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儿科肥胖的人口学、临床和生化特征:一项更大前瞻性研究的中期分析。

Demographic, Clinical and Biochemical Characteristics of Pediatric Obesity: Interim Analysis of a Larger Prospective Study.

机构信息

Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia.

University at Buffalo, Buffalo, United States of America.

出版信息

Folia Med (Plovdiv). 2020 Dec 31;62(4):746-752. doi: 10.3897/folmed.62.e50358.

Abstract

Pediatric obesity is a common nutritional disorder that affects more than a third of the young population and predis-poses individuals to greater future morbidity and mortality. Materials and methods: Sixty-two children were recruited in the study. Demographic and clinical information regarding the pa-tients and their parents was collected. Data about the weight, height, systolic (SP) and diastolic (DP) blood pressure, lipid metabolic profile, thyroid hormone levels, glucose and insulin levels before and after oral glucose tolerance test (OGTT) of participants were also collected. Body mass index (BMI) was calculated and patients were classified into groups according to the International Obesity Task Force criteria. Descriptive, comparative parametric, non-parametric tests and Spearman's ranked correlations were used in the statistical analysis. Results: The study sample consisted of 34 males and 28 females aged 11.6 and 11.8 years, respectively (p=0.781). The mean BMI was 30.5 (SD 5.5): 8 of participant had normal weight (≤25 BMI), 22 were overweight (25-30 BMI), and 32 were obese (≥30 BMI). The chil-dren's BMIs were significantly associated with parental BMIs (r=0.395, p=0.004). Both SP and DP were significantly different between BMI subgroups (p=0.005 and p=0.001, respectively) with the obese group having the highest values (post-hoc Benjamini,  p=0.004). Obese children had lower average T4 levels when compared to the comparators (7.5 µg/dL vs. 9.9 µg/dL, p=0.021). Obese children had significantly lower baseline glucose levels and higher insulin levels when compared to the overweight/normal BMI children (73.8 mg/dL vs. 86.4 mg/dL, p.

摘要

儿科肥胖是一种常见的营养障碍,影响超过三分之一的年轻人群,并使个体未来更容易出现发病率和死亡率增加。

材料和方法

本研究共招募了 62 名儿童。收集了患者及其父母的人口统计学和临床信息。还收集了参与者口服葡萄糖耐量试验(OGTT)前后的体重、身高、收缩压(SP)和舒张压(DP)、血脂代谢谱、甲状腺激素水平、血糖和胰岛素水平的数据。计算了体重指数(BMI),并根据国际肥胖工作组标准将患者分为几组。在统计分析中使用了描述性、参数比较、非参数检验和斯皮尔曼等级相关。

结果

研究样本由 34 名男性和 28 名女性组成,年龄分别为 11.6 岁和 11.8 岁(p=0.781)。平均 BMI 为 30.5(SD 5.5):8 名参与者体重正常(≤25 BMI),22 名超重(25-30 BMI),32 名肥胖(≥30 BMI)。儿童的 BMI 与父母的 BMI 显著相关(r=0.395,p=0.004)。BMI 亚组之间的 SP 和 DP 均有显著差异(p=0.005 和 p=0.001,分别),肥胖组的数值最高(事后 Benjamini,p=0.004)。与对照组相比,肥胖儿童的平均 T4 水平较低(7.5 µg/dL 比 9.9 µg/dL,p=0.021)。与超重/正常 BMI 儿童相比,肥胖儿童的基线血糖水平显著较低,胰岛素水平较高(73.8 mg/dL 比 86.4 mg/dL,p<0.001)。

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