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脑瘫患儿的肥胖患病率。

Prevalance of obesity in children with cerebral palsy.

作者信息

Bansal Ankita, Diwan Shraddha, Diwan Jasmin, Vyas Neeta

机构信息

1 Year MPT Neurology, Department of Pediatric Physiotherapy, S.B.B College of Physiotherapy , Ahmedabad, India .

Lecturer, Department of Physiotherapy, S.B.B College of Physiotherapy , Ahmedabad, India .

出版信息

J Clin Diagn Res. 2014 Aug;8(8):BC08-11. doi: 10.7860/JCDR/2014/8462.4679. Epub 2014 Aug 20.

Abstract

INTRODUCTION

Obesity are epidemic among children and adolescents. There is worldwide tendency of increasing prevalence of obesity in children. Cerebral palsy (CP) is leading cause of childhood disability.studies have proposed mechanism of children with disability leading towards obesity and related health risks. So this study is aimed at determining whether such trend of obesity exists in children with CP in terms of BMI and WHR.

STUDY DESIGN

Cross -sectional study.

PARTICIPANTS

40 children diagnosed as CP age 2-18 years, GMFCS I-IV.

PROCEDURE

BMI; kg/m(2) was calculated from height and weight. WHR was calculated by measuring waist circumference and hip circumference. BMI percentiles were reported according to sex-specific age group standards for growth set by the WHO growth charts.

RESULTS

Out of total CP subjects 40% were found to be underweight, 45%, 7.5% and 7.5% were found to be normal, overweight and obese respectively according to BMI. Whereas 20%, 20% 60% were found to be at high risk, moderate risk and high risk of obesity respectively according to WHR.

CONCLUSION

In our patient population, analysis of BMI and WHR suggests that children with CP have a high rate of overweight and are at risk of overweight, particularly of central obesity.

摘要

引言

肥胖在儿童和青少年中呈流行趋势。全球范围内儿童肥胖患病率有上升趋势。脑性瘫痪(CP)是儿童残疾的主要原因。研究提出了残疾儿童走向肥胖及相关健康风险的机制。因此,本研究旨在根据体重指数(BMI)和腰臀比(WHR)确定CP患儿中是否存在这种肥胖趋势。

研究设计

横断面研究。

参与者

40名年龄在2至18岁、GMFCS I-IV级的CP确诊患儿。

程序

根据身高和体重计算BMI,单位为kg/m²。通过测量腰围和臀围计算WHR。根据世界卫生组织生长图表设定的特定性别年龄组生长标准报告BMI百分位数。

结果

根据BMI,在所有CP受试者中,40%被发现体重过轻,45%、7.5%和7.5%分别被发现体重正常、超重和肥胖。而根据WHR,分别有20%、20%和60%被发现处于肥胖高风险、中度风险和高风险。

结论

在我们的患者群体中,对BMI和WHR的分析表明,CP患儿超重率较高,有超重风险,尤其是中心性肥胖风险。

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