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身体组成和运动功能的孩子出生大对于妊娠年龄在术期的孩子
Yuji Ito1,2, Tadashi Ito3, Sho Narahara4
1Department of Pediatrics, Nagoya University Graduate School of Medicine, Aichi, Japan. yuji.ito@med.nagoya-u.ac.jp.
Pediatric research
|April 20, 2024
概括
对于妊娠年龄 (LGA) 出生的孩子的体重较大,脂肪质量较高,步行质量较差. 在学龄儿童中监测这些因素可能会降低代谢综合征和步行功能受损的风险.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 发育儿科 发育儿科
- 生物基因病理学 生物基因病理学
背景情况:
- 怀孕年龄大 (LGA) 的出生与儿童发育的改变有关.
- 了解LGA对身体组成和运动功能的影响对于早期干预至关重要.
研究的目的:
- 为了比较按妊娠年龄大 (LGA) 和适合妊娠年龄 (AGA) 的满期出生的儿童的身体组成和运动功能.
- 调查步态质量与包括LGA状态,脂肪质量和运动功能在内的因素之间的关联.
主要方法:
- 截面研究比较LGA (n=23) 和AGA (n=147) 的6-12岁儿童.
- 通过生物电阻来评估身体组成;通过一腿站立,定时起身,五次坐立和3D步态分析来评估运动功能.
- 多重回归分析检查了与LGA状态,脂肪质量指数和运动功能相关的步态偏差指数.
主要成果:
- 与AGA儿童相比,LGA儿童的脂肪质量指数 (2.9比2.2,p=0.006) 和步态偏差指数 (91.4比95.4,p=0.011) 显著更高,而AGA儿童的步态偏差指数则更低.
- 在回归分析中,行走偏差指数与LGA出生状态和脂肪质量指数有显著的关联.
- 两组之间在平衡或肌肉力量方面没有发现显著差异.
结论:
- 生于LGA的学龄儿童表现出不同的身体组成和步态特征.
- 在LGA儿童中脂肪量增加和步态质量降低需要监测以减轻风险.
- 这些因素的早期识别和管理可能有助于预防代谢综合征和步行障碍.
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