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目的探讨济南市儿童肥胖和肥胖儿童代谢综合征的患病率及其影响因素。方法在济南市5个区和下辖章丘市农村各随机抽取1所小学,对每所小学4~6年级学生进行人体测量,其中45例肥胖儿童给予生活干预治疗3个月,比较干预前后血脂、血糖、胰岛素、高敏C反应蛋白等指标变化。采用SPSS 13.0软件,代谢综合征危险因素的分析采用非条件logistic回归分析。结果接受调查学生3 354例,其中男生1 698例,女生1 656例;市区内各区肥胖、超重比较,差异无统计学意义。儿童肥胖的患病率市区是14.1%,农村是4.1%;超重患病率市区是17.3%,农村4.1%;肥胖儿童代谢综合征患病率市区23.1%,农村18.8%;对总的调查人群,市区代谢综合征患病率为2.7%,农村0.5%。生活干预后动脉粥样硬化的危险因素明显改善。结论济南市儿童肥胖、超重、代谢综合征的患病率已经呈现流行趋势,改变儿童生活方式势在必行。
Objective To investigate the prevalence of metabolic syndrome in obese and obese children in Jinan and its influencing factors. Methods A total of 1 primary school was randomly selected from 5 districts of Jinan City and rural areas of Zhangqiu City to carry out anthropometric measurements for each grade 4 to 6 pupil. 45 obese children were given life intervention for 3 months. Before and after the intervention Blood lipids, blood glucose, insulin, high-sensitivity C-reactive protein and other indicators change. The use of SPSS 13.0 software, analysis of risk factors for metabolic syndrome using unconditional logistic regression analysis. Results A total of 3 354 students were surveyed, including 1 698 boys and 1 656 girls. There was no significant difference in obesity and overweight among the districts in the urban area. The prevalence of childhood obesity was 14.1% in urban areas and 4.1% in rural areas. The prevalence of overweight was 17.3% in urban areas and 4.1% in rural areas. The prevalence of metabolic syndrome in obese children was 23.1% in urban areas and 18.8% in rural areas. Of the survey population, the prevalence of metabolic syndrome in urban areas was 2.7%, 0.5% in rural areas. Risk factors for atherosclerosis after life intervention were significantly improved. Conclusions The prevalence of obesity, overweight and metabolic syndrome in children in Jinan City has been on the rise. It is imperative to change the children ’s lifestyle.