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儿童期腹部肥胖对成年期腹部肥胖的影响

[Effect of abdominal obesity in childhood on abdominal obesity in adulthood].

作者信息

Hou Y P, Li Z X, Yang L, Zhao M, Xi B

机构信息

Children Cardiovascular Research Center of Shandong University, Department of Epidemiology, School of Public Health, Shandong University, Jinan 250012, China.

School of Health Care Management, Shandong University, Jinan 250012, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Mar 10;41(3):385-388. doi: 10.3760/cma.j.issn.0254-6450.2020.03.020.

Abstract

To examine the effect of childhood abdominal obesity on abdominal obesity in adulthood. Based on data from the "China Health and Nutrition Survey (CHNS)" 1993-2011, the participants who were followed up at least once in childhood (7-17 years old) and adulthood (≥18 years old) were the potential eligible ones for the inclusion. The first follow- up data in childhood and the last follow-up data in adulthood were finally included in this study, and there were 1 366 participants (males: 61.4). Partial correlation analysis was used to examine the correlation of waist circumference in childhood with adult waist circumference. Cox regression model was used to examine the effect of abdominal obesity in childhood on abdominal obesity in adulthood. The median follow-up of this cohort was 10.4 years. 36.4 (28/77) of children with abdominal obesity remained abdominally obese in adulthood. The coefficient of partial correlation was moderate for association of childhood waist circumference with adult waist circumference (=0.32, <0.001). The risk of abdominal obesity in adulthood was significantly increased in abdominal obese children (=7.54, 95: 4.91-11.58) compared with children with normal waist circumference. Children with abdominal obesity significantly increases the risk of abdominal obesity in adulthood.

摘要

为研究儿童期腹部肥胖对成年期腹部肥胖的影响。基于1993 - 2011年“中国健康与营养调查(CHNS)”的数据,在儿童期(7 - 17岁)和成年期(≥18岁)至少有一次随访记录的参与者为潜在纳入对象。最终纳入本研究的是儿童期的首次随访数据和成年期的末次随访数据,共有1366名参与者(男性占61.4%)。采用偏相关分析检验儿童期腰围与成年期腰围的相关性。使用Cox回归模型检验儿童期腹部肥胖对成年期腹部肥胖的影响。该队列的中位随访时间为10.4年。儿童期腹部肥胖的参与者中,36.4%(28/77)在成年期仍为腹部肥胖。儿童期腰围与成年期腰围的偏相关系数为中等(=0.32,<0.001)。与腰围正常的儿童相比,腹部肥胖儿童成年期腹部肥胖的风险显著增加(=7.54,95%置信区间:4.91 - 11.58)。儿童期腹部肥胖会显著增加成年期腹部肥胖的风险。

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