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儿童期和青少年期肥胖的高比例以及随后儿童期动脉高血压的增加

[High percentage of obesity during childhood and adolescence and subsequent increases in childhood arterial hypertension].

作者信息

Menghetti E, Carletti M, Strisciuglio P, Spagnolo A

机构信息

Istituto per gli Affari Sociali, Roma, Italia.

出版信息

Minerva Pediatr. 2010 Apr;62(2):133-7.

PMID:20440232
Abstract

AIM

The main objective of the study was to assess the prevalence of obesity, overweight and blood hypertension amongst children and adolescents.

METHODS

The study enrolled 2045 students between 6 and 17 years of age in three Italian cities, Varese (in the North), Rome (in the Center) and Catanzaro (in the South).

RESULTS

The findings demonstrate that the obesity rate is 3.5% in the North, 6.1% in the Center and 8.8% in the South; these figures represent an increase both in the North and in the South. At the same time, the incidence of arterial hypertension has increased in respect to past years with 5.5% of the total study population diagnosed with hypertension over the 95 degrees percentile and 7.1% with borderline hypertension. Parental obesity has been demonstrated to be a key factor in determining the presence or level of obesity in their children.

CONCLUSION

Obesity and arterial hypertension represent a worrisome departure point for a dangerous metabolic syndrome and hence require the full dedication of pediatricians in order to prevent the disease, with an urgent need for school interventions, support for a healthy diet and insistence on the necessity of adequate daily exercise.

摘要

目的

本研究的主要目的是评估儿童和青少年中肥胖、超重及高血压的患病率。

方法

该研究在意大利的三个城市招募了2045名6至17岁的学生,这三个城市分别是北部的瓦雷泽、中部的罗马和南部的卡坦扎罗。

结果

研究结果表明,肥胖率在北部为3.5%,中部为6.1%,南部为8.8%;这些数字表明北部和南部的肥胖率均有所上升。与此同时,与过去几年相比,动脉高血压的发病率有所增加,在整个研究人群中,95%百分位数以上被诊断为高血压的占5.5%,临界高血压的占7.1%。已证明父母肥胖是决定其子女是否肥胖或肥胖程度的关键因素。

结论

肥胖和动脉高血压是危险代谢综合征令人担忧的起始点,因此需要儿科医生全力投入以预防该疾病,迫切需要学校进行干预,支持健康饮食并强调每日进行适当锻炼的必要性。

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