Budinskaya Ksenia, Pírek Ondřej, Rafčíková Natálie, Nádeníčková Olga, Bednaříková Kateřina, Hrstková Hana, Dobšák Petr, Nováková Zuzana
Department of Physiology, Faculty of Medicine, Masaryk University, Kamenice 5, CZ-625 00 Brno, Czech Republic.
Children's Hospital Kretin, Kretin 12, CZ-679 62 Kretin, Czech Republic.
Children (Basel). 2022 Oct 22;9(11):1610. doi: 10.3390/children9111610.
Childhood and adolescent obesity has become an important public health issue, as it leads to higher risk of cardio−metabolic, orthopedic, and psychological comorbidities. The aim of this study was to evaluate the changes in nutritional state and cardiovascular system parameters in obese children. Sixty respondents aged 9−17 years with alimentary obesity participated in this research. Anthropometric parameters (body weight (BWT), body mass index (BMI), percentage of body fat (%), waist and hip circumference (WC and HC), waist−hip ratio (WHR)) and cardiovascular parameters (systolic and diastolic blood pressure (SP and DP), cardio-ankle vascular index (CAVI), ankle-brachial index (ABI), pulse wave velocity and its variability (PWV and PWVV), and parameters of pulse wave analysis) were measured. Every respondent went through two sets of measurements, the first (I.) after their admission to the children’s hospital and the second (II.) at the end of their one-month-long therapeutic stay. Statistically significant differences between measurements I. and II. were observed in the following parameters: BWT (p < 0.01), BMI (p < 0.01), WC (p < 0.01), HC (p < 0.01), DP (p < 0.01), PWV (p < 0.05), and ABI (p < 0.01). The results of this study show that obesity has a mostly negative impact on the cardiovascular health of affected children, with likely negative results in their adulthood.
儿童和青少年肥胖已成为一个重要的公共卫生问题，因为它会导致更高的心血管代谢、骨科和心理合并症风险。本研究的目的是评估肥胖儿童营养状况和心血管系统参数的变化。60名年龄在9至17岁的患有饮食性肥胖的受访者参与了这项研究。测量了人体测量参数（体重（BWT）、体重指数（BMI）、体脂百分比（%）、腰围和臀围（WC和HC）、腰臀比（WHR））和心血管参数（收缩压和舒张压（SP和DP）、心踝血管指数（CAVI）、踝臂指数（ABI）、脉搏波速度及其变异性（PWV和PWVV）以及脉搏波分析参数）。每位受访者都进行了两组测量，第一组（I.）在他们入住儿童医院后，第二组（II.）在他们为期一个月的治疗结束时。在以下参数中观察到测量I.和II.之间存在统计学上的显著差异：BWT（p < 0.01）、BMI（p < 0.01）、WC（p < 0.01）、HC（p < 0.01）、DP（p < 0.01）、PWV（p < 0.05）和ABI（p < 0.01）。本研究结果表明，肥胖对受影响儿童的心血管健康大多有负面影响，在他们成年后可能会产生负面结果。
