Al-Agha Abdulmoein, Ragbi Rahaf, Mabkhoot Yusra, Bahwirith Ashjan, Mohammed Arwa, Alhabi Elham, Dumyati Bashayer, Milyani Asmaa Adel
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King AbdulAziz University.
Acta Biomed. 2020 Nov 10;91(4):e2020107. doi: 10.23750/abm.v91i4.8468.
to investigate the causative factors and complications attributable to obesity in children living in jeddah, saudi arabia.
this is a retrospective study encompassing a sample size of 151 children and adolescents between the ages of 4 and 20 years. data was collectived through revieweing medical records, medical files on the hospital electironic system and clinical interviews conducted with legal guardians. date of study was from january to june 2018, and was carried in jeddah, western region, saudi arabia.
data was entered, coded, cleaned and analysed using statistical package for social science (IBM SPSS), version 22. the analysis was done by assessing the significance of various risk factors ands equalae in their contribution to paediatric obesity by one way ANOVA for nominal variables of more than two categories and independent sample 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 included gastro-oesophageal reflux, hypertension, precocious puberty, sleep apnoea, psychological disturbances and fatty liver diseases.
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 msot recurring complications involved psychosocial and behavioural abnormalities, and among the medical consequences, gastro-oesophageal reflux and obstructive sleep apnoea were the most prevalent.
调查沙特阿拉伯吉达市儿童肥胖的致病因素及并发症。
这是一项回顾性研究,样本包括151名4至20岁的儿童和青少年。数据通过查阅病历、医院电子系统中的医疗档案以及与法定监护人进行的临床访谈收集。研究日期为2018年1月至6月,在沙特阿拉伯西部地区的吉达市进行。
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。通过单因素方差分析评估各类风险因素及其对儿童肥胖的同等贡献的显著性,对于超过两类的名义变量采用单因素方差分析,对于两类名义变量采用独立样本t检验。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,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。
环境因素被发现是最主要的原因,大多数儿童被发现过着久坐不动的生活方式,饮食不健康且不吃正餐。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。