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Updated: Jul 24, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
超重和肥胖的青春期前和青春期患者的代谢风险因素
Matheus Alves Alvares1, Guilherme Sanchez Wanderley1, Isabela Mesquita Mitre1
1Santa Casa de São Paulo School of Medical Sciences, São Paulo, SP, Brazil.
在儿童中,代谢综合征 (MetS) 诊断并不必不可少. 早期,个性化的肥胖管理是关键,由于其高患病率,建议对非酒精性脂肪性肝病 (NAFLD) 进行普遍查.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 心血管疾病风险因素 心血管疾病风险因素
- 代谢健康 代谢健康
背景情况:
- 代谢综合征 (MetS) 是一组与肥胖相关的疾病,增加心血管风险.
- 评估 MetS 在儿童时期的患病率对于早期干预和降低风险至关重要.
研究的目的:
- 确定与儿童超重和肥胖相关的临床异常的频率.
- 评估在儿童群体中诊断MetS的适当性.
主要方法:
- 一项涉及116名过重/肥胖的青春期和青春期前儿童的横截面研究.
- 根据国际糖尿病联合会的标准,MetS诊断是基于国际糖尿病联合会的标准,不论年龄.
主要成果:
- 45名儿童符合MetS标准,20名儿童有额外的代谢异常,腰围高.
- 与青春期儿童相比,青春期前儿童的zBMI较高,瘦身量较低.
- 非酒精性脂肪性肝病 (NAFLD) 的患病率在各年龄组中相似,但与青春期前与青春期儿童的明显代谢障碍相关.
结论:
- 儿童时期的MetS诊断不是基本的;建议个性化管理.
- 专注于患有严重肥胖的早期年龄组对于有效的干预至关重要.
- 建议对NAFLD进行普遍查,因为在这个儿科队列中观察到的患病率很高.
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