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Assessment of Child Anthropometry in a Large Epidemiologic Study
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超重和肥胖儿童的心血管节律性
Catarina Pinto-Silva1, Ana Correia-Costa2,3, Cláudia Moura2,3
1Centro Hospitalar Universitário de Coimbra, Divisão de Pediatria, Coimbra, Portugal.
Jornal brasileiro de nefrologia
|August 1, 2023
概括
儿童的肥胖会扰乱心血管节律,肥胖的年轻人显示24小时平均动脉压和8小时心率节律较低. 这突出了超重和肥胖儿童早期心血管调节障碍的潜力.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 时间生物学 时间生物学
- 公共卫生 公共卫生
背景情况:
- 肥胖对儿童心脏节律的影响还未得到充分研究.
- 调查前青春期儿童的心血管节律障碍至关重要.
研究的目的:
- 评估超重和肥胖如何影响青春期前儿童的昼夜和超夜心血管节律.
- 为了比较正常体重和超重/肥胖儿童之间的节律模式.
主要方法:
- 跨截面研究316名来自XXI世代出生队列的儿童.
- 使用了24小时的门诊血压监测和富里埃分析.
- 检查了血压 (BP) 和心率 (HR) 的昼夜和超昼夜节律.
主要成果:
- 超重/肥胖儿童患不下降血压的患病率较高 (31.5%对21.6%).
- 肥胖儿童的24小时平均动脉压 (MAP) 和8小时HR节律的患病率显著降低.
- 两组之间在节奏幅度或缩阶段没有发现显著差异.
结论:
- 肥胖儿童的节律变化表明潜在的早期心血管调节障碍.
- 昼夜和超昼夜节律分析可以作为儿科患者心血管健康的敏感指标.
- 需要进一步的研究来证实这些发现,并探索长期影响.
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