Provera S, Tato L.
Waist circumference and cardiovascular risk factors in
prepubertal children. Obes Res 2001;9:179-187.
5. Mamalakis G, Kafatos A, Manios Y, Kalogeropoulos N,
Andrikopoulos N. Abdominal vs buttock adipose fat: rela-
tionships with children's serum lipid levels. Eur J Clin
Nutr 2002; 56:1081-1086.
6. Hirschler V, Aranda C, Calcagno Mde L, Maccalini G,
Jadzinsky M. Can waist circumference identify children
with the metabolic syndrome? Arch Pediatr Adolesc Med
2005;159:740-744.
7. Cruz M, Goran M. The metabolic syndrome in children
and adolescents. Curr Diab Rep 2004;453-462.
8. Jessup A, Harrell J. The Metabolic Syndrome: Look for It
in Children and Adolescents, Too! Clin Diabetes 2005;23:
26-32.
9. Duncan GE, Li SM, Zhou XH. Prevalence and trends of a
metabolic syndrome phenotype among U.S. adolescents,
1999-2000. Diabetes Care 2004;27:2438-2443.
10. Grundy S, Becker D, Clark LT, Cooper RS, Denke MA,
Howard J, et al. Third Report of the National Cholesterol
Education Program (NCEP) Expert Panel on Detection,
Evaluation, and Treatment of High Blood Cholesterol in
Adults (Adult Treatment Panel III) Final Report. Circula-
tion 2002;106:3143-3420.
11. Moreno LA, Pineda I, Rodriguez G, Fleta J, Sarria A,
Bueno M. Waist circumference for the screening of the
metabolic syndrome in children. Acta Paediatr 2002;91:
1307-1312.
12. 揃多 , 捉揃鍖 属, 揃綱 , 捉俗揃庵造揃 , 捉 揃-
多ﾃ , 脹揃揃鍖 蔵, et al. 鍖 -
多揃 綱 座桂 多 揃 鍖 座 俗鍖揃 -
揃庵綱 揃造揃 揃 庵ﾂ 俗座
甲. 其揃庵揃 1998;61:483-497.
13. Manios Y, Moschandreas J, Hatzis C, Kafatos A. Evalua-
tion of a health and nutrition education program in pri-
mary school children of Crete over a three-year period.
Prev Med 1999;28:149-159.
14. Manios Y, Moschandreas J, Hatzis C, Kafatos A. Health
and nutrition education in primary schools of Crete:
changes in chronic disease risk factors following a 6-year
intervention program. Br J Nutr 2002;88:315-324.
15. Kafatos A, Codrington CA, Linardakis M. Obesity in
childhood: The Greek experience. World Rev Nutr Diet
2005;94:27-35.
16. Moschandreas JA, Kafatos A. Calcium intake in relation
to diet and health indicators in Cretan primary and high
school pupils, Greece. Int J Vitam Nutr Res 2002;72:
264-277.
17. 其揃安恵鍖 ｜ - ≒其其, ﾄ叡 其揃-
座恵 多 其揃揃ﾃ 其-
揃多, 脹甲揃, 多 捉造揃, 7-9 尊 2000.
18. 捉俗揃庵造揃 I, 揃綱 X, 捉揃多 I, 捉 多 属, 則-
揃安臣ﾃ 捉, 揃ﾂ臣ﾃ 捉, et al. 蔵挫ﾃ 揃俗揃座桂
ﾂ恵 揃多 ﾃ謂｜ 揃庵多 揃綱 綱
俗綱 甲. 其揃庵揃 2003;66:264-277.
19. 則揃安臣ﾃ 捉. ∨俗鍖揃 多 揃ﾃ -
庵鍖 揃庵鍖, 鍖 ﾂ恵 甲ﾃ 脹鍖
甲 俗造 庵揃 . [捉揃 俗揃 -
揃座]. 多ﾃ: 其揃 甲 甲; 2005, Webpage:
http//:mph.med.uoc.gr/ dissertation_catalog.htms
20. 揃多 , 揃綱 , 則揃安臣ﾃ 捉, 脹揃揃鍖
蔵, 則綱 , 捉 揃多ﾃ , et al. 脹鍖 揃多-
ﾃ謂｜ 揃庵多 俗綱 座桂
揃宰. 其揃庵揃 2006;70:97-106.
21. 則揃安臣ﾃ 捉, 捉俗揃庵造揃 I, 揃多 . 揃 ｜
揃綱 揃多 揃庵 綱 ﾂ恵 俗-
綱 座桂 甲 造ﾋ揃 揃 鍖 庵揃俗
揃揃ﾃ…叡 . 其揃庵揃 2000;63:391-407.
22. Savva SC, Kourides Y, Tornaritis M, Epiphaniou-Savva M,
Tafouna P, Kafatos A. Reference growth curves for cypriot
children 6 to 17 years of age. Obes Res 2001;9:754-762.
23. Fredriks AM, van Buuren S, Fekkes M, Verloove-Van-
horick SP, Wit JM. Are age references for waist circumfer-
ence, hip circumference and waist-hip ratio in Dutch chil-
dren useful in clinical practice? Eur J Pediatr 2005;164:
216-222.
24. McCarthy HD, Jarrett KV, Crawley HF. The development
of waist circumference percentiles in British children aged
5.0-16.9 y. Eur J Clin Nutr 2001;55:902-907.
25. Moreno LA, Fleta J, Mur L, Rodriquez G, Sarria A, Bueno
M. Waist circumference values in Spanish children--gen-
der related differences. Eur J Clin Nutr 1999;53:429-433.
26. Eisenmann JC. Waist circumference percentiles for 7- to
15-year-old Australian children. Acta Paediatr 2005;94:
1182-1185.
27. Fernandez JR, Redden DT, Pietrobelli A, Allison DB.
Waist circumference percentiles in nationally representa-
tive samples of African-American, European-American,
and Mexican-American children and adolescents. J Pedia-
tr 2004;145:439-444.
28. Katzmarzyk PT. Waist circumference percentiles for
Canadian youth 11-18y of age. Eur J Clin Nutr 2004;58:
1011-1015.
29. Zannolli R, Morgese G. Waist percentiles: a simple test for
atherogenic disease? Acta Paediatr 1996;85:1368-1369.
30. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn
LM, Flegal KM, Mei Z, et al. 2000 CDC Growth Charts for
the United States: methods and development. Vital Health
Stat 2002;11:1-190.
31. Cameron N. British growth charts for height and weight
with recommendations concerning their use in auxologi-
cal assessment. Ann Hum Biol 2002;29:1-10.
32. Eisenmann JC. Secular trends in variables associated with the
metabolic syndrome of North American children and ado-
lescents: a review and synthesis. Am J Hum Biol 2003;15:
786-794.
33. Moran O, Phillip M. Leptin: obesity, diabetes and other pe-
ripheral effects--a review. Pediatr Diabetes 2003;4:101-109.
34. Mendoza-NunezVM,Garcia-SanchezA,Sanchez-Rodriguez
M, Galvan-Duarte RE, Fonseca-Yerena ME. Overweight,
waist circumference, age, gender, and insulin resistance as
risk factors for hyperleptinemia. Obes Res 2002;10: 253-259.
35. Johnson MS, Huang TT, Figueroa-Colon R, Dwyer JH,
Goran MI. Influence of leptin on changes in body fat dur-
ing growth in African American and white children. Obes
Res 2001;9:593-598.
36. 揃多 . 揃 ｜ 揃綱 揃多 揃庵
俗揃 揃. 其揃庵揃 2007;70:70-74.
307ﾂ恵揃挫 脹造 造 造 揃庵
其揃庵揃 2007;70:300-307
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Ethpkpaidiwn
- 1. 300 臓 属∀ ORIGINAL ARTICLE Paediatriki 2007;70:300-307 ﾂ恵揃挫 脹造 造 造 揃庵 甲 座桂 3 造 16 . 則揃安臣ﾃ, . 袖揃安撃多, . 揃多 其挫 揃: ﾃ 鍖 揃｜揃 昣 甲揃 鍖 ﾂ恵揃宰 脹造 (贈) ﾂ恵 庵- 座 ﾂ恵 造 造 (其捉) 揃庵 ﾂ恵 高 甲. 鍖 ﾂ恵 造脹庵: 昣 座揃 5.321 揃庵多 - 2.643 揃鍖揃 ﾂ恵 2.678 ﾃ挫揃, 座桂 2,5- 16,5 , ﾂ恵 庵皇叡ﾂ恵 7.538 甲 其捉. 甲 揃造 造俗揃 揃 鍖 多 昣 庵溝脹揃 揃 1992-2005 揃 ﾂ 庵挫揃揃 揃庵, 揃 鍖 其- 綱 揃綱 ﾂ恵 蔵揃綱, 揃綱 俗綱 其揃 挫 甲. O 揃造 贈 其捉 挫ﾂ恵 俗甲 ﾃ 造, 造 ｜ﾃ 其捉 揃庵 揃｜揃 昣 甲 多 庵脹 . 昣揃揃: 其捉 挫ﾃ 揃多 ｜ ﾂ恵 座 ﾂ慶叡 ﾂ恵 揃造 贈: 5, 10, 25, 50, 75, 85, 90 ﾂ恵 95. ∨ﾃﾂ, 造脹ﾃ 鍖 揃 揃庵多 ﾂ恵 造 甲 造俗, - 鍖 挫, 揃ﾂ 揃｜ 其捉 揃 鍖 揃 揃庵多 ﾂ恵 高 ﾂ恵 晑 (p<0,05), ﾂ恵 鍖 挫 揃ﾂ 鍖 造 造 揃 鍖 揃 揃庵多 晎謂座桂, 捉. 袖揃座桂, 揃座桂 ﾂ恵 揃揃安. 淡鍖, 庵 庵造揃 揃ﾂ (p>0,05) - 鍖 挫 揃 鍖 揃 揃庵多 揃座桂, 鍖 挫 座揃 揃ﾂ 俗揃鍖 - 造 其捉 (50 贈) 揃 鍖 揃 揃庵多 揃座桂 (p<0,001). ∨ 多揃揃: 俗甲 贈 其捉 揃 俗甲 ﾂ恵 揃鍖 揃挫 揃 宰 ﾂ恵 揃- 謂座恵, 其捉 ﾂ恵揃庵ﾃ｜ 揃鍖 鍖揃 揃庵綱 ﾃ綱 揃俗揃座桂 揃 揃- 庵多 甲. 則造 ﾃ庵多: 其揃庵多, 挫 造, ﾃ 揃俗揃座, ﾂ恵揃挫 脹造. Waist circumference percentiles of children of Crete aged 3 to 16 years E. Linardakis, K. Vardavas, A. Kafatos Abstract Background: The aim of this study was to estimate percentiles and growth curves of the waist circumference (WC) in children and adolescents of Crete, Greece. Methods: WC measurements were recorded for 5,321 subjects, 2,643 boys and 2,678 girls, aged 2.5 to 16.5 years, on whom a total of 7,538 were made. These measurements were derived from seven studies conducted between 1992 and 2005, on representative samples of children and adolescents in Crete, by the Preventive