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血压异常和儿科肥胖现象型:临床实践中的红旗
Irene Rutigliano1, Gianpaolo De Filippo2, Luigi Pastore3
1Pediatrics, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, 71013 Foggia, Italy; Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Nutrition, metabolism, and cardiovascular diseases : NMCD
|August 22, 2024
概括
超重儿童的一次异常血压读数可能表明代谢风险. 这一发现有助于识别针对性肥胖管理的特定临床代谢表型.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 心血管健康 心血管健康
- 代谢综合征是代谢综合征的一种.
背景情况:
- 高血压亚型与血压 (BP) 值有关.
- 儿科高血压经常与肥胖有关.
- 准确的血压状态评估需要连续测量,在常规儿科中通常是不切实际的.
研究的目的:
- 为了确定超重/肥胖儿童单次异常血压测量是否表明代谢风险.
- 为了将异常血压与临床和代谢表型以及高血压亚型相关联.
主要方法:
- 审查了489名超重/肥胖儿童和青少年的数据.
- 使用美国儿科学会指南 (2017) 进行血压分类.
- 收集了关于脂质特征,葡萄糖代谢和肝脏脂肪的数据.
主要成果:
- 76.9%的参与者血压正常.
- 患有血压异常的儿童表现出更不利的代谢特征.
- 异常的静脉-透气血压与更高的BMIz分数和腰与身高的比率相关.
- 肝肥胖症的患病率随着血压异常增加:4.5% (正常),14.8% (异常静脉缩),17.6% (异常静脉缩).
结论:
- 一次异常血压测量可以在儿童中识别特定的临床代谢表型.
- 这有助于有针对性地管理与肥胖相关的并发症.
- 早期发现异常血压对于干预至关重要.
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