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四年内体重状况的变化和中国儿童的左心室缩
Qin Liu1, Cheng Li2, Lili Yang2
1Department of Ultrasound, Children's Hospital of the Capital Institute of Pediatrics, Beijing, China.
Frontiers in pediatrics
|November 11, 2024
概括
将儿童超重体重逆转为正常体重可能会降低左心室缩 (LVH) 风险. 儿童持续超重与LVH增加有关,但减肥可能会提供保护性心血管益处.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管健康 心血管健康
- 肥胖问题研究研究
背景情况:
- 超重和肥胖是儿童左心室缩 (LVH) 的确定的危险因素.
- 体重状况从超重转为正常体重对儿科群体的LVH的影响尚不清楚.
研究的目的:
- 调查四年内体重状况的变化与中国儿童的LVH发病率之间的联系.
- 确定儿童减肥是否可以减轻患LVH的风险.
主要方法:
- 一项前性队列研究,涉及1,178名没有基线LVH的中国儿童.
- 根据基线 (2017) 和随访 (2021) 的体重状况 (正常体重,超重/肥胖) 将儿童分为四组:持续正常体重,事件超重,恢复正常体重和持续超重.
- 左心室质量指数 (LVMI) 和 LVH 风险在调整混因素后进行评估.
主要成果:
- 与持续正常体重相比,发生超重和持续超重的儿童的LVMI显着更高.
- 持续超重 (OR=5.14) 和偶发超重 (OR=3.34) 与LVH风险增加有关.
- 从超重转为正常体重的儿童显示出较低的LVMI和LVH风险降低的非显著趋势 (OR=0.76).
结论:
- 儿童超重与左心室质量增加有关.
- 儿童减肥可能会减轻左心室缩的风险和进展.
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