天津市静海农村地区学龄儿童代谢综合征状况调查分析
发布时间：2019-06-11 20:30
【摘要】：目的 调查天津市静海农村地区10岁至15岁学龄期儿童代谢综合征(MS)的患病情况,探讨儿童MS与肥胖、代谢异常及与各组分的关系,为儿童青少年肥胖及MS早期干预提供可靠的依据。 方法 根据分层整群随机抽样的原则对静海农村地区2596名10岁至15岁学生进行体检,测定腰围、身高、体重、血压、血糖、甘油三酯、胆固醇、高密度脂蛋白、低密度脂蛋白、血尿酸。根据BMI法筛选出超重、肥胖和正常体重儿童,了解不同组别MS及所监测代谢指标异常情况。 结果 1.本研究提示天津市静海农村地区学龄期儿童MS患病人数比例较高,应引起人们的关注,共检出代谢综合征81例,男生49名,女生32名,总检出率为3.12%,肥胖与超重学龄儿童中MS发病人数81例,检出率为14.70%。 2.依据BMI划分肥胖组、超重组与正常组,天津市静海农村地区2596名10岁至15岁儿童超重检出率为12.71%,肥胖检出率为8.51%,其中男生的超重者为14.11%,肥胖者为9.15%,女生超重为11.28%,肥胖为7.86%,男生明显高于女生,p0.05。 3.肥胖组与超重组及正常组比较,TG、TC、HDL-C、LDL-C均存在显著差异,p0.05；各年龄组儿童血脂异常者共284人,总检出率为10.94%,其中TG水平升高者160例(6.16%),TC水平升高者143例(5.51%),HDL-C (?)(?)低者141例(5.43%),LDL-C水平升高者73例(2.81%),TG水平随年龄增长有升高趋势,而HDL-C水平随年龄增长有降低趋势。 4.按性别分组,男生与女生TC、LDL-C、HDL-C、GLU、BMI均存在显著的差异,其中男生的TC、LDL-C、HDL-C均低于女生,而GLU、BMI均高于女生,男生与女生TG差异无统计学意义,(p0.05)。 5.高尿酸血症311例,占总人数的11.59%,男生高尿酸血症检出率明显高于女生,女生为4.82%,男生18.99%,二者比较差异具有统计学意义(p0.05)；高尿酸血症组与尿酸正常组比较,BMI、腰围、血压均明显增高,血尿酸水平与年龄、腰围、BMI、血压均呈正相关。 结论 1.通过在较大样本儿童青少年人群中的调查,报道天津市静海农村地区儿童青少年代谢综合征及其组分异常检出率,本研究结果提示本地区肥胖儿童已具有较高的代谢综合征患病率。 2.本研究显示腹型肥胖、高甘油三酯血症及高血压是发生率最高的代谢综合征成分。 3.静海农村地区儿童中约3.12%患有代谢综合征,已经出现腹型肥胖、血脂异常、高血压等心血管疾病主要危险因素。儿童超重和肥胖与代谢综合征及其代谢异常组份密切相关,随着儿童体重增加,儿童发生代谢综合征及其代谢异常组份风险明显增加。
[Abstract]:Purpose To investigate the prevalence of metabolic syndrome (MS) of children between the ages of 10 and 15 in the rural areas of the Jinghai, Tianjin, and to study the relationship between the children's MS and obesity, the abnormal metabolism and the relationship with the components, and to provide a reliable basis for the early intervention of the children's obesity and the early intervention of the MS. It was reported. Methods According to the principle of stratified cluster random sampling,2596 students from 10 to 15 years of age in the rural area of Jinghai were examined, and the waist, height, body weight, blood pressure, blood sugar, triglyceride, cholesterol, high density lipoprotein and low density fat were measured. White and blood uric acid. Overweight, obese and normal weight children were selected according to the BMI method to understand the MS and the monitored metabolic finger in different groups. to be different from one another Results 1. The results of this study suggest that the proportion of MS of children in the rural areas in the rural area of Tianjin is high, and the attention of the people should be caused. Among them, there are 81 cases of metabolic syndrome,49 male and 32 female students. The total detection rate is 3.12%, and the obesity and overweight school-age children The number of MS in 81 cases, the test The prevalence of overweight was 14.70%.2. The prevalence of overweight was 12.71%, the prevalence of obesity was 8.51%, the overweight of boys was 14.11%, the rate of obesity was 9.15%, and the overweight was 11.2%. 8%, obesity 7.86%, boys There was a significant difference in TG, TC, HDL-C and LDL-C in the obese group compared with that in the normal group. The total positive rate of TG, TC, HDL-C and LDL-C was 10.94%. Among them, there were 160 cases (6.16%) of TG level and 143 cases (6.16%) of TC. 5.5 1 (%), while HDL-C (?) (?) (?) (?) (?) (?) (?) (?)? (?)? (?)? 4. The levels of TC, LDL-C and HDL-C in male and female were lower than that of female, while GLU and BMI were higher than that of girls. 5. There were 311 cases of hyperuricemia, 11.59% of the total, and the rate of hyperuricemia in boys was significantly higher than that of female students (4.82%) and the male (18.99%), and the difference of the two was statistically significant (p0.05); hyperuricemia Compared with the normal group of uric acid, BMI, waist circumference and blood pressure were significantly higher, and the level of uric acid was higher than that in the normal group of uric acid. age Conclusion 1. The prevalence of metabolic syndrome and its components in children and adolescents in the rural areas of Tianjin are reported. Obese children in the region have a high prevalence of metabolic syndrome.2. The study shows that abdominal obesity, Gump, Oil triester and hypertension are the highest rate of metabolic syndrome.3. About 3.12% of children in the rural areas of the static sea have a metabolic syndrome, which has occurred. The main risk factors of the cardiovascular diseases such as abdominal obesity, dyslipidemia, hypertension, etc. The overweight and obesity of children are closely related to the metabolic syndrome and its metabolic abnormal components, and with the increase of the weight of the children