Medicine and Nutrition Clinic of the University of Crete. Smoothed percentiles of WC were estimated using polynomial models. The WC distribution was compared with that reported in other countries. Results: The age-sex specific descriptive characteristics and the smoothed percentiles of the 5th, 10th, 25th, 50th, 75th, 85th, 90th and 95th place were estimated. The mean WC of children and adolescents in this study in most age groups was found to be higher than that of children from Cyprus and the U.S (p<0.05) and higher in all age groups than that of children from the Netherlands, the U.K, Australia and Canada. The WC of the Cretan children did not differ significantly from that of Spanish children in most age groups but was lower (50th percentiles) in all age groups compared to Italian children (p<0.001). Conclusions: WC percentiles can be a useful and reliable tool for use by parents and paediatricians. The use of WC percentiles confirms that childhood central obesity is a major health problem in Crete. Key words: Children, waist circumference, central obesity, percentiles. 其揃 甲 甲, 甲揃 揃綱, 造揃 綱 揃綱, 其 綱 揃綱 ﾂ恵 蔵揃綱, 多ﾃ 甲 A揃座: E揃甲 則揃安臣ﾃ linman@med.uoc.gr 蔵揃揃｜ 袖｜ 揃多ﾃ揃 .. 71 003, .贈. 2208 多ﾃ 甲 University of Crete, Faculty of Medicine Department of Social Medicine, Division of Preventive Medicine and Nutrition, Heraklion, Crete, Greece Correspondence: Emmanouil Linardakis linman@med.uoc.gr Voutes-Stavrakia Junction 71 003, PO Box.: 2208 Heraklion, Crete, Greece ∨揃挫 其M 其挫 捉造 贈 ﾂ恵揃座 贈造 蔵捉 蔵挫ﾃ 捉多揃 揃 IOTF International Obesity Task Force Pediatri July-Aug 07 09-07-07 15:11 財安300
- 2. 揃 造揃 庵綱 造揃 揃俗- 揃座桂 俗挫揃 揃 鍖 揃俗造 1960 揃 甲ﾃ ﾂ恵 1980 揃 揃 揃庵多 ﾂ恵 高 (1,2). 俗 鍖 揃揃 俗脹 庵多 庵挫ﾃ 造 揃俗揃座桂 ﾂ恵 俗- 脹 鍖 揃 ﾂ恵揃揃 鍖 ﾂ恵 揃 庵揃俗 ﾂ恵 庵揃 ｜ﾃ 揃- 造. 其昣 昣 揃 揃座 俗鍖揃 造俗 揃揃- 庵挫 揃鍖 鍖 造 - 造 造 (其捉) 庵挫ﾃ ﾃ綱 揃俗揃- 座桂 鍖 甲ﾃ 鍖 ﾂ恵 揃庵鍖 - 脹鍖 (3-11). 造 其捉 揃庵多 ﾂ恵 高 揃 - 揃鍖 鍖 庵挫ﾃ, 伊揃鍖 多 揃多 ﾃ謂｜, 揃 揃多 ﾂ恵多 甲ﾃ ﾂ恵庵揃揃ﾃ ﾂ恵 多 俗鍖 多 (3-6). 其捉 揃庵 ﾂ恵 - 挫ﾋ 揃 挫 座 揃 鍖 造 - 揃ﾃ 庵鍖 (6-11). 揃造- 揃 鍖脹 ﾃ揃ﾃ 庵｜揃 揃 鍖 揃造 揃挫揃 庵多 挫 ﾂ恵 揃造 挫伊 揃 揃多 揃ﾂ揃庵 庵揃甲 2. ｜脹 挫 ﾃ揃ﾃ 揃多 造揃 挫揃 伊造 造揃 揃挫 (5). 造 其捉 庵挫ﾃ ﾃ綱 揃俗- 揃座桂 挫揃 揃 , 脹揃鍖揃 多揃 庵揃庵ﾂ恵座 造 ﾃ ﾂ恵 ﾂ慶叡造 ﾂ慶叡 揃庵揃 ﾃ 造揃 揃- 揃 造. 揃｜揃 昣 俗｜ 揃 揃甲 揃庵多 ﾂ恵 高 ﾂ恵揃挫 脹造 (贈), 揃 多俗 造揃 造 ｜ﾃ ﾂ慶叡- 揃庵揃 造揃, ﾂ慶叡 ﾂ恵 揃ﾂ 庵庵- 造揃 ｜ﾃ 揃 揃鍖 - 晎 ﾃ綱 揃俗揃座桂. 鍖 ﾂ恵 造脹庵 其俗 昣 昣 揃揃 皇叡ﾃ 揃庵多 ﾂ恵 高 甲 座揃 昣 綱 其- 綱 揃綱 ﾂ恵 蔵揃綱 其揃 挫 甲. 甲 庵揃挫揃 造 ）, ﾃ挫揃 8.335 km2 , 鍖 脹鍖 594.368 ﾂ恵挫ﾃ (揃 揃- 2001), 揃 鍖 挫 142.880 24% 挫揃 <19 . 42% 脹 挫揃 揃鍖, 46% 揃鍖 ﾂ恵 12% 揃鍖. 其脹鍖 昣 属揃 昣 昣俗脹ﾂ恵 ﾂ恵 甲脹揃 揃 鍖 鍖 俗- 逸 俗造 甲 (鍖揃 1) 5.321 揃庵多 ﾂ恵 造 - 2.643 揃鍖揃 ﾂ恵 2.678 ﾃ挫揃, 座桂 2,5-16,5 , 宰 皇叡ﾃ 其捉. 揃 揃庵多 ﾂ恵 造 座揃 揃 ﾂ 庵挫揃揃 揃庵ﾃ ﾂ恵 ﾃ 脹 多 庵揃俗ﾃ ﾂ恵 俗ﾃ (其挫揃ﾂ桂 1) 庵溝脹揃 揃 鍖 其 綱 揃綱 ﾂ恵 蔵揃綱, 揃綱 俗綱 其揃 挫 甲. 