儿童青少年超重、肥胖与代谢综合征的关系

    Correlation between overweight,obesity and metabolic syndrome in adolescents

    • 摘要: 目的: 分析儿童青少年超重、肥胖与代谢综合征(metablolic syndrome,MS)的流行特点,探讨肥胖与MS的关系。方法: 对蚌埠市2007年自愿参加学生健康体检的921名7~18岁学生进行身高、体重、腰围、臀围、血压测量,随机分为体重正常组334名、超重组253名、肥胖组334名。同时测定空腹时静脉血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDLC)、低密度脂蛋白胆固醇、空腹血糖(FPG)、尿酸和超敏C反应蛋白,并进行比较。结果: 共检出MS 128名,其中体重正常组3名(0.9%),超重组30名(11.9%),肥胖组95名(28.4%),3组MS发病率差异有统计学意义(P < 0.01);3组间男生及女生MS检出率差异均有统计学意义(P < 0.01);超重组和肥胖组中高血压、腹型肥胖、腰臀比、腰高比、低HDL-C、高TG、高FPG发生率均显著高于体重正常组(P < 0.05~P < 0.01);除超重组中TC、肥胖组与超重组FPG和TC与体重正常组比较差异无统计学意义(P > 0.05)外,其余各指标各组间差异均有统计学意义(P < 0.05~P < 0.01)。结论: 青少年随着体重的增加,MS及MS危险因素显著增加。

       

      Abstract: Objective: To analyze the features of metabolic syndrome (MS) in adolescents,and to explore the correlation between obesity and MS so as to prevent obesity and MS in children. Methods: Nine hundred twenty-one students aged from 7-18 were selected from the primary schools and middle schools in Bengbu city. The height,weight,waist circumference,hip circumference,blood pressure, TC,TG,HDL-C,LDL-C,FPG,UA and hs-CRP of the children were measured and compared. Results: MS was detected in 128 of the students. Among them,three cases were in the normal weight group(0.9%),30 in the obesity group(11.9%) and 95 in the overweight group(28.4%). The difference was significant among the three groups(P < 0.01). The rate of MS differed significantly between the male and the female students(P < 0.01). The prevalence of high blood pressure,central obesity,WHR,WHtR,low HDL-C,high TG and high FPG in the overweight group and the obese group were significantly higher than that in the normal weight group (P < 0.05-P < 0.01). The FPG and TC had no significant differences between the over -weight group and the normal group(P > 0.05),while other factors were significantly different among the three groups(P < 0.05-P < 0.01). Conclusions: The prevalence and risk factors of MS increase along with the rise of body weight in the adolescents.

       

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