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沙特阿拉伯西部地区吉达市儿童肥胖的各种致病因素及相关并发症。

Various causative factors and associated complications of childhood obesity in Jeddah, Western Region, Saudi Arabia.

作者信息

Al-Agha Abdulmoein Eid, Mabkhoot Yusra Mohammed, Bahwirith Ashjan Salem, Mohammed Arwa Nabil, Ragbi Rahaf, Allhabi Elham, Dumyati Bashaer Khalid, Milyani Asmaa

机构信息

Department of Paediatric Endocrinology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.

Ibn Sina National College for Medical Sciences, College of Medicine and Surgery, Jeddah, Saudi Arabia.

出版信息

Ann Afr Med. 2020 Jan-Mar;19(1):15-19. doi: 10.4103/aam.aam_8_19.

Abstract

OBJECTIVE

The objective of the study was to investigate the causative factors and complications attributable to obesity in children living in Jeddah, Saudi Arabia.

METHODS

This is a retrospective study encompassing a sample size of 151 children and adolescents between the ages of 4 and 20 years. Data were collected through reviewing medical records, medical files on the hospital electronic system, and clinical interviews conducted with legal guardians. The date of the study was from January to June 2018, and the study was carried out in Jeddah, Western Region, Saudi Arabia.

RESULTS

Data were entered, coded, cleaned, and analyzed using the Statistical Package for the Social Sciences (IBM SPSS), version 22. The analysis was done by assessing the significance of various risk factors and sequelae in their contribution to pediatric obesity by one-way ANOVA for nominal variables of more than two categories and independent-samples t-test for the nominal variables with two categories. The sample was 47% of the male gender, whereas females made for the remaining 53%. The causation of obesity was distributed among the following factors: an unhealthy diet, a sedentary lifestyle, medications such as glucocorticoids, and complications attributed to obesity including gastroesophageal reflux, hypertension, precocious puberty, sleep apnea, psychological disturbances, and fatty liver diseases.

CONCLUSION

Environmental factors were found to be the most predominant cause, where the majority of children were found to be leading a sedentary lifestyle, following an unhealthy diet, and skipping meals. The most recurring complications involved psychosocial and behavioral abnormalities, and among the medical consequences, gastroesophageal reflux and obstructive sleep apnea were the most prevalent.

摘要

目的

本研究的目的是调查沙特阿拉伯吉达市儿童肥胖的致病因素及并发症。

方法

这是一项回顾性研究,样本包括151名年龄在4至20岁之间的儿童和青少年。通过查阅病历、医院电子系统中的医疗档案以及与法定监护人进行临床访谈来收集数据。研究时间为2018年1月至6月,研究在沙特阿拉伯西部地区的吉达市进行。

结果

使用社会科学统计软件包(IBM SPSS)22版对数据进行录入、编码、清理和分析。对于超过两类的名义变量,通过单向方差分析评估各种风险因素和后遗症对儿童肥胖的贡献的显著性;对于两类名义变量,通过独立样本t检验进行分析。样本中男性占47%,女性占其余的53%。肥胖的病因分布在以下因素中:不健康饮食、久坐不动的生活方式、糖皮质激素等药物,以及肥胖引起的并发症,包括胃食管反流、高血压、性早熟、睡眠呼吸暂停、心理障碍和脂肪肝疾病。

结论

发现环境因素是最主要的原因,大多数儿童久坐不动、饮食不健康且不规律进餐。最常见的并发症涉及心理社会和行为异常,在医学后果中,胃食管反流和阻塞性睡眠呼吸暂停最为普遍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee0/7189888/99eda6ca3071/AAM-19-15-g001.jpg

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