昣 揃造 庵溝脹揃 揃 1992 ﾂ恵 2005, 揃｜揃 其多揃揃 綱 ﾂ恵 其揃- 綱 座桂 揃 揃 揃多 ﾂ恵 鍖- 揃揃鍖 ﾃ謂｜. 揃庵 多 昣 甲揃 俗揃座 - 揃庵揃. 昣俗脹ﾂ恵 俗揃座 俗造 昣 (揃ﾂに, 揃ﾂに ﾂ恵 揃ﾂに) ﾂ恵 俗座 揃 俗座 俗, 甲脹揃 鍖晎 揃 揃庵多 俗- . 其鍖 造 鍖 揃揃造揃 ｜ 庵造 揃挫 (12-20). 挫, 多 揃庵 造揃 俗 俗宰 ﾂ恵鍖 造ﾃ 揃多 ﾂ恵 多 揃 鍖 挫 其揃庵座桂, 揃 - 俗 皇叡ﾃ 綱 造 ﾂ恵 - 鍖揃 ﾂ恵多脹 造. 其皇叡ﾃ 揃鍖 造ﾃ 揃 鍖 棶綱 ﾂ恵 蔵- 座桂 其揃 挫 甲. 捉造 其造 捉造 造 其捉 造 俗宰 ‖揃, ﾂ恵多, 晎 揃座, ﾂ臣脹 ﾃ 鍖 - 造 揃 鍖揃 揃 ﾃ 鍖 ﾂ恵 晎- 挫 揃ﾃ座桂 (鍖揃 2). 揃 揃多 揃多 庵庵造 造 俗甲 - 多揃 SPSS 13.0. 鍖 贈 其捉, ﾂ- 脹 ﾂ恵 揃 揃 鍖 ﾂ恵 , - 挫ﾂ恵 挫 庵揃甲揃揃 ﾃ揃ﾃ 多伊. ∨- ﾃﾃ造揃, 座 3 揃多 庵多揃 揃 鍖 2,5 造 3,4 造, 4 庵多揃 揃 鍖 3,5 造 4,4 造, ... 其ﾂ 造晎 揃綱 達 揃脹 (cubic models) (21,22) 俗 皇叡ﾂ恵 揃 多 揃庵 贈, 揃 座 造伊揃 造 揃- 綱 (R2 ) 揃｜ 98%. 捉 造脹庵 昣俗 Student 揃 庵挫揃 (One sample t test) 造 ｜ﾃ 造 其捉 揃庵 揃｜揃 昣 ﾃ挫 多 (22-30), 揃揃 揃揃多脹ﾂ恵 揃ﾂ 90造 贈 - 揃 (揃 鍖 昣 Fredriks et al, 2005 (23) 俗 皇叡ﾂ恵 造 +2SD). 90綱 贈 其捉 揃多 俗甲 鍖 ﾂ慶叡 ﾃ - 揃俗｜揃ﾋ 揃庵 ﾂ恵 高. 臓. 揃宰 蔵揃俗ﾂに 昣 ≒｜俗 昣 臓. 脹｜ 臓. 揃ﾃ挫 臓. 則揃脹挫 鍖揃 1. 多 甲. ｜ﾃ 庵座 俗造 揃 鍖 挫 造俗揃 揃 揃庵多 ﾂ恵 造 昣. 301ﾂ恵揃挫 脹造 造 造 揃庵 其揃庵揃 2007;70:300-307 Pediatri July-Aug 07 09-07-07 15:11 財安301
- 3. 302 . 則揃安臣ﾃ ﾂ恵 . Paediatriki 2007;70:300-307 其挫揃ﾂ桂1.∨俗ﾂにﾂ恵庵揃俗ﾂに昣-多揃揃其揃挫甲座揃揃｜揃昣,揃鍖ﾂ恵揃宰脹造造 造5.321揃庵甲,座桂2,5造16,5,7.538甲 捉昣-財庵座径甲袖揃座 其鍖揃揃造揃昣(造)鍖揃挫揃 其鍖揃揃ﾂ恵庵綱蔵揃俗1造.-1992蔵ﾂ垂俗座径｜揃ﾃ挫,5,0-8,5621574揃多ﾂ恵,1998[12] 其揃造揃脹｜,揃宰ﾂ恵則揃脹挫 2造.-1995蔵ﾂ垂俗座径｜揃ﾃ挫,7,6-9,9241233Maniosetal,1999[13] 脹｜ﾂ恵揃宰 3造.-1998蔵ﾂ垂俗座径｜揃ﾃ挫,10,2-13,1408409Maniosetal,2002[14] 脹｜ﾂ恵揃宰 4造.-2002属多揃-則｜ﾃ揃臓揃ﾃ挫,13,6-16,5292322Kafatosetal,2005[15] 脹｜ﾂ恵揃宰 其鍖揃揃ﾂ恵庵綱蔵揃俗1造.-1999蔵ﾂ臣ﾂ恵属多揃臓9,2-16,5373430Moschandreasetal,2003[16] 其揃造揃揃ﾃ挫,脹｜ﾂ恵則揃脹挫 2造.-2000-//-10,0-16,5215258其揃安恵鍖｜[17] 其鍖揃揃其揃綱座桂∨俗2000蔵ﾂ垂俗座 (蔵甲.臓ﾃ曻)蔵甲.臓ﾃ曻8,1-13,8173175庵挫揃俗座 其鍖揃揃其揃綱座桂∨俗2001臓揃挫,蔵鍖ﾂ恵属多4,0-15,39299捉俗揃庵造揃ﾂ恵,2003[18] (蔵甲≠揃)蔵甲≠揃揃ﾃ挫 其鍖揃揃脹ﾂ恵蔵揃綱∨俗2003-04俗座径≒甲揃ﾃ挫,2,8-16,5382426則揃安臣ﾃ捉,2005[19] 挫ﾂ恵甲 其鍖揃揃其揃綱座桂∨俗2004其揃庵ﾃ財揃脹財揃ﾃ挫2,5-6,17345庵挫揃俗座 (其揃庵ﾃ財揃脹財揃ﾃ挫) 其鍖揃揃ﾂ恵庵綱蔵揃俗1造.-2004/05臓揃座件蔵甲ﾂ恵4,0-7,0864833揃多ﾂ恵,2005[20] 其揃造揃甲臓｜揃宰 ≒｜甲3.7343.804 ≒｜揃庵2.643* 2.678 鍖臓鍖則揃脹挫昣俗脹ﾃﾂ恵座揃鍖庵挫揃揃庵ﾃﾂに多鍖ﾂ恵多造(1992-93)ﾂ恵揃｜揃揃鍖 109揃鍖揃ﾂ恵111ﾃ挫揃 * 庵揃俗ﾂに昣甲俗揃揃庵多多俗脹ﾂ恵揃造ﾂ恵多庵多ﾃ揃揃揃晎揃鍖多 Pediatri July-Aug 07 09-07-07 15:11 財安302
- 4. 昣揃揃 揃多 座 ﾂ恵 ｜ 造 造 ﾂ恵 ﾂに 揃 ﾃ挫 其捉 揃庵 ﾂ恵 高 揃多揃 其挫揃ﾂ 2. 其挫揃ﾂ 3 晎多揃 庵ﾂに 揃多 ｜ ﾂ恵 座 揃造 贈 其捉. 贈 揃｜ 5, 10, 25, 50, 75, 85, 90 ﾂ恵 95 贈 揃 揃 鍖 揃 揃多- 揃 鍖揃 3. 其挫揃ﾂ 4 揃多揃 揃多 ｜ ﾂ恵 座 造 ﾂ恵 庵多 造 其捉, 揃- ｜揃 昣 ｜ﾃ ﾃ挫 多 俗. 展 揃挫揃, 揃 揃庵多 甲 造俗 鍖 挫 揃ﾂ (p<0,05) 鍖- 造 造 其捉 俗造 揃 揃挫俗 - 座桂 揃庵多 ﾂ恵 晑, 鍖 挫 造俗 揃ﾂ 鍖 造 - 造 揃 鍖 揃 揃庵多 晎謂座桂, 捉. 袖揃座桂, 揃座桂 ﾂ恵 揃揃安. 挫, 庵 庵揃造- 揃ﾂ 鍖 挫 揃 鍖 揃 揃庵多 揃座桂 (p>0,05), 造俗 揃ﾂ 俗揃鍖 造 其捉 (50 贈) 揃 鍖 ﾃ挫揃 揃座桂 (p<0,001). 造, 鍖揃 4 揃多揃 造 揃- ﾃ 揃 鍖揃 90綱 贈 其捉 揃 揃揃- 脹挫 俗. 揃 揃庵多 揃座桂 揃挫揃 揃 造俗 鍖 90 贈 ﾂ恵 揃 揃庵多 捉. 袖揃座桂 俗揃鍖, ﾃ挫揃 - 造俗 俗逸 揃鍖揃 90 贈 鍖 揃 揃- 庵多 晑. ∨甲 揃｜揃 昣 挫ﾂ恵 ﾂ恵 揃- 多揃 贈 其捉 揃 揃庵多 ﾂ恵 高 甲. 揃 揃庵多 ﾂ恵 造 甲 造脹ﾂ恵 揃 造俗 揃 鍖 鍖 造 ﾃ- 綱 揃俗揃座桂, 揃挫 揃多 - 座桂 揃庵多 揃座桂. 鍖 揃 鍖 庵造 昣 俗 , 揃座桂, 揃座桂, 捉. 