超重和肥胖在儿童尿路感染中的作用。

The role of overweight and obesity in urinary tract infection in children.

作者信息

Mahyar Abolfazl, Ayazi Parviz, Gholmohammadi Parisa, Moshiri Seyed Alireza, Oveisi Sonia, Esmaeily Shiva

机构信息

Department of Paediatrics, Qazvin University of Medical Sciences, Qazvin, Iran.

Department of Paediatric Nephrology, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Infez Med. 2016;24(1):38-42.

PMID:27031895

Abstract

This study was conducted to determine the relationship between overweight/obesity and UTI in children. A comparison was made, in terms of overweight and obesity, between 135 children with UTI (case group) and 135 healthy children (control group). UTI was diagnosed through urine culture. Dimercaptosuccinic acid renal scanning (DMSA) was also used to distinguish between lower UTI and acute pyelonephritis. Overweight and obesity were determined based on standard body mass index (BMI) curves. There were 12 (8.8%) overweight and 26 (19.2%) obese children in the case group. Four (3.0%) overweight and five (3.7%) obese children were found in the control group. There was a significant difference between the two groups regarding overweight and obesity frequencies. However, no such difference existed between children with cystitis and acute pyelonephritis. This study showed a significant relationship between overweight/obesity and UTI. Therefore, overweight and obesity may play a role in the pathogenesis of UTI in children.

摘要

本研究旨在确定儿童超重/肥胖与泌尿道感染（UTI）之间的关系。对135例UTI患儿（病例组）和135例健康儿童（对照组）的超重和肥胖情况进行了比较。UTI通过尿培养诊断。还采用二巯基丁二酸肾扫描（DMSA）来区分下尿路感染和急性肾盂肾炎。根据标准体重指数（BMI）曲线确定超重和肥胖。病例组中有12名（8.8%）超重儿童和26名（19.2%）肥胖儿童。对照组中有4名（3.0%）超重儿童和5名（3.7%）肥胖儿童。两组在超重和肥胖发生率方面存在显著差异。然而，膀胱炎患儿和急性肾盂肾炎患儿之间不存在这种差异。本研究表明超重/肥胖与UTI之间存在显著关系。因此，超重和肥胖可能在儿童UTI的发病机制中起作用。