题名

國小學童身體質量指數發展分析

并列篇名

Development of Body Mass Index in Elementary Students

DOI

10.6127/JEPF.2010.11.02

作者

徐菀謙(Wan-Chien Hsu);林貴福(Kuei-Fu Lin)

关键词

國小學童 ; 身體質量指數 ; 生長發展 ; 身高 ; 體重 ; elementary students ; body mass index BMI ; development ; height ; weight

期刊名称

運動生理暨體能學報

卷期/出版年月

11輯(2010 / 12 / 31)

页次

13 - 24

内容语文

繁體中文

中文摘要

目的:身體質量指數(body mass index, BMI)是目前計算身體組成最簡便迅速的方式,教育部也使用身體質量指數作為國小學童身體組成的指標。檢視國內國小學童的肥胖比例有越來越高的趨勢,雖有定期測量學童身高與體重,但應藉由身體質量指數監控學童的成長速率是否正常,以便能提供適時進行矯正或治療的契機。方法:本文收集學童身高與體重之相關文獻,探討國小學童隨年齡增加的身體質量指數發展趨勢,與體重過重及肥胖情形,並以教育部BMI常模與世界衛生組織BMI常模比較國際與國內之異同。結語:教育部10-13歲男童BMI常模85百分位BMI為23-25kg/平方公尺,相當於世界衛生組織10-13歲男童BMI常模95百分位BMI為22.9-24.8kg/平方公尺,而女童也有類似的情形。因此教育部BMI常模可能會低估學童的過重與肥胖,而錯失及早預防與治療的機會。學童的生長受到環境、營養、身體活動及遺傳等多種因素影響,尤其兒童肥胖盛行且危及身體健康,應鼓勵學童保持動態生活、健康飲食及足夠的身體活動量。

