Çocuklarda Obezitenin Belirlenmesinde Antropometrik Ölçümlerin Karşılaştırılması: Sistematik Derleme

Öz

Amaç: Güncel literatürde, çocuklarda obezitenin belirlenmesinde farklı ölçüm yöntemlerini ve farklı istatistiksel analizleri içeren çok sayıda çalışma mevcuttur. Bu çalışmanın amacı, çocuklarda obeziteyi ölçmek için kullanılan antropometrik ölçüm yöntemlerini derlemektir.
Yöntem: Çocuklarda obeziteyi ölçmek için kullanılan antropometrik ölçüm yöntemlerini araştıran çalışmalar üzerine sistematik bir derleme yapıldı. Pubmed/Medline ve Google Scholar veritabanları tarandı. Çalışmaların metodolojik kalitesi, Modifiye Downs and Black kontrol listesi kullanılarak incelenmiştir. Ardından önemli bulgular sentezlenmiştir.
Bulgular: 2006-2020 yılları arasında yayınlanan 24 çalışma derlemeye dahil edildi. Çalışmaların örneklem büyüklükleri 30 ile 23043 katılımcı arasında değişmekteydi. Katılımcıların yaş aralığı 2-18 yıldı. Çalışmaların %87,5'inde (n=21) ölçüm yöntemi olarak Vücut Kitle İndeksi (VKİ) kullanılmış ve VKİ ölçüm performansı diğer antropometrik ölçüm yöntemleriyle karşılaştırılmıştır. Bel çevresi (n=16), bel-kalça oranı (n=13) ve kol çevresi ölçümleri (n=8) en sık kullanılan yöntemler olmuştur.
Sonuç: Çocuk popülasyonunun obezite ve aşırı kiloluluk durumunu değerlendirmek için kullanılan antropometrik ölçümlerin karşılaştırılmasında VKİ skoru altın standart olarak görülmektedir. Bel çevresi ve bel-kalça oranı, Çift X-ışını Absorptiometri (DEXA) ve Hava Deplasmanlı Pletismografi (ADP) gibi daha doğru tekniklerin mümkün olmadığı çocuklarda obezite ve fazla kilonun ölçülmesinde en yaygın ve en etkin araçlardır.

Anahtar Kelimeler

• Obezite
• Antropometrik Ölçümler
• Bel Çevresi
• Bel-Kalça Oranı
• Vücut Kitle İndeksi

Comparing Anthropometric Measurements in Determining Obesity in Children: A Systematic Review

Öz

Objective: In the current literature, there are many studies that include different measurement methods and different statistical analyzes in determining obesity in children. The aim of this study is to review the anthropometric measurement methods used to measure obesity in children.
Method: A systematic review was completed for studies of anthropometric measurement methods used to measure obesity in children. The databases Pubmed/Medline and Google Scholar were searched. Methodological quality of studies was examined using the modified Downs and Black checklist. Subsequently, important findings were synthesized.
Results: Twenty four studies published between the years 2006-2020 were included in the review. Sample sizes varied between 30 and 23043 participants. The age range of the participants varied between 2-18 years. In 87.5% of the studies (n=21), Body Mass Index (BMI) was used as the measurement method and the performance of BMI was compared with other anthropometric measurement methods. Waist circumference (n=16), waist-hip ratio (n=13) and arm circumference measurements (n=8) are the most common used methods.
Conclusion: BMI score is seen as the gold standard in comparison of anthropometric measurements used to evaluate the obesity and overweight status of the child population. Waist circumference and waist-hip ratio are the most commonly used and effective tools for measuring obesity and overweight in children when more accurate techniques such as Dual X-ray Absorptiometry (DEXA) and Air-Displacement Plethysmography (ADP) are unfeasible.

Anahtar Kelimeler

• Obesity
• Anthropometric Measurements
• Waist Circumference
• Waist-Hip Ratio
• Body Mass Index

Kaynakça

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