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学童的代谢风险与心肺适能水平低、肥胖以及父母的营养状况有关。

Metabolic risk in schoolchildren is associated with low levels of cardiorespiratory fitness, obesity, and parents' nutritional profile.

作者信息

Todendi Pâmela Ferreira, Valim Andréia Rosane de Moura, Reuter Cézane Priscila, Mello Elza Daniel de, Gaya Anelise Reis, Burgos Miria Suzana

机构信息

Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil.

Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.

出版信息

J Pediatr (Rio J). 2016 Jul-Aug;92(4):388-93. doi: 10.1016/j.jped.2015.10.007. Epub 2016 May 17.

Abstract

OBJECTIVE

Verify the association between metabolic risk profile in students with different levels of cardiorespiratory fitness and body mass index, as well as the nutritional status of their parents.

METHODS

A cross-sectional study comprising 1.254 schoolchildren aged between seven and 17 years. The metabolic risk profile was calculated by summing the standardized values of high density lipoproteins and low density lipoproteins, triglycerides, glucose and systolic blood pressure. The parents' nutritional status was evaluated by self-reported weight and height data, for body mass index calculating. The body mass index of schoolchildren was classified as underweight/normal weight and overweight/obesity. The cardiorespiratory fitness was assessed by 9-minute running/walk test, being categorized as fit (good levels) and unfit (low levels). Data were analyzed using prevalence ratio values (PR).

RESULTS

The data indicates a higher occurrence of developing metabolic risk in schoolchildren whose mother is obese (PR: 1.50; 95% CI: 1.01, 2.23), and even higher for those whose father and mother are obese (PR: 2, 79, 95% CI: 1.41; 5.51). Students who have low levels of cardiorespiratory fitness and overweight/obesity have higher occurrence of presenting metabolic risk profile (PR: 5.25; 95% CI: 3.31; 8.16).

CONCLUSION

the occurrence of developing metabolic risk in schoolchildren increase when they have low levels of cardiorespiratory fitness and overweight/obesity, and the presence of parental obesity.

摘要

目的

验证不同心肺适能水平和体重指数的学生的代谢风险状况与其父母营养状况之间的关联。

方法

一项横断面研究,纳入了1254名7至17岁的学童。通过将高密度脂蛋白、低密度脂蛋白、甘油三酯、血糖和收缩压的标准化值相加来计算代谢风险状况。通过自我报告的体重和身高数据评估父母的营养状况,以计算体重指数。将学童的体重指数分为体重过轻/正常体重以及超重/肥胖。通过9分钟跑步/步行测试评估心肺适能,分为适能(良好水平)和不适能(低水平)。使用患病率比值(PR)分析数据。

结果

数据表明,母亲肥胖的学童发生代谢风险的几率更高(PR:1.50;95%置信区间:1.01,2.23),父母均肥胖的学童发生代谢风险的几率更高(PR:2.79,95%置信区间:1.41;5.51)。心肺适能水平低且超重/肥胖的学生出现代谢风险状况的几率更高(PR:5.25;95%置信区间:3.31;8.16)。

结论

当学童心肺适能水平低、超重/肥胖以及父母肥胖时,他们发生代谢风险的几率会增加。

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