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儿童期高肥胖对成年身高无优势:印度尼西亚儿童至青年的横断面研究

Childhood High Adiposity has no Advantage for Height in Adulthood: Cross-Sectional Studies in Indonesian Children to Young Adults.

作者信息

Hastuti Janatin, Rahmawati Neni Trilusiana, Julia Madarina

机构信息

Department of Nutrition and Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Department of Child Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

出版信息

Int J Prev Med. 2024 Nov 28;15:64. doi: 10.4103/ijpvm.ijpvm_95_23. eCollection 2024.

Abstract

BACKGROUND

Childhood obesity is associated with faster linear growth; nonetheless, its benefit to the mature height of Indonesian children is questionable. This study aimed to evaluate the relationship between adiposity and height growth of Indonesian children, adolescents, and young adults aged 7 to 23 years.

METHODS

Height and skinfolds at triceps, subscapular, suprailiac, and calf were measured in 2,520 children, adolescents, and young adults aged 7 to 23 years (boys = 1,116, girls = 1,404). Central adiposity (subscapular and suprailiac skinfolds) and peripheral adiposity (triceps and calf skinfolds) were projected against heights in each age group. The ANCOVA test and partial correlation were used for statistical analysis.

RESULTS

With the exception of ages 8 to 12 years, boys were always taller than girls after controlling for age and central or peripheral adiposity. Boys with higher central and peripheral adiposity were taller than their peers up to the age of 17 ( = 0.30-0.72, < 0.05, < 0.01). Girls with central adiposity grew taller than their thinner peers until the age of 14 ( = 0.17-0.50, < 0.05, < 0.01), whereas girls with peripheral adiposity benefit from this advantage over a more extended period of time. Afterward, adiposity did not offer any benefit on heights.

CONCLUSIONS

Children with high adiposity who were taller at an earlier age have no significant advantage over their thinner peers in terms of adult height.

摘要

背景

儿童肥胖与线性生长加快有关;然而,其对印度尼西亚儿童成年身高的益处值得怀疑。本研究旨在评估7至23岁印度尼西亚儿童、青少年和青年的肥胖与身高增长之间的关系。

方法

对2520名7至23岁的儿童、青少年和青年(男孩 = 1116名,女孩 = 1404名)测量身高以及肱三头肌、肩胛下、髂上和小腿处的皮褶厚度。将中心性肥胖(肩胛下和髂上皮褶)和外周性肥胖(肱三头肌和小腿皮褶)与各年龄组的身高进行对比。采用协方差分析检验和偏相关进行统计分析。

结果

除8至12岁年龄段外,在控制年龄和中心性或外周性肥胖后,男孩始终比女孩高。中心性和外周性肥胖程度较高的男孩在17岁之前比同龄人更高(r = 0.30 - 0.72,p < 0.05,p < 0.01)。中心性肥胖的女孩在14岁之前比瘦一些的同龄人长得更高(r = 0.17 - 0.50,p < 0.05,p < 0.01),而外周性肥胖的女孩在更长一段时间内受益于这一优势。此后,肥胖对身高没有任何益处。

结论

较早身高较高的肥胖儿童在成年身高方面与较瘦的同龄人相比没有显著优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f0a/11687686/d8b3f8bfa9dd/IJPVM-15-64-g001.jpg

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