袖揃座桂, 其挫揃ﾂ桂 2. 其挫 造 7.538 甲 5.321 揃庵 甲 鍖揃 挫揃 座 臓 捉造 臓 捉造 (造) ()# () 3 44 50,5 (3,9)* 33 52,2 (3,9) 4 96 54,0 (4,9) 99 52,8 (4,5) 5 421 55,1 (5,9) 389 54,7 (5,4) 6 872 56,3 (7,1) 834 55,1 (6,0) 7 213 56,8 (6,3) 181 55,1 (5,7) 8 113 59,7 (6,4) 108 59,9 (8,2) 9 220 62,6 (8,4) 213 61,7 (8,9) 10 170 68,1 (9,9) 173 66,2 (9,2) 11 384 71,4 (10,7) 414 68,6 (9,7) 12 427 71,6 (10,6) 417 69,2 (9,8) 13 84 72,5 (9,7) 113 69,5 (9,2) 14 156 76,9 (10,8) 192 71,8 (7,9) 15 357 78,2 (10,4) 457 71,8 (8,0) 16 177 81,8 (12,9) 181 72,7 (9,1) # : 揃 鍖ﾃ 座 揃多 ﾃ揃ﾂに 多庵: 揃 3 造 晎多- 揃庵多 座桂 2,5-3,4 俗鍖 ... * 造 挫揃 ﾂ恵多 (cm) 鍖揃 2. 俗揃 揃 鍖 造 造 造. 捉揃 ﾃ 鍖 ﾂ恵 晎挫 脹造 ≠ 揃 100 90 80 70 60 50 40 3 4 5 6 7 8 9 10 11 12 13 14 15 16 座 (造) ﾃ挫揃 510 25 50 75 85 90 95 其挫捉造(cm) 揃鍖揃 510 25 50 75 85 90 95 110 100 90 80 70 60 50 40 3 4 5 6 7 8 9 10 11 12 13 14 15 16 座 (造) 其挫捉造(cm) 鍖揃 3. 揃 ｜ ﾂ恵揃宰 脹造 造 造. 303ﾂ恵揃挫 脹造 造 造 揃庵 其揃庵揃 2007;70:300-307 Pediatri July-Aug 07 09-07-07 15:11 財安303
- 5. 晎謂座桂, 揃座桂, 揃揃安 ﾂ恵 晑 (22-29), 揃｜ 揃挫 贈 其捉, 揃 ｜ 俗ﾂに 昣 ﾂ恵 造俗 庵揃- 俗脹 庵揃甲揃揃 庵多ﾃ揃 ﾃ鍖 謂｜ . 淡鍖, 揃 鍖 ﾃ 俗甲 庵揃俗ﾃ ﾂ恵 俗ﾃ 揃 庵座 贈 ﾂ恵 - 揃多 ﾂ恵 挫 揃｜揃 俗ﾂ 庵揃甲揃揃 造俗 高庵 揃 晑 ﾂ恵 捉. 袖揃座 (30,31). 其捉 挫揃 揃 ﾂ恵 ｜ﾃ 造 揃曻 ﾂ恵 多 安恵鍖揃, ﾂ慶叡 挫揃 庵- ﾃ ﾃ綱 揃俗揃座桂. Mamalakis ﾂ恵 . (5), 造庵揃 鍖 ｜脹 揃多 造揃 ﾃ- 揃ﾃ 逸 挫揃 揃ﾂ 伊造- 揃挫 (鍖揃 安 ﾃ- 造 ﾂ恵 trans 揃 造 ﾂ恵 俗揃鍖揃 揃鍖 ﾂ恵 揃鍖) ﾂ恵 俗宰揃 挫 ﾂ恵｜揃 揃 財庵揃 揃挫揃. - 昣, ﾃ 揃俗揃座 揃 造揃 揃 鍖 揃多 揃ﾃ 庵鍖 (6- 11). Moreno ﾂ恵 . (11), 揃揃造 鍖 其捉 庵挫ﾃ 揃俗揃座桂 揃 揃庵多 ﾂ恵 高 ﾂ恵｜ 鍖 庵挫ﾃ 揃- ﾃ 庵鍖, 揃 鍖 鍖, 庵挫ﾃ 多揃 - 揃 (蔵捉) 多俗 庵揃ﾃ 俗. 属揃 揃揃鍖 俗鍖揃 揃俗揃座桂 ﾂ恵 揃ﾃ 庵鍖 揃 揃庵多 ﾂ恵 高 脹｜揃 ﾋ宰 造 揃- 綱 多ﾃ, ﾂ恵 庵揃 ﾂ恵 stress, 庵｜ 揃 …叡 多揃 脹揃曻- 鍖- 謂宰 (32). ﾃ 揃俗揃- 座 俗宰揃 揃挫揃 庵多 - , 揃｜ ﾃ謂宰, 宰 HDL 俗鍖 ﾂ恵 揃｜ 揃ﾂ多. 安撃挫 鍖 挫 揃挫揃 造俗 庵多 挫, ﾂ慶叡 造俗 脹 揃庵多 ﾂ恵 - ﾃ 揃 俗宰揃 揃揃 多 揃多 ﾂ恵 庵揃挫揃 ﾃ 揃俗揃座 庵- 揃ﾂ揃庵 庵揃甲 2 (33-35). 1.209 揃庵多 ﾂ恵 高 甲 座桂 3-18 (19), 造脹ﾂ恵 48 揃庵多 (3,9%) 鍖 揃ﾃ 庵鍖, 宰 62% 座揃 ﾃ 揃俗揃座 (其捉>90 贈). ｜ 揃庵, 8,5% 造脹ﾃ ﾃ 揃俗揃座, , 多 蔵捉 (鍖揃 International Obesity Task Force - IOTF) 304 . 則揃安臣ﾃ ﾂ恵 . Paediatriki 2007;70:300-307 其挫揃ﾂ桂 3. 造 揃造 ﾂ恵揃宰 脹造 造 造 7.538 甲 5.321 揃庵 甲 座 (造) 5 10 25 50 75 85 90 95 鍖揃 3 45,4 46,8 49,0 51,3 53,1 55,3 56,3 59,1 4 46,3 47,6 49,8 52,0 54,3 56,9 58,5 62,1 5 47,3 48,6 50,8 53,2 56,2 59,0 61,2 65,3 6 48,6 49,8 52,2 54,8 58,6 61,8 64,3 68,6 7 50,0 51,3 53,8 56,8 61,5 64,9 67,7 72,2 8 51,5 52,8 55,6 59,1 64,7 68,3 71,3 75,8 9 53,2 54,6 57,5 61,6 68,1 71,9 75,1 79,5 10 54,9 56,5 59,6 64,2 71,6 75,7 79,0 83,3 11 56,8 58,5 61,8 66,8 75,0 79,4 82,9 87,1 12 58,8 60,6 64,1 69,4 78,2 83,0 86,6 90,9 13 60,9 62,8 66,3 71,9 81,1 86,4 90,2 94,6 14 63,0 65,1 68,5 74,1 83,6 89,4 93,6 98,4 15 65,2 67,5 70,7 76,1 85,5 92,1 96,6 102,0 16 67,4 69,9 72,7 77,8 86,8 94,2 99,1 105,6 挫揃 3 46,3 47,4 49,8 52,2 55,2 55,7 56,7 60,5 4 46,3 