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一项针对波兰弗罗茨瓦夫6至17岁儿童的健康状况以及超重/肥胖与耳鼻喉科疾病之间关联的研究。

A study on health and the association between overweight/obesity and otorhinolaryngological diseases in 6- to 17-year-old children from Wroclaw, Poland.

作者信息

Zatoński Tomasz, Pazdro-Zastawny Katarzyna, Kolator Mateusz, Krajewska Joanna, Basiak-Rasała Alicja, Górna Sara, Zatoński Michał

机构信息

Wroclaw Medical Univeristy, Wroclaw, Poland.

出版信息

Arch Med Sci. 2020 Jul 15;18(2):413-421. doi: 10.5114/aoms.2020.97285. eCollection 2022.

Abstract

INTRODUCTION

Childhood overweight and obesity have become a global problem in the past three decades. There are very few studies which examine the correlation between body mass index (BMI) and the development of otorhinolaryngological diseases in children. The objective of the study was to determine the association between overweight or obesity in children and the occurrence of otorhinolaryngological diseases.

MATERIAL AND METHODS

The survey study was based on a parent-reported multidisciplinary questionnaire on children's medical status among elementary and junior high school children in the city of Wroclaw, the capital city of Poland's Lower Silesia region. The children were taking part in the pro-health campaign "Let's Get the Kids Moving".

RESULTS

The study was conducted among 2,913 children. A statistically significant correlation was observed between the assessment of the children's BMI and the occurrence of adenoid hypertrophy. Adenoid hypertrophy was more common in the overweight and obese children. The children with adenoid hypertrophy had higher BMI than the children without adenoid hypertrophy. There was a statistically significant correlation between BMI and the incidence of adenoidectomy. There was a statistically significant correlation between BMI and the incidence of tonsillectomy.

CONCLUSIONS

The development and introduction of preventive programs like "Let's Get the Kids Moving" in the future will contribute to building a healthier society. The study findings suggest that primal prevention may lead to a decrease in the development of otorhinolaryngological diseases. We also showed that higher body mass correlates with higher prevalence of otorhinolaryngological diseases. Further studies are needed to establish the etiopathology of this association.

摘要

引言

在过去三十年中,儿童超重和肥胖已成为一个全球性问题。很少有研究探讨体重指数(BMI)与儿童耳鼻咽喉科疾病发展之间的相关性。本研究的目的是确定儿童超重或肥胖与耳鼻咽喉科疾病发生之间的关联。

材料与方法

该调查研究基于一份由家长报告的关于波兰下西里西亚地区首府弗罗茨瓦夫市中小学儿童医疗状况的多学科问卷。这些儿童参与了“让孩子们动起来”的健康促进活动。

结果

该研究对2913名儿童进行。观察到儿童BMI评估与腺样体肥大的发生之间存在统计学显著相关性。腺样体肥大在超重和肥胖儿童中更为常见。患有腺样体肥大的儿童BMI高于未患腺样体肥大的儿童。BMI与腺样体切除术的发生率之间存在统计学显著相关性。BMI与扁桃体切除术的发生率之间存在统计学显著相关性。

结论

未来开展和推行如“让孩子们动起来”这样的预防项目将有助于建设更健康的社会。研究结果表明,一级预防可能会减少耳鼻咽喉科疾病的发生。我们还表明,较高的体重与较高的耳鼻咽喉科疾病患病率相关。需要进一步研究来确定这种关联的病因病理学。

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