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原住民雅基族学童营养状况、血脂异常及相关危险因素的诊断。

Diagnosis of nutritional status, dyslipidemia and associated risk factors in indigenous Yaqui schoolchildren.

机构信息

Food Intake and Development Research Center, Nutrition Coordination, Obesity and Diabetes Research Unit, Hermosillo.

Instituto Tecnológico de Sonora, Sociocultural Department, Ciudad Obregón. Sonora, Mexico.

出版信息

Gac Med Mex. 2024;160(1):53-61. doi: 10.24875/GMM.M24000856.

Abstract

BACKGROUND

Malnutrition is a global problem that affects schoolchildren and can increase the risk of diseases in adulthood. Adult members of the Yaqui Indigenous group have been shown to have serious health problems, and Yaqui schoolchildren could therefore find themselves in a similar situation.

OBJECTIVE

To evaluate the nutritional status, lipid profile and associated factors in a sample of Yaqui schoolchildren.

MATERIAL AND METHODS

A total of 109 Yaqui schoolchildren who lived in their localities of origin were recruited. Anthropometric measurements were carried out, a venous blood sample was extracted in fasting conditions, and several questionnaires were applied.

RESULTS

The prevalence of overweight/obesity was 38.5%, with no cases of chronic malnutrition being recorded; 38.6% of the children had dyslipidemia. Fiber consumption was a protective factor against overweight/obesity, while fat intake was a risk factor. The physical activity score was found to be a protective factor against dyslipidemia, and the risk factors were BMI-for-age Z-scores, waist circumference, family history of dyslipidemia, educational level, and permanent employment.

CONCLUSIONS

Yaqui schoolchildren equally suffer from a high proportion of overweight/obesity and dyslipidemia. The associated factors may be useful for the design of contextualized interventions for this population.

摘要

背景

营养不良是一个全球性问题,影响着学童,并可能增加成年后患疾病的风险。已发现雅基族成年成员存在严重健康问题,因此雅基族学童可能处于类似情况。

目的

评估雅基族学童样本的营养状况、血脂谱和相关因素。

材料和方法

共招募了 109 名居住在原籍地的雅基族学童。进行了人体测量学测量,在空腹条件下抽取了静脉血样,并应用了几份问卷。

结果

超重/肥胖的患病率为 38.5%,没有记录到慢性营养不良病例;38.6%的儿童存在血脂异常。纤维摄入是超重/肥胖的保护因素,而脂肪摄入是风险因素。身体活动评分是血脂异常的保护因素,而风险因素是 BMI 年龄 Z 评分、腰围、血脂异常家族史、教育程度和永久就业。

结论

雅基族学童同样受到高比例的超重/肥胖和血脂异常的困扰。相关因素可能有助于为该人群设计有针对性的干预措施。

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