47,4 49,8 52,2 55,3 57,1 58,5 62,2 5 46,6 47,7 49,9 52,9 56,4 59,2 61,0 64,8 6 47,3 48,5 50,7 54,3 58,3 61,8 64,0 67,8 7 48,4 49,7 52,1 56,2 60,8 64,8 67,3 71,3 8 49,8 51,3 53,9 58,4 63,7 68,0 70,7 75,0 9 51,3 53,0 56,0 60,7 66,8 71,2 74,2 78,6 10 53,0 54,9 58,2 63,2 69,8 74,3 77,4 82,1 11 54,8 56,8 60,4 65,5 72,6 77,0 80,2 85,2 12 56,5 58,6 62,5 67,5 74,9 79,2 82,5 87,8 13 58,2 60,3 64,3 69,2 76,5 80,7 84,1 89,6 14 59,8 61,7 65,6 70,3 77,2 81,4 84,7 90,5 15 61,1 62,8 66,4 70,7 76,8 81,0 84,2 90,3 16 62,2 63,4 66,4 70,7 75,1 79,5 82,5 88,7 Pediatri July-Aug 07 09-07-07 15:11 財安304
- 7. (2), 鍖 揃俗｜揃ﾋ 揃庵 甲揃 9,9%. 庵揃多 揃 挫揃 ﾂ恵多 ｜ 鍖 ﾂ恵揃 揃 (ﾃﾂ - 揃ﾂ) ﾂ恵 鍖 揃 鍖揃 IOTF 庵 - 晎多 揃庵多 揃 鍖 曻安 ﾂ恵 甲. 贈揃 造 , 造, 昣 揃｜ 揃 揃多 揃庵, 揃 揃甲 揃曻 ﾂ恵 鍖 贈 ﾂ恵 ﾂ恵揃ﾃ ﾂ恵 揃多 , 揃 晎多揃 鍖 ﾃﾃ, ﾃ, - 揃ﾃ ﾂ恵 ﾃ 揃多 (1,36). 鍖 ｜ﾃ 其捉 揃庵 - 揃庵多 多 俗 ﾂ恵 揃多 鍖 鍖 ﾂ慶叡鍖 ﾃ揃ﾃ 多伊 庵造 鍖 , 庵揃 脹ﾃ 鍖 揃 揃庵多 甲 造俗 揃｜ 其捉 - ﾃ 揃庵多 多 俗, 揃庵 揃挫- ﾃ挫揃 揃座桂. 鍖 ﾃ揃 ﾂ恵 揃 鍖 鍖 鍖 造揃 ﾂ恵 揃俗｜揃ﾋ 揃庵 甲 多 蔵捉 (鍖揃 IOTF) 揃造俗揃 揃 揃座 俗鍖揃 33,1% (19). 揃座, 揃挫俗揃, 鍖 造揃- ﾂ恵 揃俗｜揃ﾋ 揃庵 造脹ﾃ 鍖, 多揃 36%, 揃ﾃ脹｜ 揃揃安針 30%, 揃座 27%, 晑 25,6% ( 1988- 94) ﾂ恵 捉. 袖揃座 20% (2). 蔵俗, 造 庵造 庵庵造- 贈 其捉 揃庵 ﾂ恵 高 揃 鍖 多 - 俗造 曻安桂, ﾂ慶叡｜ 揃謂｜揃 ｜ﾃ- 揃庵多 多 俗. 昣, 鍖 造揃 揃俗揃座桂 ﾂ恵多 揃 揃座 俗鍖- 揃, 庵 謂｜揃揃 揃 俗脹 脹揃 多 (secular trend) 揃庵ﾃ 脹 俗造 其捉. 属 揃鍖 鍖 贈 其捉 揃- 庵 ﾂ恵 高 甲, 造俗 庵揃挫 - 安恵鍖揃, ﾂ 揃 多 造 - ﾃ 揃 造俗 庵揃俗ﾃ 揃晎. 属ﾂ, 挫揃 揃揃ﾂ撃座 庵揃 昣 脹鍖 庵 高 揃 ﾃ 脹ﾃ 庵挫揃 揃庵 鍖 ﾃ, - ﾃ造 揃 脹｜ ﾂ恵 揃 庵脹｜ 贈 ﾂ恵 ﾂ恵 ｜ 其捉. 其揃多晎, ﾃ鍖 揃 鍖 ﾃ挫 造庵 座桂, 脹造 ﾂ恵 揃多 - , 贈 其捉 ｜ 揃 揃脹｜ ﾂ恵 ｜ ﾂ恵 揃多 揃- 座桂 揃庵, 揃 揃 ｜ 造揃 - ﾃ造 ﾂ恵 ｜俗 揃挫 揃 造揃 揃謂座恵 ﾂ恵 鍖. X揃逸 俗揃逸 其揃多 綱 ﾂ恵 其揃- 綱 座桂 揃庵 俗綱 座桂 造 揃 鍖 Friesland Hellas, ﾂ恵 ﾃ挫 揃｜揃 揃庵多 俗- 綱 座桂, 揃 鍖 属 属揃揃座 脹, 挫 其揃庵座桂 ﾂ恵 贈ﾃ多, 其揃安恵鍖 ｜, 庵ﾂに 揃庵甲 蔵甲 . 臓- ﾃ曻, ≠揃, 甲, 揃ﾃ挫 ﾂ恵 揃宰, ﾂ慶叡 ﾂ恵 臓揃俗揃 庵挫ﾃ 揃宰. 俗揃挫 俗揃｜ 脹多 揃 ﾃ甲 昣 多: 甲 揃, 甲 捉多ﾂ恵, 多揃 捉俗揃庵造揃, 捉俗多 揃ﾂ臣ﾃ, 座 尊, 捉揃座 捉 , 多揃 曻ﾃ, 尊鍖 捉 揃多ﾃ, Caroline Codrington, 挫揃 其揃 揃安臣ﾃ, 揃挫揃 揃, 捉座 則揃多ﾃ ﾂ恵 揃 鍖 其揃庵揃 属ﾃ 臓ﾃ挫 揃宰 蔵甲 脹揃揃鍖 ﾂ恵 揃座 捉 揃多ﾃ. 挫, 揃 揃ﾂ - 造揃晎 揃ﾃ鍖 造 ﾂ恵 蔵…泳 其- 多脹揃 揃財庵 臓 揃宰. 袖揃座 1. Cole TJ. The secular trend in human physical growth: a bi- ological view. Econ Hum Biol 2003;1:161-168. 2. Lobstein T, Baur L, Uauy R; IASO International Obesity Taskforce. Obesity in children and young people: a crisis in public health. Obes Rev 2004;1 (Suppl 5):4-104. 306 . 則揃安臣ﾃ ﾂ恵 . Paediatriki 2007;70:300-307 捉. 袖揃座 揃座 ﾃ挫揃 其挫捉造(cm) 揃鍖揃 其挫捉造(cm)100 95 90 85 80 75 70 65 60 55 50 100 95 90 85 80 75 70 65 60 55 50 座 (造) 3 4 5 6 7 8 9 10 11 12 13 14 15 16 3 4 5 6 7 8 9 10 11 12 13 14 15 16 座 (造) 揃座 甲 晑 晎謂座 揃揃安針 揃座 捉. 袖揃座 揃座 甲 晑 晎謂座 揃揃安針 揃座 捉. 袖揃座 鍖揃 4. 俗揃 ｜ﾃ ﾂ恵 90 ﾂ恵揃座桂 脹造 /ﾂ恵 +2SD 造 造 揃庵 庵揃鍖 . Pediatri July-Aug 07 09-07-07 15:11 財安306
