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儿童期体重变化及青少年超重的预测因素——一项纵向分析

Body Weight Changes During Childhood and Predictors of Excessive Body Weight in Adolescence-A Longitudinal Analysis.

作者信息

Lemanowicz-Kustra Aleksandra, Brzeziński Michał, Dettlaff-Dunowska Magdalena, Borkowska Anna, Materek Maciej, Jagiełło Kacper, Szlagatys-Sidorkiewicz Agnieszka

机构信息

Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gdańsk, 80-803 Gdańsk, Poland.

Department of Pediatrics, Copernicus Hospital, 80-803 Gdańsk, Poland.

出版信息

Nutrients. 2024 Dec 21;16(24):4397. doi: 10.3390/nu16244397.

DOI:10.3390/nu16244397
PMID:39771018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11676939/
Abstract

Abnormal body weight, including overweight and obesity, is a common health problem affecting children and adolescents. The present study aimed to analyse weight changes in children from preschool age to adolescence and to identify early predictors of excessive weight in adolescence, such as blood pressure and physical fitness observed in preschool children. Data from 3075 children (1524 girls and 1594 boys), collected as part of the Gdańsk Centre for Health Promotion's "Your Child's Healthy Life" programme, were analysed, with each child assessed at ages 6, 10, and 14. The results indicated that boys were more likely to be overweight, with a tendency for obesity to increase with age. Children who were overweight or obese at age 6 had a higher risk of remaining so for a longer period of time. In addition, low physical fitness (as measured by the KPRT test) and elevated blood pressure were significantly associated with excess body weight. The study underscores the importance of early intervention and consistent monitoring of childhood overweight and obesity to reduce their long-term impact on health.

摘要

包括超重和肥胖在内的异常体重是影响儿童和青少年的常见健康问题。本研究旨在分析从学龄前到青春期儿童的体重变化,并确定青春期超重的早期预测因素,如学龄前儿童的血压和身体素质。分析了作为格但斯克健康促进中心“孩子的健康生活”项目一部分收集的3075名儿童(1524名女孩和1594名男孩)的数据,每个孩子在6岁、10岁和14岁时接受评估。结果表明,男孩超重的可能性更大,肥胖倾向随年龄增长而增加。6岁时超重或肥胖的儿童在更长时间内保持超重或肥胖的风险更高。此外,低身体素质(通过KPRT测试衡量)和血压升高与体重超标显著相关。该研究强调了早期干预和持续监测儿童超重和肥胖以减少其对健康的长期影响的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9321/11676939/b9debd99ed75/nutrients-16-04397-g008.jpg
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本文引用的文献

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The age of the obesity onset is a very important factor for the development of metabolic complications and cardiovascular risk in children and adolescents with severe obesity.肥胖发病年龄是儿童和青少年重度肥胖代谢并发症和心血管风险发展的一个非常重要的因素。
Eur J Pediatr. 2024 Sep;183(9):3833-3841. doi: 10.1007/s00431-024-05636-x. Epub 2024 Jun 15.
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Obesity is associated with higher heart rate and excessive dyspnea with fatigue in the six-minute walk test.肥胖与更高的心率和六分钟步行试验中的过度呼吸困难和疲劳有关。
Pol Merkur Lekarski. 2022 Dec 22;50(300):342-347.
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Changes in Body Composition and Physical Performance in Children with Excessive Body Weight Participating in an Integrated Weight-Loss Programme.
超重儿童参与综合减肥计划对身体成分和身体机能的影响。
Nutrients. 2022 Sep 3;14(17):3647. doi: 10.3390/nu14173647.
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Assessment of Cardiorespiratory Fitness in 8-to-15-Year-Old Children with Overweight/Obesity by Three-Minute Step Test: Association with Degree of Obesity, Blood Pressure, and Insulin Resistance.8 至 15 岁超重/肥胖儿童的三分钟台阶试验评估:与肥胖程度、血压和胰岛素抵抗的关系。
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