肥胖少年颈围、腰围与心肺耐力及心血管疾病危险因素的关系

发布时间：2018-06-09 00:21

本文选题：肥胖少年 + 颈围　；参考：《体育科学》2017年03期

【摘要】：研究目的:探讨肥胖少年颈围(NC)、腰围(WC)与心肺耐力(CRF)及心血管疾病(CVD)危险因素的关系,探讨CRF对心血管健康的影响,为心血管疾病的早期预防提供科学依据。研究方法:招募8~17岁肥胖少年57名(男25人,女32人),平均年龄13.5岁。使用皮尺对所有受试者进行NC、WC测量。功率自行车递增负荷试验测量心肺耐力(CRF),CRF水平通过气体代谢分析仪所测定的峰值摄氧量表示。测量安静收缩压(SBP)、舒张压(DBP),检测空腹血糖(FPG)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDLC)、低密度脂蛋白胆固醇(LDL-C)。结果:调整年龄、性别后,NC、WC、腰围身高比(WHt R)均与SBP、DBP、TG正相关,均与CRF负相关;NC、WC均与HDL负相关。调整年龄、性别、CRF后,NC是高SBP、高TG、低HDL-C的独立危险因素,OR值分别为1.278(95%CI:1.027,1.590)、1.342(95%CI:1.017,1.772)、1.287(95%CI:1.042,1.589),WC是高SBP的独立危险因素,OR值为1.095(95%CI:1.013,1.185),但是WC对高TG的预测效果受到CRF的影响。调整年龄、性别后,CRF与TG负相关,对TG变异的解释增加12.1%(P0.05)。与没有CVD危险因素者相比,具有1个以上危险因素者,NC、WC、WHt R均显著较高(P0.05),CRF显著较低(P0.05)。结论:肥胖少年的颈围、腰围与血压、血脂关系密切,但关联程度受到心肺耐力的调节,心肺耐力是血脂水平的保护因素。此外,颈围、腰围对心肺耐力也具有预测作用,颈围、腰围越小,心肺耐力越好。建议今后对肥胖少年的相关研究需要重视颈围、腰围的测量,重视心肺耐力对保护心血管健康的作用。
[Abstract]:Objective: to investigate the relationship between the risk factors of the obesity juvenile neck circumference (NCN), waist circumference (WCC) and cardiopulmonary endurance (CRF) and cardiovascular disease (CVD), to explore the effect of CRF on cardiovascular health, and to provide scientific basis for early prevention of cardiovascular disease. Methods: 57 obese adolescents (25 males and 32 females) were recruited, with an average age of 13.5 years. All subjects were measured by NCU WC with a caliper. The level of CRF and CRF measured by increasing load test was expressed by the peak oxygen uptake measured by gas metabolism analyzer. Systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood glucose (FPG), total cholesterol (TC), triglyceride (TGN), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) were measured. Results: after adjustment of age, sex, NCU WC, waist circumference / height ratio (WHT R) were all positively correlated with SBP, DBP, TG, and negatively correlated with CRF, NCU WC and HDL. After adjusting for age, the independent risk factors of high SBP, high TG, and low HDL-C were 1.278 卤95CI: 1.027272.9590 CI: 1.017 1. 772 1. 772CI: 1. 28795 CIW 1.0421.589WC was the independent risk factor of high SBP or 1.095 95% CI 1.0131.185, but the prediction effect of WC on high TG was affected by CRF. CRF was negatively correlated with TG, and the explanation of TG variation increased by 12.1g / P0.05a. Compared with those without CVD risk factors, the WHT R of NCU WCU was significantly higher in those with more than one risk factor, and the CRF was significantly lower in those with more than one risk factor (P 0.05). Conclusion: the neck circumference and waist circumference of obese adolescents are closely related to blood pressure and blood lipids, but the degree of correlation is regulated by cardiopulmonary endurance, which is the protective factor of blood lipid level. In addition, neck circumference and waist circumference also predict cardiopulmonary endurance. The smaller the neck circumference and waist circumference, the better cardiopulmonary endurance. It is suggested that future research on obese adolescents should pay attention to the measurement of neck circumference and waist circumference and the role of cardiopulmonary endurance in protecting cardiovascular health.
【作者单位】：成都体育学院;北京体育大学;北京市体育科学研究所;
【基金】：国家科技支撑计划课题(2012BAK21B02)
【分类号】：R723.14

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