- 8. 3. Savva SC, Tornaritis M, Savva ME, Kourides Y, Panagi A, Silikiotou N, et al. Waist circumference and waist-to- height ratio are better predictors of cardiovascular disease risk factors in children than body mass index. Int J Obes Relat Metab Disord 2000;24:1453-1458. 4. Maffeis C, Pietrobelli A, Grezzani A, Provera S, Tato L. Waist circumference and cardiovascular risk factors in prepubertal children. Obes Res 2001;9:179-187. 5. Mamalakis G, Kafatos A, Manios Y, Kalogeropoulos N, Andrikopoulos N. Abdominal vs buttock adipose fat: rela- tionships with children's serum lipid levels. Eur J Clin Nutr 2002; 56:1081-1086. 6. Hirschler V, Aranda C, Calcagno Mde L, Maccalini G, Jadzinsky M. Can waist circumference identify children with the metabolic syndrome? Arch Pediatr Adolesc Med 2005;159:740-744. 7. Cruz M, Goran M. The metabolic syndrome in children and adolescents. Curr Diab Rep 2004;453-462. 8. Jessup A, Harrell J. The Metabolic Syndrome: Look for It in Children and Adolescents, Too! Clin Diabetes 2005;23: 26-32. 9. Duncan GE, Li SM, Zhou XH. Prevalence and trends of a metabolic syndrome phenotype among U.S. adolescents, 1999-2000. Diabetes Care 2004;27:2438-2443. 10. Grundy S, Becker D, Clark LT, Cooper RS, Denke MA, Howard J, et al. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circula- tion 2002;106:3143-3420. 11. Moreno LA, Pineda I, Rodriguez G, Fleta J, Sarria A, Bueno M. Waist circumference for the screening of the metabolic syndrome in children. Acta Paediatr 2002;91: 1307-1312. 12. 揃多 , 捉揃鍖 属, 揃綱 , 捉俗揃庵造揃 , 捉 揃- 多ﾃ , 脹揃揃鍖 蔵, et al. 鍖 - 多揃 綱 座桂 多 揃 鍖 座 俗鍖揃 - 揃庵綱 揃造揃 揃 庵ﾂ 俗座 甲. 其揃庵揃 1998;61:483-497. 13. Manios Y, Moschandreas J, Hatzis C, Kafatos A. Evalua- tion of a health and nutrition education program in pri- mary school children of Crete over a three-year period. Prev Med 1999;28:149-159. 14. Manios Y, Moschandreas J, Hatzis C, Kafatos A. Health and nutrition education in primary schools of Crete: changes in chronic disease risk factors following a 6-year intervention program. Br J Nutr 2002;88:315-324. 15. Kafatos A, Codrington CA, Linardakis M. Obesity in childhood: The Greek experience. World Rev Nutr Diet 2005;94:27-35. 16. Moschandreas JA, Kafatos A. Calcium intake in relation to diet and health indicators in Cretan primary and high school pupils, Greece. Int J Vitam Nutr Res 2002;72: 264-277. 17. 其揃安恵鍖 ｜ - ≒其其, ﾄ叡 其揃- 座恵 多 其揃揃ﾃ 其- 揃多, 脹甲揃, 多 捉造揃, 7-9 尊 2000. 18. 捉俗揃庵造揃 I, 揃綱 X, 捉揃多 I, 捉 多 属, 則- 揃安臣ﾃ 捉, 揃ﾂ臣ﾃ 捉, et al. 蔵挫ﾃ 揃俗揃座桂 ﾂ恵 揃多 ﾃ謂｜ 揃庵多 揃綱 綱 俗綱 甲. 其揃庵揃 2003;66:264-277. 19. 則揃安臣ﾃ 捉. ∨俗鍖揃 多 揃ﾃ - 庵鍖 揃庵鍖, 鍖 ﾂ恵 甲ﾃ 脹鍖 甲 俗造 庵揃 . [捉揃 俗揃 - 揃座]. 多ﾃ: 其揃 甲 甲; 2005, Webpage: http//:mph.med.uoc.gr/ dissertation_catalog.htms 20. 