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肥胖与2型糖尿病:一项基于人群的青少年研究。

Obesity and type 2 diabetes mellitus: a population-based study of adolescents.

作者信息

Uçkun-Kitapçi Ayşin, Teziç Tahsin, Firat Serap, Sipahi Tansu, Barrier Robert, Edwards Lloyd J, Calikoğlu Ali S

机构信息

Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

J Pediatr Endocrinol Metab. 2004 Dec;17(12):1633-40. doi: 10.1515/jpem.2004.17.12.1633.

Abstract

A cross-sectional, population-based study was conducted on 1,647 Turkish adolescents to determine the prevalence of obesity, impaired fasting glucose (IFG) and type 2 diabetes mellitus (DM2), and to determine whether the recent increase in DM2 prevalence in some countries is applicable to this population. Information was gathered through a questionnaire. All children were screened with physical examination and fasting plasma glucose. 10.7% of adolescents were overweight (BMI 85-95th percentile) and 3.6% were obese (BMI > or =95th percentile). Mean BMI was 20.25 +/- 3.31 kg/m2 with maximum BMI 35.88 kg/m2. No child was diagnosed with DM2; 1.96% had IFG (110-126 mg/dl). No significant relationship was found between IFG and obesity, socio-economic status (SES) or family history of DM. The risk of obesity was increased among children with family history of DM or obesity, and among those who had low physical activity and were of high SES level. This analysis represents the population-based data upon which future studies will be based.

摘要

对1647名土耳其青少年进行了一项基于人群的横断面研究,以确定肥胖、空腹血糖受损(IFG)和2型糖尿病(DM2)的患病率,并确定一些国家近期DM2患病率的上升是否适用于该人群。通过问卷调查收集信息。所有儿童均接受体格检查和空腹血糖检测。10.7%的青少年超重(BMI处于第85至95百分位),3.6%的青少年肥胖(BMI≥第95百分位)。平均BMI为20.25±3.31kg/m²,最大BMI为35.88kg/m²。没有儿童被诊断为DM2;1.96%的儿童有IFG(110 - 126mg/dl)。未发现IFG与肥胖、社会经济地位(SES)或DM家族史之间存在显著关系。有DM或肥胖家族史的儿童、身体活动少且SES水平高的儿童肥胖风险增加。该分析提供了基于人群的数据,未来的研究将以此为基础。

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