基于三维测量的人体表面积计算公式的比较

刘国华* 盛迪晔

doi:10.16098/j.issn.0529-1356.2019.05.014

PDF(294 KB)

解剖学报 ›› 2019, Vol. 50 ›› Issue (5) : 627-632. DOI: 10.16098/j.issn.0529-1356.2019.05.014

解剖学

基于三维测量的人体表面积计算公式的比较

刘国华^1*盛迪晔²

作者信息 +

Comparison of human body surface area calculation formulas with three-dimensional anthropometry

LIU Guo-hua ^1* SHENG Di-ye²

Author information +

文章历史 +

摘要

目的探讨基于三维测量的人体表面积(BSA)计算公式在实际应用时的差异性。方法选取1249名大学生（男性639人，女性610人）2018年体质健康测试数据，运用单因素方差分析、相关分析和Bland-Altman分析等方法，研究4种基于三维测量的人体BSA计算公式的差异性，并与基于传统测量的胡咏梅公式进行比较。结果各公式的BSA计算值间均存在统计学差异（P<0.01），但有着高度相关性（r≥0.985）。基于传统测量的胡咏梅公式的男、女性BSA计算值均高于4种三维测量公式的计算值，男性BSA值高7.32%～12.11%，女性BSA值高5.53%～11.72%。男、女性4种三维测量公式的Bland-Altman分析显示，ChiYuang Yu公式的95%一致性（1.021~1.034）最好。结论 4种基于三维测量的人体BSA计算公式中，ChiYuang Yu公式相对最适合中国成年男、女性的BSA估算。

Abstract

Objective To observe the difference of the human body surface area (BSA) formula based on three-dimensional measurement in practical application. Methods The data of 1249 college students (639 males, 610 females) from physical health examination in 2018 were selected. Using the one-way factorial analysis of variance (ANOVA), correlation analysis and Bland-Altman comparative analysis, comparisons between the BSA values using four BSA calculation formulas based on three-dimensional measurement and with the traditional formula measurement by Yongmei Hu’s were made as well. Results There were significant statistical differenes between the BSA values of the formulas (P<0.01), while the correlation between them (r≥0.985) were also rather high. Results from Hu Yong-mei’s formula were higher than the other four 3D formulas in both genders, with the BSA of males 7.32%-12.11% higher than the mean while female BSA values were 5.53%-11.72% above the average. It has been shown from the Bland-Altman analysis that the formula from ChiYuang Yu had the highest consistency score (95%CI 1.021-1.034) among the selected four 3D measurement formulas. Conclusion Within the four BSA formulas based on 3D measurement principle, ChiYuang Yu’s formula is relatively more suitable to estimate the BSA values of both Chinese males and females.

导出引用

刘国华盛迪晔. 基于三维测量的人体表面积计算公式的比较[J]. 解剖学报. 2019, 50(5): 627-632 https://doi.org/10.16098/j.issn.0529-1356.2019.05.014

LIU Guo-hua SHENG Di-ye. Comparison of human body surface area calculation formulas with three-dimensional anthropometry[J]. Acta Anatomica Sinica. 2019, 50(5): 627-632 https://doi.org/10.16098/j.issn.0529-1356.2019.05.014

参考文献

［1］ Redlarski G, Palkowski A, Krawczuk M. Body surface area formulae: an alarming ambiguity［J］. Sci Rep, 2016, 27966(6):1-8.

［2］ Chen, ZhQ. Comparative analysis,4 calculating methods for human body surface area［J］. Chinese Journal of Sports Medicine, 2003, 22(6): 576-579. (in Chinese)

陈志强. 人体体表面积计算方法的比较研究［J］.中国运动医学杂志, 2003, 22(6):576-579.

［3］ Gao GZh, Chen LW. Analysis on regional differences of body surface area development of Chinese Han teenagers in rural areas［J］. Acta Anatomica Sinica, 2014, 45(6):855-860. (in Chinese)

高国柱，陈立武.中国乡村汉族青少年体表面积发育的区域差异［J］.解剖学报, 2014, 45(6):855-860.

[4] Hu YM, Wang XCh, Ren AH, et al. Comparison of measured values of human body surface area and calculated values of stevenson formula［J］. Journal of Xinxiang Medical College, 1996, 16(3): 228-230. (in Chinese)

胡咏梅, 王新潮，任爱红，等.人体体表面积实测值与Stevenson 公式计算值的比较［J］.新乡医学院学报, 1996, 16(3):228-230.

［5］ Hu YM, Wu XL, Hu ZhH, et al. Study of formula for calculating body surface areas of the Chinese adults ［J］. Acta Physiologica Sinica, 1999, 5(1): 45-48. (in Chinese)

胡咏梅, 武晓洛, 胡志红,等.关于中国人体表面积公式的研究［J］.生理学报, 1999, 5(1):45-48.

