腰围的测量方法为被测者站立,双脚分开25至30厘米,体重均匀分配,在呼气之末、吸气未开始时用软尺测量经髂嵴点的腹部水平围长【31】。
臀围的测量方法为被测者两腿并拢直立,两臂自然下垂,皮尺水平放在前面的耻骨联合和背后臀大肌最凸处。【31】
腰臀比(Waist-to-Hip Ratio,WHR)是腰围和臀围的比值,例如,使用上述方法测量得到腰围结果为70cm,臀围为100cm。则腰臀比(WHR )= 腰围÷臀围 = 70÷100 = 0.7,不属于中心性肥胖。在一系列跨文化研究中,不同年龄的男性都认为腰臀比是0.7的女性最有魅力【32】
综上所诉,单独BMI一项指标,它的统计学意义大于对个体肥胖的评判价值。体脂肪率虽然比BMI更具备参考价值,但是精确的测量体脂率往往需要较高的费用,或者过于繁琐的操作,健身房的体测仪和家用体脂称的测量方法具有很大的局限性。趋势参考和性价比角度来说都不如使用皮褶测量法(皮脂钳)和目测法。腰围或者腰臀比的测量可以很好的反映出腹部脂肪与内脏脂肪情况,如果对测量的精度有更高的要求比如有内脏脂肪相关疾病,应该定期到医院或者体检中心测量内脏脂肪情况。相对于生物电阻方法获取的体脂肪率与内脏脂肪等级,结合BMI和腰围(腰臀比)来评价自身是否肥胖,是否内脏脂肪超标,是否需要减肥更加合适。如果BMI和腰围(腰臀比)都在正常范围之内,则可以判断自身不需要以健康为目的减肥,如果对自己的身材不满意,则需要进行的是“身材管理”而不是“体重管理”,在各大媒体平台上看到的对超重或者肥胖者的一些减重建议,也许并不适合你。至于如何更好进行身材管理,并不在我们这篇文章的讨论范围之内,但是可以说,运动,在身材管理当中扮演的角色,要比其在体重管理中,重要的多。对身材管理有兴趣的朋友,可以等我后续的文章视频更新,也可以自学健身与运动知识,养成运动习惯,如果有经济预算,建议走进健身房,咨询专业的健身教练。我是Seal,一个减重165斤的佛系肥宅,最后祝你,身体健康,谢谢。
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