【学位授予单位】：天津医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R725.8
[Abstract]:Purpose To investigate the prevalence of metabolic syndrome (MS) of children between the ages of 10 and 15 in the rural areas of the Jinghai, Tianjin, and to study the relationship between the children's MS and obesity, the abnormal metabolism and the relationship with the components, and to provide a reliable basis for the early intervention of the children's obesity and the early intervention of the MS. It was reported. Methods According to the principle of stratified cluster random sampling,2596 students from 10 to 15 years of age in the rural area of Jinghai were examined, and the waist, height, body weight, blood pressure, blood sugar, triglyceride, cholesterol, high density lipoprotein and low density fat were measured. White and blood uric acid. Overweight, obese and normal weight children were selected according to the BMI method to understand the MS and the monitored metabolic finger in different groups. to be different from one another Results 1. The results of this study suggest that the proportion of MS of children in the rural areas in the rural area of Tianjin is high, and the attention of the people should be caused. Among them, there are 81 cases of metabolic syndrome,49 male and 32 female students. The total detection rate is 3.12%, and the obesity and overweight school-age children The number of MS in 81 cases, the test The prevalence of overweight was 14.70%.2. The prevalence of overweight was 12.71%, the prevalence of obesity was 8.51%, the overweight of boys was 14.11%, the rate of obesity was 9.15%, and the overweight was 11.2%. 8%, obesity 7.86%, boys There was a significant difference in TG, TC, HDL-C and LDL-C in the obese group compared with that in the normal group. The total positive rate of TG, TC, HDL-C and LDL-C was 10.94%. Among them, there were 160 cases (6.16%) of TG level and 143 cases (6.16%) of TC. 5.5 1 (%), while HDL-C (?) (?) (?) (?) (?) (?) (?) (?)? (?)? (?)? 4. The levels of TC, LDL-C and HDL-C in male and female were lower than that of female, while GLU and BMI were higher than that of girls. 5. There were 311 cases of hyperuricemia, 11.59% of the total, and the rate of hyperuricemia in boys was significantly higher than that of female students (4.82%) and the male (18.99%), and the difference of the two was statistically significant (p0.05); hyperuricemia Compared with the normal group of uric acid, BMI, waist circumference and blood pressure were significantly higher, and the level of uric acid was higher than that in the normal group of uric acid. age Conclusion 1. The prevalence of metabolic syndrome and its components in children and adolescents in the rural areas of Tianjin are reported. Obese children in the region have a high prevalence of metabolic syndrome.2. The study shows that abdominal obesity, Gump, Oil triester and hypertension are the highest rate of metabolic syndrome.3. About 3.12% of children in the rural areas of the static sea have a metabolic syndrome, which has occurred. The main risk factors of the cardiovascular diseases such as abdominal obesity, dyslipidemia, hypertension, etc. The overweight and obesity of children are closely related to the metabolic syndrome and its metabolic abnormal components, and with the increase of the weight of the children
【学位授予单位】：天津医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R725.8
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