中国六省市儿童青少年进食速度与代谢综合征的关联性

发布时间：2018-04-18 19:19

本文选题：饮食习惯 + 代谢综合征　；参考：《中国学校卫生》2017年04期

【摘要】：目的了解中国6省市儿童青少年代谢综合征(MS)流行现状及其与进食速度的关系,为儿童青少年代谢性疾病防控策略和干预措施的制定提供科学依据。方法对分层整群抽取的我国12 958名儿童青少年进行问卷调查、体格检查和血生化检测。描述儿童青少年MS、进食速度的分布特征,采用多因素Logistic回归模型分析进食速度与MS的关系。结果我国六省市7~17岁儿童青少年MS检出率为4.2%,男生高于女生(χ~2=13.65,P0.05);随着年龄段增加,检出率呈升高趋势(χ~2=31.26,P0.05)。中心性肥胖是检出率最高的代谢异常组分(22.7%)。男、女生除血糖外的代谢指标均随着进食速度从慢到快呈现趋势变化,差异均有统计学意义(P值均0.05)。多因素Logistic回归分析结果显示,进食速度与儿童青少年MS及代谢异常组分发生存在关联性,中心性肥胖与进食速度关联性最强。男、女生进食速度慢是MS的保护因素(男生OR=0.311,95%CI=0.199~0.487;女生OR=0.497,95%CI=0.304~0.814)。男生进食速度慢是中心性肥胖、高血压、高三酰甘油血症、脂代谢异常的保护因素,而女生进食速度慢是中心性肥胖、高三酰甘油血症、脂代谢异常的保护因素(P值均0.05);进一步调整BMI后关联性均消失。结论进食速度慢是儿童青少年MS及一些代谢异常组分发生的保护因素。在加强饮食干预时要注意儿童青少年进食方式习惯的养成。
[Abstract]:Objective to investigate the prevalence of metabolic syndrome (MSS) in children and adolescents in 6 provinces and cities of China and its relationship with eating rate, and to provide scientific basis for the prevention and control strategy and intervention measures of metabolic diseases among children and adolescents.Methods A total of 12 958 children and adolescents were investigated by stratified cluster sampling, including questionnaire, physical examination and blood biochemistry test.The distribution characteristics of MSand eating rate in children and adolescents were described. The relationship between eating speed and MS was analyzed by multivariate Logistic regression model.Results the prevalence rate of MS in 7 ~ 17 years old children and adolescents in six provinces and cities of China was 4.2, which was higher in boys than that in girls (蠂 ~ 2 ~ 2 ~ (13.65)) (P _ (0.05)), and increased with the increase of age (蠂 ~ (2) ~ (21) 31.26) (P _ (0.05)).Central obesity is the highest detectable component of abnormal metabolism.The metabolic indexes of boys and girls showed a trend from slow to fast, except for blood glucose, and the differences were statistically significant (P < 0.05).The results of multivariate Logistic regression analysis showed that there was a correlation between eating rate and MS and metabolic abnormalities in children and adolescents, and the correlation between central obesity and eating speed was the strongest.The slow feeding rate of male and female students is the protective factor of MS (male students: 0.311995 CI 0.1990.487; female students: 0.4970.497and 95% 0.304).The slow feeding rate of boys is the protective factor of central obesity, hypertension, hypertriglyceridemia, abnormal lipid metabolism, while the slow eating rate of girls is central obesity, hypertriglyceridemia,The protective factors of abnormal lipid metabolism were 0.05, and the correlation disappeared after further adjustment of BMI.Conclusion slow eating rate is the protective factor of MS and some abnormal components of metabolism in children and adolescents.Attention should be paid to the formation of eating habits of children and adolescents when strengthening dietary intervention.
【作者单位】：北京大学公共卫生学院/北京大学儿童青少年卫生研究所;
【基金】：2012年卫生行业科研专项项目(201202010)
【分类号】：R725.8

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