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小学生体质量指数与血清脂质的关系。

Relationship of body mass index with serum lipids in elementary school students.

机构信息

Department of Pediatrics, Val-e-arr Hospital, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

Indian J Pediatr. 2009 Jul;76(7):729-31. doi: 10.1007/s12098-009-0169-z. Epub 2009 Aug 20.

Abstract

OBJECTIVE

To determine the relationship of body mass index with serum lipids in elementary students.

METHODS

This prospective analytic study was conducted among 954 elementary school students (9-11 years), selected by multi stage random systematic method from 6 cities and their rural areas from The South Khorasan province (eastern Iran) from September to December 2006. Height and weight was measured and Body mass index was calculated. Total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) were determined.

RESULTS

954 students 9-11 years old were studied. 45.4% were boys. 76.5% were living in the city. 1.8% of students were obese and 3.4% were over weight. There was no significant relation between obesity and overweight with sex, age and the area of residence. There was significant relation between BMI with TC (P= 0.003), TG (P< 0.001) and LDL-C (P= 0.04). TG was significantly higher in obese and overweight students than in normal weight students (P< 0.001). TC (0.002) and LDL-C (0.01) were significantly higher in obese students than normal weight students. The prevalence of high TG was significantly higher in obese and overweight students than normal weight students (0.003). There was no significant difference between different kinds of dyslipidemia with area of residence.

CONCLUSION

it is necessary to measure serum lipid profile in obese and overweight children.

摘要

目的

探讨小学生体质量指数与血脂的关系。

方法

本前瞻性分析研究于 2006 年 9 月至 12 月在伊朗南呼罗珊省(东部)从 6 个城市及其农村地区采用多阶段随机系统方法抽取 954 名 9-11 岁小学生(n=954)进行。测量身高和体重并计算体质量指数。检测总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)。

结果

共纳入 954 名 9-11 岁的学生,其中 45.4%为男生,76.5%生活在城市,1.8%的学生肥胖,3.4%的学生超重。肥胖和超重与性别、年龄和居住地无显著关系。BMI 与 TC(P=0.003)、TG(P<0.001)和 LDL-C(P=0.04)呈显著相关。与体重正常的学生相比,肥胖和超重学生的 TG 显著升高(P<0.001)。TC(0.002)和 LDL-C(0.01)在肥胖学生中显著高于体重正常的学生。肥胖和超重学生高 TG 的患病率明显高于体重正常的学生(P<0.003)。不同类型的血脂异常与居住地无显著差异。

结论

有必要对肥胖和超重儿童进行血脂谱检测。

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