中国学龄儿童代谢综合征的决定因素。
Determinants of metabolic syndrome in Chinese schoolchildren.
作者信息
Wang Su-qing, Liu Yu-jian, Zhan Jian, Liu Xiao-li, Feng Qi, Gong Jie, Talbott Evelyn O, He Qi-qiang
机构信息
Wuhan University, Wuhan, P R China.
Wuhan Center for Disease Control and Prevention, Wuhan, P R China.
出版信息
Asia Pac J Public Health. 2015 Mar;27(2):NP674-80. doi: 10.1177/1010539513496137. Epub 2013 Oct 4.
The objective of this study was to identify the potential risk factors of metabolic syndrome (MetS) among Chinese schoolchildren. A cross-sectional study among 624 children (357 boys and 267 girls, aged 9.6 ± 0.7 years) was conducted in Wuhan, China, from May to June 2010. MetS was defined according to the criteria proposed by De Ferranti and the International Diabetes Federation (IDF) criteria. Data on cardiorespiratory fitness (CRF), household income, parental hypertension, and children's personal information, including birth weight, preterm birth, and breast-feeding, reported by their parents were obtained. Multiple logistic regression showed that CRF (odds ratio [OR] = 0.68; 95% confidence interval [CI] = 0.60-0.77), breast-feeding (OR = 0.32; 95% CI = 0.10-0.97), and paternal hypertension (OR = 5.06; 95% CI = 1.20-21.37) were all independently associated with MetS. In conclusion, low CRF and paternal hypertension significantly increase the risk, whereas breast-feeding may reduce the risk of MetS among Chinese schoolchildren.
本研究的目的是确定中国学童中代谢综合征（MetS）的潜在风险因素。2010年5月至6月在中国武汉对624名儿童（357名男孩和267名女孩，年龄9.6±0.7岁）进行了一项横断面研究。MetS根据德费兰蒂提出的标准和国际糖尿病联盟（IDF）标准进行定义。获取了由家长报告的关于心肺适能（CRF）、家庭收入、父母高血压以及儿童个人信息（包括出生体重、早产和母乳喂养）的数据。多因素逻辑回归显示，CRF（比值比[OR]=0.68；95%置信区间[CI]=0.60 - 0.77）、母乳喂养（OR = 0.32；95% CI = 0.10 - 0.97）和父亲高血压（OR = 5.06；95% CI = 1.20 - 21.37）均与MetS独立相关。总之，低CRF和父亲高血压显著增加风险，而母乳喂养可能降低中国学童患MetS的风险。
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