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通过学校健康计划评估的胡胡伊超重学童的血脂异常情况

[Dyslipidemia in schoolchildren with excess weight from Jujuy assessed by the program of school health].

作者信息

Bustamante María José, Dipierri José Edgardo, Alfaro Emma Laura

机构信息

Instituto de Ecorregiones Andinas - CONICET-UNJu - Argentina Instituto de Biología de la Altura - Universidad Nacional de Jujuy - Argentina.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2019 Aug 29;76(3):159-163. doi: 10.31053/1853.0605.v76.n3.23817.

Abstract

BACKGROUND

Excess weight (EW) and alterations in lipid metabolism constitute risk factors for cardiovascular disease in adults and children. Prevalence of dyslipidemia in schoolchildren from Jujuy with EW is analyzed in this study.

METHODS

Cross-sectional descriptive study of 891 schoolchildren 10-14 years old (367 girls; 524 boys) from the province of Jujuy (Northwestern Argentina). Prevalence of dyslipidemia for Overweight (OW) and Obesity (OB) were calculated, according to the International Obesity Task Force cut-off points. Prevalence of lipid alterations were analyzed and 7 dyslipidemic profiles were established. Comparisons and associations between variables were analyzed by Chi-square test. Crude and adjusted odds ratio were estimated from a logistic regressions.

RESULTS

Regardless of sex and nutritional status, 13.7%, 21.8%, and 16.5% of schoolchildren showed high values of total cholesterol, triglycerides, and LDL cholesterol, respectively, and 20.3% had low HDL cholesterol. Significantly higher values of HDL cholesterol were found in OW, and of triglycerides in OB. A significant association was recorded between OB and high triglycerides. Schoolchildren with OB have a 54% more chances of showing at least one lipid alteration.

CONCLUSION

EW, and especially OB, constitutes an important risk factor in the development of dyslipidemia in schoolchildren from Jujuy.

摘要

背景

超重和脂质代谢改变是成人和儿童心血管疾病的危险因素。本研究分析了胡胡伊省超重学童的血脂异常患病率。

方法

对来自胡胡伊省(阿根廷西北部)的891名10 - 14岁学童(367名女孩;524名男孩)进行横断面描述性研究。根据国际肥胖特别工作组的切点计算超重(OW)和肥胖(OB)的血脂异常患病率。分析脂质改变的患病率并建立7种血脂异常谱。通过卡方检验分析变量之间的比较和关联。从逻辑回归估计粗比值比和调整后的比值比。

结果

无论性别和营养状况如何,分别有13.7%、21.8%和16.5%的学童总胆固醇、甘油三酯和低密度脂蛋白胆固醇值偏高,20.3%的学童高密度脂蛋白胆固醇值偏低。超重学童的高密度脂蛋白胆固醇值显著较高,肥胖学童的甘油三酯值显著较高。肥胖与高甘油三酯之间存在显著关联。肥胖学童出现至少一种脂质改变的可能性高出54%。

结论

超重,尤其是肥胖,是胡胡伊省学童血脂异常发展的重要危险因素。

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