2014年重庆城区儿童青少年代谢综合征及家庭影响因素

发布时间：2018-04-07 17:00

本文选题：儿童　切入点：青少年　出处：《卫生研究》2017年04期

【摘要】：目的了解重庆城区儿童青少年代谢综合征流行现状及其家庭影响因素。方法采用多阶段整群抽样,于2014年从重庆城区获得1309名10~17岁儿童青少年完成体格检查(包括身高、体重、腰围和血压)、血生化检查(包括空腹血糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇)及家庭影响因素问卷(包括孩子是否母乳喂养、分娩方式、出生体重、父母的文化程度、父母的身高体重、是否有高血压和糖尿病家族史等);采用中国儿童青少年代谢综合征定义和防治建议的标准进行代谢综合征的诊断。结果重庆城区儿童青少年代谢综合征检出率为5.5%,其中体重正常、超重和肥胖组代谢综合征检出率分别为0.6%、13.8%和41.2%。单因素分析提示,儿童青少年代谢综合征与父亲体质指数(χ~2=8.237,P=0.016)、母亲体质指数(χ~2=8.978,P=0.011)、父亲职业(χ~2=7.742,P=0.021)、母亲职业(χ~2=6.578,P=0.037)及高血压家族史(χ~2=7.684,P=0.006)有关。多因素分析提示,父亲超重(OR=1.956,95%CI 1.176~3.254)、母亲肥胖(OR=2.934,95%CI 1.230~6.999)及有高血压家族史(OR=1.867,95%CI 1.139~3.059)是儿童青少年代谢综合征的危险因素。结论重庆城区儿童青少年代谢综合征检出率较高;影响其发生的家庭因素主要是父亲超重、母亲肥胖及有高血压家族史。
[Abstract]:Objective to understand the influencing factors of syndrome prevalence and comprehensive family of children and adolescents in Chongqing metabolism. Methods by stratified cluster sampling, in 2014 from the Chongqing city youth of 1309 children aged 10~17 years to complete physical examination (including height, weight, waist circumference and blood pressure), blood biochemical examination (including fasting blood glucose, triglyceride, total cholesterol, high density lipoprotein cholesterol and low density lipoprotein cholesterol) and family influence factors questionnaire (including the child is breastfeeding, mode of delivery, birth weight, parental education, parental height and weight, if there is a family history of diabetes and hypertension in children and adolescents with China); definition of the metabolic syndrome criteria for diagnosis and prevention metabolic syndrome in children and adolescents in Chongqing. Results the prevalence of metabolic syndrome was 5.5%, of which the normal weight, overweight and obesity group of metabolic syndrome Syndrome detection rates were 0.6%, 13.8% and 41.2%. single factor analysis indicated that the metabolic syndrome in children and adolescents with father's body mass index (x ~2=8.237, P=0.016), maternal body mass index (x ~2=8.978, P=0.011), father's occupation (x ~2=7.742, P=0.021), mother's occupation (x ~ 2=6.578, P=0.037) and family history of hypertension (~2=7.684, P=0.006). Multivariate analysis showed that the father (OR=1.956,95%CI 1.176~3.254), overweight (OR=2.934,95%CI 1.230~6.999) and maternal obesity, family history of hypertension (OR=1.867,95%CI 1.139~3.059) is a risk factor for metabolic syndrome in children and adolescents of children and adolescents in Chongqing. Conclusion the prevalence of metabolic syndrome is high; its impact of the family factors father mother is overweight, obesity and family history of hypertension.

【作者单位】：重庆医科大学公共卫生与管理学院医学与社会研究中心健康领域社会风险预测治理协同创新中心;
【基金】：卫生公益性行业科研专项(No.201202010)
【分类号】：R181.3;R725.8

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