生物电阻抗法在肥胖儿童中的临床应用研究进展

Advances in clinical application of bioelectric impedance analysis in obese children

肥胖儿童在我国肥胖人群的占比不容忽视。肥胖儿童易出现延续至成人期的并发症,合理评估是预防儿童肥胖和控制其并发症的关键环节。相较于体质指数评估,身体成分分析法可用于测量人体脂肪组织、肌肉组织、体内水分及无机盐等成分含量,有助于分析体脂率、体肌率及肌脂比,评估体型、基础代谢量及肥胖程度,实现精准化评估和干预。生物电阻抗法作为近年来较为流行的一种身体成分分析法,在儿科临床中的应用范围较广,但其应用于肥胖儿童中的研究价值尚不明确。该文总结生物电阻抗法在肥胖儿童诊断及评估方面的应用价值,并对其在筛查儿童肥胖并发症中的作用进行综述。

The proportion of overweight children within the obese population cannot be disregarded.Furthermore,obese children are susceptible to complications that may persist into adulthood.In order to prevent childhood obesity and manage its associated complications,it is essential to conduct appropriate assessments.In comparison to the body mass index(BMI)assessments,body composition analysis can measure the amount of adipose tissue,muscle tissue,body water,and inorganic salts.It can also assess body fat percentage,body muscle percentage,and muscle-fat ratio,which may be crucial in assessing body shape,basal metabolism,obesity and more.This enables accurate assessment and intervention.Bioelectric impedance analysis(BIA)is widely used in pediatrics as a method of analyzing body composition.However,its value in the study of obese children remains uncertain.This paper aims to summarize the value of BIA in the diagnosis and assessment of obese children and to assess its potential for screening for complications associated with childhood obesity,and reviews the performance of BIA in the assessment of obese children.