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在临床体重管理计划中,糖尿病前期儿童的肥胖情况得到了更大的改善
June M Tester1,2, Lan Xiao3, Courtney A Chau4
1Department of Pediatrics, UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA.
Childhood obesity (Print)
|June 22, 2023
概括
在体重管理中,糖尿病前期儿童的体重减轻率更高. 这一发现强调了监测血红蛋白A1c (HbA1c) 水平在儿科肥胖护理中的重要性.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 肥胖医学 肥胖医学
- 代谢健康 代谢健康
背景情况:
- 个体对肥胖治疗的反应各不相同.
- 这项研究调查了糖尿病前期对接受医疗管理的儿童体重变化的影响.
- 分析了来自体重管理诊所的纵向数据.
研究的目的:
- 检查糖尿病前期和超重和肥胖儿童体重变化之间的关联.
- 为了确定糖尿病前期的诊断是否会影响这个儿科群体的体重管理结果.
主要方法:
- 对733名超重/肥胖患者 (2008-2016) 的回顾性分析.
- 混合效应建模用于评估基线糖尿病前期 (HbA1c 5.7%-6.4%) 和BMI百分位数增长之间的关系.
- 糖尿病前状态,年龄,BMI百分位数,性别,种族/种族和时间被列入固定效应.
主要成果:
- 35%的参与者患有糖尿病前期,平均BMI百分位数为125.5%.
- 与同龄人相比,糖尿病前期儿童的BMI百分位数每月调整后的下降显著更大.
- 在糖尿病前期组中,体重改善的速度更为明显 (p < 0.001).
结论:
- 在体重管理设置中,糖尿病前期的儿童经历了优异的体重减轻.
- 这表明,识别和管理糖尿病前期可能会提高儿科患者的肥胖治疗结果.
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