Development of waist circumference percentiles for Japanese children and an examination of their screening utility for childhood metabolic syndrome: a population -based cross-sectional study

• Material Type: 博士論文
• Title: Development of waist circumference percentiles for Japanese children and an examination of their screening utility for childhood metabolic syndrome: a population -based cross-sectional study
• Author/Editor: Matsushita, Rie
• Author Heading: Matsushita, Rie
• Publication, Distribution, etc.: BioMed Central
• Publication Date: 2015-11-13
• Publication Date (W3CDTF): 2015-11-13
• Alternative Title: 日本人小児の腹囲パーセンタイル曲線の作成と腹囲パーセンタイル曲線を用いた小児メタボリックシンドロームのスクリーニング効果： 集団ベースの横断的研究
• Periodical title: BMC Public Health
• Degree grantor/type: 浜松医科大学
• Date Granted: 2017-03-07
• Date Granted (W3CDTF): 2017-03-07
• Dissertation Number: 乙第539号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 乙第539号
• Text Language Code: eng
• Subject Heading: Childhood metabolic syndrome; Waist circumference; Waist circumference to height ratio; Obesity; Ethnicity
• Target Audience: 一般
• Note (General): doctoral; 医学系研究科; Background: In Japan, waist circumference (WC) percentiles to screen for childhood metabolic syndrome (MetS)are unavailable. The objectives of this study were to develop WC and WC-to-height ratio (WC/Ht) percentile curves by age and sex for Japanese children, and to test their utility in screening for MetS in children with obesity who are otherwise healthy.Methods: The WC and WC/Ht percentiles were developed using the LMS method of summarizing growth standards, which monitors changing skewness (L), medians (M), and coefficients of variation (S) in childhood distributions. A representative dataset was used, which consisted of 3,634 boys and 3,536 girls aged 4.5-12.75 years in Shizuoka prefecture, Japan, between 2010 and 2012. Children who were obese (355 boys and 230 girls) aged 6-12 years from Osaka prefecture, Japan, were screened for childhood MetS using the new percentiles and the International Diabetes Federation’s (IDF’s) definition of MetS.Results: The number of participants with certain metabolic abnormalities (high systolic and diastolic blood pressure, and a high level of triglycerides) was significantly higher in boys aged 10-12 years, with a WC ≥ 90th percentile, than among those with a WC < 90th percentile. None of the participants with a WC < 90th percentile exhibited two or more metabolic abnormalities, regardless of their age or sex. Among the participants aged 10-12 years, 11.4% of boys and 4.4% of girls with a WC ≥ 90th percentile were diagnosed with MetS.Conclusions: The new percentiles may have a certain level of potential to screen Japanese children for childhood MetS in accordance with the IDF definition.
• DOI: info:doi/10.1186/s12889-015-2447-1; https://doi.org/info:doi/10.1186/s12889-015-2447-1
• Persistent ID (NDL): info:ndljp/pid/11063583; https://dl.ndl.go.jp/pid/11063583
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2018-04-03T03:53:09+09:00
• Date Created (W3CDTF): 2018-08-27
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10271/3217; https://hama-med.repo.nii.ac.jp/records/3075
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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