Esposito-Del Puente A, De Filippo E, Caldara A, Scalfi L, Peri M, Contaldo F, Valerio G, Rubino A, Di Maio S
Istituto di Medicina Interna e Malattie Dismetabolichè, Università degli Studi di Napoli Federico II.
Minerva Pediatr. 1993 Oct;45(10):383-8.
In order to evaluate the factors affecting body fat excess and distribution, we have studied children attending the 4th grade of a primary school randomly selected in Naples. 52 girls, 58 boys; mean age = 9.6 years (SE +/- 0.1) were examined. Among the familial factors assessed, a correlation between parental BMI and child's anthropometry was found. Among congenital factors, sex correlates with the children's waist/hip ratio ("t" = -2.07; p = 0.05). Moreover the girl's percent body fat was higher. These two findings suggest the expression of sexual characters in prepubertal age. Systolic blood pressure showed a positive correlation with children's percent body fat ("t" = 2.43; p = 0.016) and subscapular skinfold thickness ("t" = 1.19; p = 0.05), suggesting an influence of these factors on blood pressure level since this age. No correlation was found between children's BMI and weight at birth, family history of diabetes, hypertension or hyperlipidemia. Among environmental factors, only the mothers weight gain during pregnancy ("t" = -2.21; p = 0.03) and breast feeding ("t" = -2.07; p = 0.05) correlated with the children's BMI. The correlation between children's BMI and waist/hip ratio ("t" = 4.64; p = 0.0001), was not confirmed in children who exercise, suggesting a beneficial action of physical activity on body fat distribution. The identification in different populations of factors associated with childhood obesity is important for prevention planning.
为了评估影响体脂过多及分布的因素，我们对那不勒斯一所随机选取的小学四年级学生进行了研究。共检查了52名女孩和58名男孩；平均年龄为9.6岁（标准误±0.1）。在所评估的家庭因素中，发现父母的体重指数与孩子的人体测量学指标之间存在相关性。在先天性因素中，性别与儿童的腰臀比相关（“t”=-2.07；p=0.05）。此外，女孩的体脂百分比更高。这两个发现表明青春期前年龄阶段性征的表达。收缩压与儿童的体脂百分比（“t”=2.43；p=0.016）和肩胛下皮褶厚度（“t”=1.19；p=0.05）呈正相关，表明这些因素自该年龄起就对血压水平有影响。未发现儿童的体重指数与出生体重、糖尿病家族史。高血压家族史或高脂血症家族史之间存在相关性。在环境因素中，只有母亲孕期体重增加（“t”=-2.21；p=0.03）和母乳喂养（“t”=-2.07；p=0.05）与儿童的体重指数相关。儿童的体重指数与腰臀比之间的相关性（“t”=4.64；p=0.0001）在进行体育锻炼的儿童中未得到证实，这表明体育活动对体脂分布有有益作用。确定不同人群中与儿童肥胖相关的因素对于预防规划很重要。