［6］ Wu XY. A comparative study of adult female body surface area calculation method ［J］. Chinese Journal of Sports Medicine, 2008, 27(5): 614-615. (in Chinese)

吴暅晔. 成年女性体表面积计算方法比较研究［J］.中国运动医学杂志, 2008, 27(5):614-615.

［7］ Tikuisis P, Meunier P, Jubenville C. Human body surface area: measurement and prediction using three dimensional body scans ［J］. Eur J Appl Physiol, 2001, 85(3-4): 264-271.

［8］ Yu CY, Lo YH, Chiou WK. The 3D scanner for measuring body surface area: a simplified calculation in the Chinese adult ［J］. Appl Ergon, 2003, 34(3): 273-278.

［9］ Schlich E, Schumm M, Schlich M. The 3D body scan as an anthropometric analysis to measure the specific body surface ［J］. Ernhrungs Umschau, 2010, 57(4): 178-183.

［10］Yu CY, Lin CH, Yang YH. Human body surface area database and estimation formula ［J］. Burns, 2010, 36(5): 616-629.

［11］Kuehnapfel A, Ahnert P, Loeffler M. Body surface assessment with 3D laser-based anthropometry: reliability, validation, and improvement of empirical surface formulae ［J］. Eur J Appl Physiol, 2017, 117(2):371-380

［12］Chen H. Application of Bland-Altman analysis in consistency evaluation of clinical measurement methods ［J］. Chinese Journal of Health Statistics, 2007, 24(3): 308-315. (in Chinese)

陈卉. Bland-Altman分析在临床测量方法一致性评价中的应用［J］.中国卫生统计, 2007, 24(3):308-315.

［13］Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement ［J］. Lancet,1986, 327(8476): 307-310.

［14］Stevenson PH. Height-weight-surface formula for the estimation of body surface area in Chinese subjects［J］. Chinese J Physiol, 1937, 12(3): 327-330.

［15］Verbraecken J, Van de Heyning P, De Backer W, et al. Body surface area in normal-weight, overweight, and obese adults. A comparison study［J］. Metabolism, 2006, 55(4): 515-524.

［16］Zhou YH, Xu JF, He J. Evaluation and application on different assessment methods of consistency of diagnostic test ［J］. Chinese Journal of Health Statistics, 2011, 28(1): 40-46. (in Chinese)

周宇豪, 许金芳, 贺佳.诊断试验一致性评价中几种方法的比较及应用［J］.中国卫生统计,2011,28(1):40-46.

［17］Gao GZh. Comparison of calculation formulas for female college students' body surface area ［J］. Chinese Journal of Anatomy, 2013, 36(4): 804-806. (in Chinese)

高国柱.女大学生体表面积计算公式的比较［J］. 解剖学杂志,2013,36(4):804-806.

［18］Yuan LL, Liu J, Wang Y, et al. The application study of different BSA normalization methods in the evaluation of GFR by Gate’s in elder patients［J］. Computerized Tomography Theory and Applications, 2018, 27(3): 293-299. (in Chinese)

袁磊磊, 刘俊, 王遥, 等.不同体表面积标准化方法在老年患者Gate’s法测算GFR中的适用性研究［J］. CT理论与应用研究,2018, 27(3): 293-299.

［19］Gurney H. How to calculate the dose of chemotherapy ［J］. Br J Cancer, 2002, 86(8): 1297-1302.

［20］Yang Q, He QZh, Yu F, et al. The value of individualized contrast agent injection regimen in coronary CTA imaging based on body surface area and body weight ［J］. Medical Journal of Chinese People’s Liberation Army, 2018, 43(2): 135-139. (in Chinese)

杨琴, 何其舟，余飞, 等.基于体表面积和体重的个体化对比剂方案在冠脉CT血管造影中的应用价值［J］. 解放军医学杂志,2018,43(2):135-139.

［21］Ding ShN, Xiong L, Yang T, et al. Effect of donor/recipient body surface area ratio on the rehabilitation of renal function of potential recipient after renal transplantation from donation after citizen death［J］. Journal of Guangxi Medical University, 2017, 34(7): 1030-1033. (in Chinese)

丁寿宁, 熊烈，杨铁,等. 供/受者体表面积比对公民器官捐献肾移植术后受者早期肾功能康复的影响［J］.广西医科大学学报,2017,34(7):1030-1033.

［22］Chen ZhQ, Jin XF, Zhao J, et al. A comparative study of the influence of height and weight on the physical function and quality of male college students［J］. China Sport Science, 2005, 25(11): 88-91. (in Chinese)

陈志强, 金晓峰, 赵军, 等.身高、体重对男大学生身体机能和素质影响的比较研究［J］.体育科学,2005,25(11):88-91.

［23］Chen LW, Gao GZh. Measurement of the projection area of Anhui adult＇s palm side and the correlation［J］. Acta Anatomica Sinica, 2017, 48(2):204-208. (in Chinese)

陈立武，高国柱. 安徽成人手掌侧投影面积测定及相关性［J］. 解剖学报,2017, 48(2):204-208.