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儿童、青少年和青年的体格及超声心动图测量数据

Physique and echocardiographic dimensions in children, adolescents and young adults.

作者信息

Katzmarzyk P T, Malina R M, Song T M, Thériault G, Bouchard C

机构信息

Michigan State University, East Lansing 48824, USA.

出版信息

Ann Hum Biol. 1998 Mar-Apr;25(2):145-57. doi: 10.1080/03014469800005522.

DOI:10.1080/03014469800005522
PMID:9533514
Abstract

Relationships between echocardiographic dimensions and the Heath-Carter anthropometric somatotype were considered in healthy, non-obese children (8-11 year olds, n = 143), adolescents (12 15 year olds, n = 216) and young adults (16-24 years, n = 190). Cardiac dimensions, measured by M-mode echocardiography at end-diastole, included left ventricular internal diameter (LVIDd), posterior wall thickness (PWTd), and interventricular posterior wall thickness (STd). Left ventricular mass (LVM) and left ventricular end-diastolic volume (LVEDV) were estimated. Partial correlations between cardiac dimensions and each somatotype component were calculated, controlling for age and the other two components. Only 9 out of 45 correlations in males and 7 of 45 correlations in females were significant (p < or = 0.05). LVM, LVEDV, and LVIDd were significantly related to somatotype in males, demonstrating significant positive correlations with mesomorphy (r = 0.25, 0.29 and 0.29, respectively) and ectomorphy (r = 0.22. 0.37, and 0.37, respectively), and LVEDV and LVIDd were related to endomorphy (r = 0.24 and 0.25, respectively) in 8-11 year old boys. In 8-11 year old females, endomorphy was related to STd (r = 0.41) and LVM (r = 0.34), while mesomorphy was related to PWTd (r = -0.34) and ectomorphy was related to PWTd (r = -0.36). In 12-15 year old females, mesomorphy was related to STd (r = 0.26) and in 16-24 year old females, endomorphy was related to LVIDd (r = 0.29) and LVEDV (r = 0.32). Overall, the correlations between somatotype and cardiac dimensions were low, ranging from -0.36 to +0.41, with no clear pattern in either sex. Additionally, a backward stepwise regression analysis indicated that body size was more important in predicting echocardiographic dimensions than somatotype. Thus, physique, as estimated with the Heath-Carter anthropometric somatotype, is not related to echocardiographic dimensions in children, youths and young adults.

摘要

在健康、非肥胖儿童(8 - 11岁,n = 143)、青少年(12 - 15岁,n = 216)和青年成人(16 - 24岁,n = 190)中,研究了超声心动图测量的心脏尺寸与希思 - 卡特人体测量体型之间的关系。在舒张末期通过M型超声心动图测量的心脏尺寸包括左心室内径(LVIDd)、后壁厚度(PWTd)和室间隔后壁厚度(STd)。估算了左心室质量(LVM)和左心室舒张末期容积(LVEDV)。计算了心脏尺寸与每种体型成分之间的偏相关性,并对年龄和其他两种成分进行了控制。男性45个相关性中只有9个、女性45个相关性中只有7个具有显著性(p≤0.05)。在男性中,LVM、LVEDV和LVIDd与体型显著相关,与中胚层体型(分别为r = 0.25、0.29和0.29)和外胚层体型(分别为r = 0.22、0.37和0.37)呈显著正相关,在8 - 11岁男孩中,LVEDV和LVIDd与内胚层体型相关(分别为r = 0.24和0.25)。在8 - 11岁女性中,内胚层体型与STd(r = 0.41)和LVM(r = 0.34)相关,而中胚层体型与PWTd(r = -0.34)相关,外胚层体型与PWTd(r = -0.36)相关。在12 - 15岁女性中,中胚层体型与STd(r = 0.26)相关,在16 - 24岁女性中,内胚层体型与LVIDd(r = 0.29)和LVEDV(r = 0.32)相关。总体而言,体型与心脏尺寸之间的相关性较低,范围在 - 0.36至 + 0.41之间,两性均无明显模式。此外,向后逐步回归分析表明,在预测超声心动图测量的心脏尺寸方面,体型大小比体型更为重要。因此,用希思 - 卡特人体测量体型估算的体格与儿童、青少年和青年成人的超声心动图测量的心脏尺寸无关。

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