Obesity Screening for Young Japanese Males and Females Using Skin Fold Measurements: The Classification Revisited

皮脂厚度測量用於日本年輕成人之肥胖篩檢：分級的重新檢視

Masaharu Kagawa ； Kazuhiro Uenishi ； Miki Mori ； Hayato Uchida ； Deborah A Kerr ； Colin W Binns ； Andrew P Hills

《Asia Pacific Journal of Clinical Nutrition》 19卷2期 (2010/05) Pp. 289-293

https://doi.org/10.6133/apjcn.2010.19.2.20

摘要

體位測量是一個簡單、安全與經濟的檢測個人健康狀況的方法。日本以兩項皮脂厚度總和來做肥胖分級的方法，是在約40年前所提出，因此是否適用於現今的日本人是未知的。本篇研究的目的是使用兩個日本年輕成人資料庫（233位男性及139位女性），根據其體脂肪百分比及身體質量指數來檢視兩項皮脂厚度總和的肥胖切點。使用回歸分析，計算出了符合體脂肪百分比切點（男性20%、25%、30%；女性30%、35%、40%）的兩項皮脂厚度總和及經身高校正的兩項皮脂厚度總和的切點值；此外，也計算出了符合身體質量指數切點（23、25、30 kg/m^2）的皮脂厚度總和及經身高校正的皮脂厚度總和的切點值。與原始的兩項皮脂厚度總和切點值比較，本文建議值都較小，差距最多達10 mm。建議值對於分辨男性≧20%體脂肪及女性≧30%體脂肪有較好的靈敏度（從25%提昇至90%），在兩個性別都有較高的特異度（95%）。結果指出，以原始的兩項皮脂厚度總和切點來評估肥胖，並不適用於現今的日本年輕成人，修正是必要的。應用本文建議值可以幫助臨床上的評估。

關鍵字

體位測量 ； 日本 ； 皮脂厚度總和 ； 肥胖 ； 分級

並列摘要

Anthropometric assessment is a simple, safe, and cost-efficient method to examine the health status of individuals. The Japanese obesity classification based on the sum of two skin folds (Σ2SF) was proposed nearly 40 years ago therefore its applicability to Japanese living today is unknown. The current study aimed to determine Σ2SF cut-off values that correspond to percent body fat (%BF) and BMI values using two datasets from young Japanese adults (233 males and 139 females). Using regression analysis, Σ2SF and height-corrected Σ2SF (HtΣ2SF) values that correspond to %BF of 20, 25, and 30% for males and 30, 35, and 40% for females were determined. In addition, cut-off values of both Σ2SF and HtΣ2SF that correspond to BMI values of 23 kg/m^2, 25 kg/m^2 and 30 kg/m^2 were determined. In comparison with the original Σ2SF values, the proposed values are smaller by about 10 mm at maximum. The proposed values show an improvement in sensitivity from about 25% to above 90% to identify individuals with ≥20% body fat in males and ≥30% body fat in females with high specificity of about 95% in both genders. The results indicate that the original Σ2SF cut-off values to screen obese individuals cannot be applied to young Japanese adults living today and modification is required. Application of the proposed values may assist screening in the clinical setting.

並列關鍵字

anthropometry ； Japanese ； sum of skin folds ； obesity ； classification