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在健康儿童访问时,体重过重和脂质不良症
Rodrigo Dos Santos Lima1,2, Roseli Oselka Saccardo Sarni3,4
1Postgraduate Program in Health Sciences, Centro Universitário - FMABC, Santo André, Brazil.
Journal of pediatric endocrinology & metabolism : JPEM
|September 26, 2023
概括
儿童肥胖与失脂症有关,高甘油三和低HDL-c是常见的. 监测营养状况和普遍的失脂症查在健康儿童访问期间至关重要.
科学领域:
- 儿科健康 儿科健康
- 心血管疾病风险因素 心血管疾病风险因素
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 心血管疾病是全球主要的死亡原因.
- 肥胖和脂质失调是心血管疾病的重要危险因素.
- 早期识别儿童的危险因素对于长期健康至关重要.
研究的目的:
- 调查儿童体质指数 (BMI) 和脂质特征异常之间的关联.
- 在例行检查期间确定儿科人口中脂质疾病的频率.
- 为了确定与儿童体重过重相关的特定脂质异常.
主要方法:
- 一项横截面研究分析了363名年龄在2-9岁的儿童的人体测量和实验室数据.
- 数据是从2014年至2017年间的儿科诊所访问中收集的.
- 使用后勤和线性回归模型来评估BMI和脂质参数之间的关联.
主要成果:
- 超过三分之一的儿童 (31.4%) 体重过重,14.6% 患有肥胖/严重肥胖.
- 失脂症在34.4%的儿童中存在,其中高甘油三 (18.5%) 和低HDL-c (16.8%) 是最常见的.
- 肥胖与高甘油三血症 (p=0.013) 和低HDL-c (p=0.028) 相关. 体重指数z-score与甘油三素正相关,与HDL-c负相关.
结论:
- 在三分之一的研究儿童中,体重过重和脂质失调是普遍存在的.
- 儿童的高甘油三水平与增加的BMIz-score相关.
- 在健康儿童访问期间,建议对所有儿童进行营养状况的常规监测和普遍的脂质失调查,而不论BMI如何.
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