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没有治疗的肥胖儿童的体重增加:一项丹麦队列研究,长期随访
Rasmus Møller Jørgensen1,2,3, Jens Meldgaard Bruun1,2,3, Mette Fogh1,2,3
1Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
Pediatric obesity
|February 4, 2025
概括
较高的初始BMIz分数预测未接受治疗的儿童体重正常化和肥胖缓解的可能性较低. 这表明,专注于对那些不会自然改善的人进行干预.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 肥胖问题研究研究
背景情况:
- 对未经治疗的肥胖儿童体重轨迹的理解有限.
- 童年肥胖会带来长期的健康风险.
- 需要关于儿童肥胖自然体重增长的数据.
研究的目的:
- 为了研究不接受治疗的丹麦肥胖儿童的体重增加.
- 为了确定BMI正常化和肥胖缓解的预测因素.
- 为未来儿童肥胖的干预策略提供信息.
主要方法:
- 在467名5-10岁的丹麦儿童中进行的队列研究,这些儿童患有肥胖症 (同位体体重指数>30公斤/米2).
- 使用强制性健康检查数据 (身高,体重) 与国家注册表合并.
- 用多变量逻辑回归权衡随访时间,以评估BMI正常化和肥胖缓解的预测因素.
主要成果:
- 在平均6年的随访期间,7.9%的BMI正常化,45.4%的肥胖症缓解.
- 较高的基线BMIz-score是BMI正常化 (OR0.14) 和肥胖缓解 (OR0.17) 的显著逆预测指标.
- 在加权多变量模型中没有发现其他任何重要的预测因素.
结论:
- 基线BMIz分数升高与未接受治疗的儿童BMI自发正常化和肥胖缓解的可能性降低有关.
- 很大一部分儿童经历了自然改善,这凸显了了解维护障碍的必要性.
- 资源应该针对那些没有自发改善的儿童制定有效的策略.
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