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[儿童和青少年每隔5年进行的胆固醇、血糖和尿酸测量结果比较]

[Comparison of measurements of cholesterol, glucose and uric acid taken at 5-year intervals in children and adolescents].

作者信息

Spyckerelle Y, Steinmetz J, Deschamps J P

机构信息

Centre de Médecine Préventive, Unité de Recherche, Vandoeuvre-Lès-Nancy.

出版信息

Arch Fr Pediatr. 1992 Dec;49(10):875-81.

PMID:1304153
Abstract

BACKGROUND

There are several reports on cardiovascular disease risk factors but, except for lipids and lipoproteins, there have been few studies tracking blood uric acid and glucose in healthy school children.

MATERIAL AND METHODS

Blood specimens were collected from 4,299 children and adolescents for determination of cholesterol, uric acid and glucose. The first samples were collected between 1977 and 1979 from subjects aged 4 to 17 years. The second samples were collected 5 years later.

RESULTS

The blood glucose concentrations increased before the age of 10 years; those of uric acid increased during the second decade and those of cholesterol decreased during puberty, to a greater degree in boys. Hypercholesterolemia (cholesterol > 5.9 mmol/l) was found in about 6% of boys and 10% of girls. Eight boys and 3 girls had blood glucose concentrations higher than 6.7 mmol/l at the first collection. 5 years later, the correlation coefficients by sex and by cross section of age were greater than 0.5 for cholesterol and uric acid and were about 0.3 for glucose.

CONCLUSIONS

Successive blood values of glucose and uric acid are highly correlated; those of cholesterol are more highly correlated. However, the probability of remaining in the same percentile distribution remains below 50% for subjects whose initial values were above the 80th percentile.

摘要

背景

关于心血管疾病风险因素已有多篇报道,但除了脂质和脂蛋白外,针对健康学龄儿童血尿酸和血糖追踪的研究较少。

材料与方法

采集了4299名儿童和青少年的血样,用于测定胆固醇、尿酸和血糖。第一批样本于1977年至1979年间采集,对象为4至17岁的受试者。第二批样本于5年后采集。

结果

血糖浓度在10岁前升高;尿酸浓度在第二个十年间升高;胆固醇浓度在青春期降低,男孩降低幅度更大。约6%的男孩和10%的女孩存在高胆固醇血症(胆固醇>5.9 mmol/l)。首次采集时,8名男孩和3名女孩的血糖浓度高于6.7 mmol/l。5年后,胆固醇和尿酸按性别和年龄横断面计算的相关系数大于0.5,血糖的相关系数约为0.3。

结论

血糖和尿酸的连续血值高度相关;胆固醇的相关性更高。然而,初始值高于第80百分位数的受试者,其仍处于相同百分位数分布的概率低于50%。

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