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出生体重较高的7至11岁儿童的腰高比及其与性别、年龄和饮食的关系。

Waist-height ratio in children of 7 to 11 years with high weight at birth and its relationship with gender, age and diet.

作者信息

Rodríguez Vargas Nuris, Fernandez-Britto Jose Emilio, Martinez Perez Tania Paula, Martinez Garcia Rolando, Castañeda Garcia Cecilia Margarita, Garriga Reyes Mailin, Cabrera Estrada Claudia, Plana Labrada Rossana, García Niebla Rosa María, Blanco Aranguren Fabiola

机构信息

Facultad de Ciencias Médicas «Manuel Fajardo», Universidad Médica de La Habana, La Habana, Cuba.

Centro Investigación Referencia de Aterosclerosis de la Habana (CIRAH), Universidad Médica de La Habana, La Habana, Cuba.

出版信息

Clin Investig Arterioscler. 2018 Jul-Aug;30(4):155-162. doi: 10.1016/j.arteri.2017.12.006. Epub 2018 Mar 26.

Abstract

INTRODUCTION

Obesity (OB), considered as one of the Non-Transmissible Chronic Diseases, has as its fundamental characteristics that of being prevalent at a global level, increasing in number, affecting developed and developing countries, affecting both genders, and all ages and social groups.

OBJECTIVE

To identify if high birth weight is a predictive factor (risk factor) for abdominal obesity in children 7 to 11 years old, and its relationship to gender, age and diet.

METHOD

A case-control descriptive study was carried out with children born between January 1992 and December 1995, in order to identify early risk factors (atherosclerotic accelerators) such as abdominal obesity in children aged 7 to 11, and who have a history of macrosomia or high birth weight, as well as their relationship with gender, age and diet.

RESULTS

It was observed that the waist/height value was normal in 60.8% of the study group and in 64.00% in the control group. The difference between groups, gender, and age was not significant (P=.6859). As regards the diet in the study group (macrosomic), there was no significant association between the type of diet and waist circumference/height values, with an χ=0.223 and P=.6373 (not significant). In the control group (with normal weight at birth), it was found that there is a significant statistical association between the type of diet and waist circumference/height values. This means that it can be stated, with 95% reliability, that the type of diet is associated with waist/height values.

CONCLUSIONS

High birth weight is not a predictive factor (risk factor) for abdominal obesity (increased waist/height index). Gender and age are independent for abdominal obesity (macrosomic and normal weight at birth). The diet in high birth weight children is not related to the index waist-height index, which is not the case in those born with normal weight under the same conditions. The marked increase in abdominal obesity (Waist/height index) in children between 7 and 11 years old in both groups is worrying.

摘要

引言

肥胖被视为非传染性慢性病之一,其基本特征是在全球范围内普遍存在、数量不断增加、影响发达国家和发展中国家、影响男女两性以及所有年龄和社会群体。

目的

确定高出生体重是否为7至11岁儿童腹部肥胖的预测因素(风险因素),以及其与性别、年龄和饮食的关系。

方法

对1992年1月至1995年12月出生的儿童进行了一项病例对照描述性研究,以确定早期风险因素(动脉粥样硬化加速因素),如7至11岁儿童的腹部肥胖,以及有巨大儿或高出生体重史的儿童,及其与性别、年龄和饮食的关系。

结果

观察到研究组中60.8%的儿童腰高值正常,对照组中64.00%的儿童腰高值正常。组间、性别和年龄差异均无统计学意义(P = 0.6859)。关于研究组(巨大儿)的饮食,饮食类型与腰围/身高值之间无显著关联,χ = 0.223,P = 0.6373(无统计学意义)。在对照组(出生体重正常)中,发现饮食类型与腰围/身高值之间存在显著的统计学关联。这意味着可以有95%的可靠性认为饮食类型与腰高值有关。

结论

高出生体重不是腹部肥胖(腰高指数增加)的预测因素(风险因素)。性别和年龄与腹部肥胖(巨大儿和出生体重正常)无关。高出生体重儿童的饮食与腰高指数无关,而在相同条件下出生体重正常的儿童则不然。两组中7至11岁儿童腹部肥胖(腰高指数)的显著增加令人担忧。

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