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Exploration of the reference values of percentage body fat for obesity screening among primary and secondary school students
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Shuo YU1, Yu ZHANG1, Bing-qing WANG1, Xia-yun ZHANG1, 2
Modern Preventive Medicine | 2026, 53(5) : 861 - 866
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Modern Preventive Medicine | 2026, 53(5): 861-866
• Child and Adolescent Health, Maternal and Child Health •
Exploration of the reference values of percentage body fat for obesity screening among primary and secondary school students
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Shuo YU1, Yu ZHANG1, Bing-qing WANG1, Xia-yun ZHANG1, 2
Affiliations
  • Shanghai Putuo District Center for Disease Control and Prevention (Shanghai Putuo District Health Inspecting Agency),Shanghai 200333, China
Published: 2026-03-10 doi: 10.20043/j.cnki.MPM.202507238
Outline
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Objective

To explore the reference values of percentage body fat (PBF) for obesity screening in children and adolescents, in order to provide a reference for the development of rapid assessment tools for obesity among primary and secondary school students, and the promotion of obesity screening work among children and adolescents.

Methods

A stratified cluster sampling method was used to include subjects from Putuo District, Shanghai in September 2024. Basic information and anthropometric data were collected from 2 270 primary and secondary school students. The χ2 test and rank-sum test were used for data analysis with SPSS 29.0. Fitted curves were used to analyze the trend of PBF across sex and age, and optimal cut-points for obesity screening were determined by plotting receiver operating characteristic (ROC) curves.

Results

The students were aged 7-17 years, with a mean age of 11.85±3.10 years. The detection rate of simple obesity was 16.8%, and the rate of central obesity was 22.1%. With increasing age, PBF in boys first increased and then decreased, whereas that in girls showed a general upward trend. Sex differences in PBF emerged after the age of 10 years (P<0.05). ROC curve analysis showed that the model fitting values were all >0.5, and the AUCs of PBF for obesity screening exceeded 0.900 across sex and age groups, with both sensitivity and specificity generally >80%.

Conclusion

PBF is highly valuable as an obesity screening indicator and can accurately and intuitively reflect body fat content and its changes in children.

Obesity  /  Percentage body fat  /  Primary and secondary school students  /  ROC curve analysis
于硕, 张瑜, 王冰清, 张夏芸. 中小学生肥胖筛查的体脂率参考值的探索研究. 现代预防医学, 2026 , 53 (5) : 861 -866 . DOI: 10.20043/j.cnki.MPM.202507238
Shuo YU, Yu ZHANG, Bing-qing WANG, Xia-yun ZHANG. Exploration of the reference values of percentage body fat for obesity screening among primary and secondary school students[J]. Modern Preventive Medicine, 2026 , 53 (5) : 861 -866 . DOI: 10.20043/j.cnki.MPM.202507238
Year 2026 volume 53 Issue 5
26
14
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Article Info
doi: 10.20043/j.cnki.MPM.202507238
  • Receive Date:2025-07-13
  • Online Date:2026-11-02
  • Published:2026-03-10
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  • Received:2025-07-13
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    Shanghai Putuo District Center for Disease Control and Prevention (Shanghai Putuo District Health Inspecting Agency),Shanghai 200333, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
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Percentage of
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属
Genus
种数
Number of
species
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Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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