Sur Haydar, Kolotourou Maria, Dimitriou Maria, Kocaoglu Bike, Keskin Yasar, Hayran Osman, Manios Yannis
Department of Health Education, University of Marmara School of Health Education, Kartal Devlet Hastanesi Yani, Cevizli, Kartal, Istanbul, Turkey.
Prev Med. 2005 Aug;41(2):614-21. doi: 10.1016/j.ypmed.2004.11.029.
The aim of the current study was to examine the interrelationship between certain cardiovascular disease (CVD) risk factors and overweight, as well as to provide some indication on the prevalence of underweight, overweight and obesity in primary schoolchildren in urban Turkey.
1044 randomly selected children aged 12 and 13 years old from the urban areas of Istanbul, Ankara and Izmir were examined. The main variables of interest were fatness determined by body mass index and sum of skinfolds, lipid profile, dietary intake, physical fitness and habitual physical activity.
Both overweight boys and girls were found to have lower cardiovascular fitness levels compared to their normal weight peers. Overweight boys reported lower energy and macronutrient intake than their normal weight counterparts. Regarding biochemical indices, overweight boys were found to have higher total cholesterol (TC), Low Density Lipoprotein-cholesterol (LDL-C), triglycerides (TG) and LDL-C/HDL-C ratio compared to normal weight boys, while overweight girls were found to have lower High Density Lipoprotein-cholesterol (HDL-C) and higher TG compared to their normal weight peers. Finally, the prevalence of underweight, overweight and obesity for the overall population was found to be 12%, 12% and 2%, respectively.
The study revealed that overweight and obesity in children coexisted with more unfavorable lipid profiles and lower cardiovascular fitness levels. This finding points out the emergent need for suitable measures to be implemented in order to identify and counteract these health and social problems early in life.
本研究的目的是探讨某些心血管疾病（CVD）危险因素与超重之间的相互关系，并对土耳其城市地区小学生中体重过轻、超重和肥胖的患病率提供一些指示。
对从伊斯坦布尔、安卡拉和伊兹密尔市区随机选取的1044名12岁和13岁儿童进行了检查。主要关注的变量包括通过体重指数和皮褶厚度总和确定的肥胖程度、血脂谱、饮食摄入、身体素质和习惯性身体活动。
与体重正常的同龄人相比，超重的男孩和女孩的心血管健康水平较低。超重男孩报告的能量和常量营养素摄入量低于体重正常的同龄人。关于生化指标，发现超重男孩的总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、甘油三酯（TG）和LDL-C/HDL-C比值高于体重正常的男孩，而超重女孩的高密度脂蛋白胆固醇（HDL-C）低于体重正常的同龄人，TG高于体重正常的同龄人。最后，发现总体人群中体重过轻、超重和肥胖的患病率分别为12%、12%和2%。
该研究表明，儿童超重和肥胖与更不利的血脂谱和较低的心血管健康水平并存。这一发现指出迫切需要采取适当措施，以便在生命早期识别和应对这些健康和社会问题。
