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如何评估青春期哮喘患者的超重情况?

How to estimate overweight in pubescent asthmatics?

出版信息

Adv Med Sci. 2013;58(2):331-7. doi: 10.2478/ams-2013-0013.

DOI:10.2478/ams-2013-0013
PMID:24285129
Abstract

PURPOSE

The purpose of our research was to compare the body mass index (BMI) and selected anthropometric parameters in asthmatic and non-asthmatic pubescents.

MATERIAL AND METHODS

The study group consisted of 64 asthmatic boys and 45 girls; the control group consisted of 68 nonasthmatic boys and 48 non-asthmatic girls. All the children were 12-14 years old. We measured anthropometric parameters by a standardized method and the percentage of fat using the simple 2-site skinfold method. Additionally, we calculated the percentage of body composition (Matiegka) and the components of somatotype (Heath-Carter). Statistical significance was estimated at the level of p<0.05 by ANOVA test.

RESULTS

The asthmatic boys were significantly shorter than the non-asthmatic (p=0.015), however, we did not find any significant differences in weight and/or BMI in boys nor girls. The asthmatic boys had significantly higher fat mass % than the non-asthmatic ones (p<0.001). Moreover, they had significantly lower muscle mass % (p<0.001) as well as the bone mass % (p<0.001). The asthmatic girls had higher fat mass % than the non-asthmatic ones (p=0.028) and lower muscle mass % (p<0.001). The simple 2-site skinfold method also showed higher fat % in the asthmatic boys (p<0.001) but not in the girls. Examining the Heath-Carter somatotype components, the higher endomorphy was the only significant difference in asthmatic boys (p<0.001) and near significant in asthmatic girls (p=0.053).

CONCLUSION

Examination of the BMI alone is not sufficient in asthmatic children because of their high percentage of fat. That is why additionally testing fat % is recommended.

摘要

目的

我们研究的目的是比较哮喘和非哮喘青春期男孩和女孩的体重指数(BMI)和一些人体测量参数。

材料和方法

研究组包括 64 名哮喘男孩和 45 名哮喘女孩,对照组包括 68 名非哮喘男孩和 48 名非哮喘女孩。所有孩子的年龄都在 12-14 岁之间。我们使用标准化方法测量了人体测量参数,并使用简单的 2 点皮褶法测量了脂肪百分比。此外,我们还计算了身体成分(Matiegka)和体型成分(Heath-Carter)的百分比。通过方差分析(ANOVA)检验,统计学意义估计在 p<0.05 水平。

结果

哮喘男孩比非哮喘男孩明显更矮(p=0.015),但我们没有发现男孩和女孩的体重和/或 BMI 有任何显著差异。哮喘男孩的脂肪质量百分比明显高于非哮喘男孩(p<0.001)。此外,他们的肌肉质量百分比(p<0.001)和骨量百分比(p<0.001)明显较低。哮喘女孩的脂肪质量百分比明显高于非哮喘女孩(p=0.028),肌肉质量百分比明显较低(p<0.001)。简单的 2 点皮褶法也显示哮喘男孩的脂肪百分比较高(p<0.001),但女孩没有。检查 Heath-Carter 体型成分,只有哮喘男孩的内脏型较高(p<0.001),而哮喘女孩接近显著(p=0.053)。

结论

由于哮喘儿童的脂肪百分比较高,仅检查 BMI 是不够的。因此,建议额外检测脂肪百分比。

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