英文摘要

Purpose: Body Mass Index (BMI) is the most convenient tool to assess body composition, and the Ministry of Education adopts it to evaluate body composition of elementary students. Due to the increasing rate of obesity prevalence, although height and weight is periodically measured, it is recommended to further monitor whether the development of BMI in elementary students is normal to determine the necessity of modification or treatment as early as possible. Methods: The present article reviewed related articles of height and weight, investigated the development of BMI with growing in elementary students, and explored the prevalence of overweight and obesity. Summary: The 85(superscript th) percentile of BMI in 10-13 yr boys announced by the Ministry of Education was 23-25kg/m^2, which corresponded to the 95(superscript th) percentile in WHO's report (22.9-24.8kg/m^2). The data from girls' side was quite similar. According to this information, the data from Ministry of Education might underestimate the situation of overweight and obesity in Taiwan elementary students. Hence, the opportunity of prevention and treatment for overweight and obesity early was missed. The development of elementary students was influenced by diverse factors, such as environment, nutrition, physical activity, inheritance, and so on. Because childhood obesity is harmful to health, we should encourage elementary students to engage in active living, healthy diet, and sufficient physical activity.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
社會科學 > 體育學
参考文献
  1. 金憲權、祝年豐、申慕韓、吳德敏(2007)。台北市國中生代謝症候群盛行率及相關因素研究。台灣家庭醫學會雜誌,17,27-37。
    連結:
  2. 教育部(2007b)。94 學年度全國國民中小學學生健康狀況調查結果報告。2009 年4 月27 日取自:http://140.122.72.62/history/?id=1e9111151233ed67dcf69e1a05d6b4da483a62afba091。
  3. World Health Organization (2007). Growth reference data for 5-19 years. Retrieved April 28, 2009, from http://www.who.int/childgrowth/en/.
  4. 教育部(2007a)。體適能常模。2009 年4 月28 取自:http://www.fitness.org.tw/TW/ index.html。
  5. DeOnis, M.,Onyango, A. W.,Borghi, E.,Siyam, A.,Nishidaa, C.,Siekmanna, J.(2007).Development of a WHO growth reference for school-aged children and adolescents.Bulletin of the World Health Organization,85(9),660-667.
  6. DuBose, K. D.,Eisenmann, J. C.,Donnelly, J. E.(2007).Aerobic fitness attenuates the metabolic syndrome score in normal-weight, at-risk-for-overweight, and overweight children.Pediatrics,120(5),e1262-e1268.
  7. Eknoyan, G.(2007).Adolphe Quetelet (1796-1874)-the average man and indices of obesity.Nephrology Dialysis Transplantation,23(1),47-51.
  8. Golan, M.,Crow, S.(2004).Parents are key players in the prevention and treatment of weight-related problems.Nutrition Reviews,62(1),39-50.
  9. Hippel, P. T.,Powell, B.,Downey, D. B.,Rowland, N. J.(2007).The effect of school on overweight in childhood: Gain in body mass index during the school year and during summer vacation.American Journal of Public Health,97(4),696-702.
  10. Hsiao, Y. C.,Chiang, C. L.,Sheu, P. H.(2007).Anthropometric measurements and weight status among elementary school children in Lanyu.Taiwan Journal Family Medicine,17,109-116.
  11. Marras, A. R.,Bassareo, P. P.,Ruscazio, M.(2009).The relationship of longitudinal screening of blood pressure in school-aged children in Sardinia with excessive weight.Cardiology in the Young,19(3),239-249.
  12. Ogden, C. L.,Carroll, M. D.,Curtin, L. R.,McDowell, M. A.,Tabak, C. J.,Flegal, K. M.(2004).Prevalence of overweight and obesity in the United States, 1999-2004.The Journal of the American Medical Association,295(13),1549-1555.
  13. Rogol, A. D.,Clark, P. A.,Roemmich, J. N.(2000).Growth and pubertal development in children and adolescents: effects of diet and physical activity.The American Journal of Clinical Nutrition,72(2),521-528.
  14. Shaibi, G. Q.,Cruz, M. L.,Ball, G. D. C.,Weigensberg, M. J.,Kobaissi, H. A.,Salem, G. J.(2005).Cardiovascular fitness and the metabolic syndrome in overweight Latino youths.Medicine & Science in Sports & Exercise,37(6),922-928.
  15. Sorof, J. M.,Lai, D.,Turner, J.,Poffenbarger, T.,Portman, R. J.(2004).Overweight, ethnicity, and the prevalence of hypertension in school-aged children.Pediatrics,113,475-482.
  16. Stovitz, S. D.,Hannan, P. J.,Lytle, L. A.,Demerath, E. W.,Pereira, M. A.,Himes, J. H.(2001).Child height and the risk of young-adult obesity.American Journal of Preventive Medicine,38(1),74-77.
  17. Stovitz, S. D.,Pereira, M. A.,Vazquez, G.,Lytle, L. A.,Himes, J. H.(2008).The interaction of childhood height and childhood BMI in the prediction of young adult BMI.Obesity,16(10),2336-2341.
  18. Vadiveloo, M.,Zhu, L.,Quatromoni, P. A.(2009).Diet and physical activity patterns of school-aged children.Journal of the American Dietetic Association,109(1),145-151.
  19. Wardle, J.(2007).Eating behaviour and obesity.Obesity Reviews,8(suppl. 1),73-75.
  20. Wei, J. N.,Sung, F. C.,Lin, C. C.,Lin, R. S.,Chiang, C. C.,Chuang, L. M.(2003).National surveillance for type 2 diabetes mellitus in Taiwanese children.The Journal of the American Medical Association,290(10),1345-1350.
  21. Zimmermann, M. B.,Hess, S. Y.,Hurrell, R. F.(2000).A national study of the prevalence of overweight and obesity in 6-12 y-old Swiss children: Body mass index, body-weight perceptions and goals.European Journal of Clinical Nutrition,54(7),568-572.
  22. 周言穎(2005)。兒童生長評估。中醫兒科醫學雜誌,7(1),6-8。
  23. 林薇(1998)。幼兒飲食行為及影響因素。家政教育學報,1,42-58。
  24. 祝年豐(2007)。,未出版
  25. 國家衛生研究院(2000)。論壇健康促進與疾病預防委員會文獻回顧分析計畫—兒童之肥胖問題與對策。台北市:國家衛生研究院。
  26. 許碧惠、曾明淑(2005)。台東地區原住民與非原著民9-11歲學童體位及肥胖率之比較。台灣營養學會雜誌,30(1),1-11。
  27. 陳偉德、蔡承諺、陳安琪、吳淑芬、林宗文、林曉娟(2003)。台灣地區兒童及青少年生長曲線圖:依健康體適能訂定之標準。中台灣醫學科學雜誌,8,s85-s93。
  28. 戴芳楟(2008)。青年期前的體重與第2型糖尿病。內分泌暨糖尿病學會會刊,21(2),15-16。
  29. 謝昌成、張守治、劉鎮嘉(2007)。兒童常見的身高問題—身材矮小。家庭醫學與基層醫療,22(6),211-216。
被引用次数
  1. 曾明郎、陳凌莉(2013)。獨輪車運動對國小學童注意力與活動量之研究。嘉大體育健康休閒期刊,12(3),140-149。
  2. 羅詩佳(2017)。家長社經地位對學生身心發展之影響:以臺北市龍安國小四年級學生為分析對象。中國地方自治,70(3),47-76。