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肥胖对学龄前儿童肺功能的影响:一项脉冲振荡计研究
Anuvat Klubdaeng1, Kanokporn Udomittipong1, Apinya Palamit1
1Division of Pulmonology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
肥胖的学龄前儿童的肺功能较差,呼吸道阻力较高. 腰与身高的比率是幼儿呼吸系统变化的关键指标.
科学领域:
- 儿科肺病学 儿科肺病学
- 肥胖问题研究研究
- 公共卫生 公共卫生
背景情况:
- 全球肥胖率的上升会影响整体健康,包括肺功能.
- 关于肥胖学龄前儿童肺功能的研究有限,结果不确定.
- 在这个年龄组中,影响肺功能的特定肥胖指数尚未得到充分研究.
研究的目的:
- 为了比较肥胖的肺功能与正常体重的学龄前儿童,使用脉冲振荡计 (IOS).
- 为了确定预测幼儿肺功能改变的肥胖指数.
主要方法:
- 注册的肥胖和正常体重的儿童 (3-7岁) 与匹配的对照组.
- 进行IOS测量气道阻力 (R5,R20,R5-R20) 和反应力 (X5,AX).
- 通过多重线性回归分析了肥胖指数和肥胖儿童的IOS测量之间的相关性.
主要成果:
- 与对照组相比,肥胖儿童的R5,R5-R20和AX值显著更高.
- 腰与身高的比率强烈预测增加了总和外围气道阻力 (R5,R5-R20).
- 腰与身高的比率也显示出与反应面积 (AX) 几乎显著的相关性.
结论:
- 肥胖的学龄前儿童表现出肺功能受损,这表明呼吸道阻力升高.
- 腰与身高的比率是这些肥胖儿童肺功能变化的最重要的预测因素.
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