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在PKU患者和同龄人的生长参数和肥胖率:这是正确的比较吗?
Giulia Paterno1, Vito Di Tullio1, Rosa Carella1
1Department of Metabolic Diseases, Clinical Genetics and Diabetology, Giovanni XXIII Children Hospital, Azienda Ospedaliero-Universitaria Consorziale, 70126 Bari, Italy.
Pediatric reports
|October 25, 2024
概括
基尿症 (PKU) 管理旨在优化限制蛋白质饮食的生长. 这项研究发现,PKU儿童的体重指数z分数正常,与同龄人相比,但营养风险仍然存在.
科学领域:
- 儿科 儿科 儿科
- 代谢障碍 代谢障碍 代谢障碍
- 营养科学 营养科学
背景情况:
- 基尿症 (PKU) 管理需要蛋白质限制以优化生长.
- 对于这些饮食中的PKU儿童,长期生长数据有限.
研究的目的:
- 评估PKU儿童的长期增长趋势.
- 为了比较PKU儿童和健康同龄人之间的auxological参数.
主要方法:
- 一项为期12年的纵向研究包括34名PKU儿童和37名对照.
- 在7个时间点测量了辅助学参数.
- 分析了体重与长度比 (WLR) 和BMI z-score;评估了超重/肥胖的流行情况.
主要成果:
- 患有PKU的儿童表现出正常的BMI中位数z-score,与对照组没有显著差异.
- 在PKU儿童中,BMI z-score分布更广泛,在12个月后超过正常范围.
- 超重的患病率在各组之间是相似的 (29%对25%);肥胖症仅在对照组中.
结论:
- 在PKU儿童和对照人群中,12年后BMIz分数和肥胖率的中位数与PKU儿童和对照人群相似.
- 在PKU儿童中,更广泛的BMIz-score分布表明潜在的营养风险.
- 在一般人群中超重的高患病率可能会掩盖PKU患者的特定风险.
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