左心室重塑与肥胖儿童的脂质概况之间的关联:一项观察性研究
Ying Tang1, Guang-Bin Yang2, Jun Chen1
1Department of Ultrasound, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Frontiers in pediatrics
|March 11, 2024
概括
儿童肥胖导致儿童的左心室重塑. 较低的高密度脂蛋白胆固醇 (HDL-C) 与更严重的左心室缩有关,这表明一个集中式的模式.
科学领域:
- 心脏病学 心脏病学
- 儿科 儿科 儿科
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 儿童肥胖是一个日益严重的公共卫生问题.
- 肥胖会导致左心室重塑和成人心血管并发症.
- 了解儿童肥胖和心脏变化之间的联系对于预防至关重要.
研究的目的:
- 为了研究左心室重塑与肥胖儿童的血脂概况之间的关系.
- 确定与儿科肥胖症中心脏结构变化相关的特定脂质标记物.
- 为预防肥胖年轻人心血管疾病提供有针对性的干预信息.
主要方法:
- 140名肥胖儿童和40名非肥胖儿童的比较研究.
- 心声造影以评估左心室的结构和功能.
- 多重线性回归和相关性分析,以评估脂质水平对心脏参数的影响.
主要成果:
- 肥胖儿童的BMI,体脂,血压和不良脂质概况 (较低的HDL-C) 增加.
- 在左心室质量和BMI/SBP之间,以及在LVMI/RWT和HDL-C之间发现了显著的相关性.
- 集中性缩与最低的HDL-C水平有关.
结论:
- 肥胖儿童表现出左心室重塑.
- 左心室配置与血清HDL-C水平密切相关.
- 降低的HDL-C有助于更严重的左心室缩,特别是同心的模式.
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