揃多 , 揃綱 , 則揃安臣ﾃ 捉, 脹揃揃鍖 蔵, 則綱 , 捉 揃多ﾃ , et al. 脹鍖 揃多- ﾃ謂｜ 揃庵多 俗綱 座桂 揃宰. 其揃庵揃 2006;70:97-106. 21. 則揃安臣ﾃ 捉, 捉俗揃庵造揃 I, 揃多 . 揃 ｜ 揃綱 揃多 揃庵 綱 ﾂ恵 俗- 綱 座桂 甲 造ﾋ揃 揃 鍖 庵揃俗 揃揃ﾃ…叡 . 其揃庵揃 2000;63:391-407. 22. Savva SC, Kourides Y, Tornaritis M, Epiphaniou-Savva M, Tafouna P, Kafatos A. Reference growth curves for cypriot children 6 to 17 years of age. Obes Res 2001;9:754-762. 23. Fredriks AM, van Buuren S, Fekkes M, Verloove-Van- horick SP, Wit JM. Are age references for waist circumfer- ence, hip circumference and waist-hip ratio in Dutch chil- dren useful in clinical practice? Eur J Pediatr 2005;164: 216-222. 24. McCarthy HD, Jarrett KV, Crawley HF. The development of waist circumference percentiles in British children aged 5.0-16.9 y. Eur J Clin Nutr 2001;55:902-907. 25. Moreno LA, Fleta J, Mur L, Rodriquez G, Sarria A, Bueno M. Waist circumference values in Spanish children--gen- der related differences. Eur J Clin Nutr 1999;53:429-433. 26. Eisenmann JC. Waist circumference percentiles for 7- to 15-year-old Australian children. Acta Paediatr 2005;94: 1182-1185. 27. Fernandez JR, Redden DT, Pietrobelli A, Allison DB. Waist circumference percentiles in nationally representa- tive samples of African-American, European-American, and Mexican-American children and adolescents. J Pedia- tr 2004;145:439-444. 28. Katzmarzyk PT. Waist circumference percentiles for Canadian youth 11-18y of age. Eur J Clin Nutr 2004;58: 1011-1015. 29. Zannolli R, Morgese G. Waist percentiles: a simple test for atherogenic disease? Acta Paediatr 1996;85:1368-1369. 30. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 2002;11:1-190. 31. Cameron N. British growth charts for height and weight with recommendations concerning their use in auxologi- cal assessment. Ann Hum Biol 2002;29:1-10. 32. Eisenmann JC. Secular trends in variables associated with the metabolic syndrome of North American children and ado- lescents: a review and synthesis. Am J Hum Biol 2003;15: 786-794. 33. Moran O, Phillip M. Leptin: obesity, diabetes and other pe- ripheral effects--a review. Pediatr Diabetes 2003;4:101-109. 34. Mendoza-NunezVM,Garcia-SanchezA,Sanchez-Rodriguez M, Galvan-Duarte RE, Fonseca-Yerena ME. Overweight, waist circumference, age, gender, and insulin resistance as risk factors for hyperleptinemia. Obes Res 2002;10: 253-259. 35. Johnson MS, Huang TT, Figueroa-Colon R, Dwyer JH, Goran MI. Influence of leptin on changes in body fat dur- ing growth in African American and white children. Obes Res 2001;9:593-598. 36. 揃多 . 揃 ｜ 揃綱 揃多 揃庵 俗揃 揃. 其揃庵揃 2007;70:70-74. 307ﾂ恵揃挫 脹造 造 造 揃庵 其揃庵揃 2007;70:300-307 Pediatri July-Aug 07 09-07-07 15:11 財安307