石家庄市学龄儿童超重、肥胖与血压、血脂和血糖的关系

谭凤珠; 董会敏; 冯桂华; 冯长龙; 曾强; 董少霞; 王颖; 周秀银; 郭占景

Abstract

谭凤珠,董会敏,冯桂华,冯长龙,曾强,董少霞,王颖,周秀银,郭占景.石家庄市学龄儿童超重、肥胖与血压、血脂和血糖的关系[J].Chinese journal of Epidemiology,2005,26(8):592-595

石家庄市学龄儿童超重、肥胖与血压、血脂和血糖的关系

Study on the relations between overweight, obesity, blood pressures, serum lipids and glucose in schoolchildren of Shijiazhuang city

Received:November 04, 2004

DOI：

KeyWord: 儿童超重肥胖危险因素

English Key Word: Childhood Overweight Obesity Risk factors

FundProject:国家留学回国基金资助项目(2000479);
河北省科委攻关课题资助项目(0127677D);河北省教委博士基金资助项目(B2002216)

Author Name	Affiliation
TAN Feng-zhu	Departmentof Environmental Health, School of Public Health, Hebei Medical University, Shijiazhuang 050017, China
DONG Hui-min	石家庄市疾病预防控制中心
FENG Gui-hua	河北省疾病预防控制中心学校卫生科
FENG Chang-long	Departmentof Environmental Health, School of Public Health, Hebei Medical University, Shijiazhuang 050017, China
ZENG Qiang	Departmentof Environmental Health, School of Public Health, Hebei Medical University, Shijiazhuang 050017, China
DONG Shao-xia	Departmentof Environmental Health, School of Public Health, Hebei Medical University, Shijiazhuang 050017, China
WANG Ying	石家庄市疾病预防控制中心
ZHOU Xiu-yin	Departmentof Environmental Health, School of Public Health, Hebei Medical University, Shijiazhuang 050017, China
GUO Zhan-jing	石家庄市疾病预防控制中心

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Abstract:

目的探讨城市学龄儿童超重、肥胖与血压、血脂和血糖等心血管疾病危险因素的聚集性。方法采用多阶段分层抽样,测定石家庄市区913名7～13岁儿童的身高、体重、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDLC)和空腹血糖水平。结果儿童超重和肥胖总检出率为29.24%(男34.98%,女24.23%)。与正常儿童相比,超重和肥胖儿童的SBP、DBP、TC和TG水平明显升高,HDLC明显降低。超重和肥胖儿童的高血压、高TG、高TC、高血糖和低HDLC检出率也明显高于正常儿童。校正年龄和性别后,超重和肥胖儿童的SBP、DBP、TC、TG、血糖升高和HDLC降低的危险性分别为正常儿童的6.77、3.22、2.55、6.42、3.85和2.94倍(95%CI分别是4.15～11.04、1.38～7.49、1.59～4.11、3.46～11.92、1.69～8.78和1.83～4.73);超重与肥胖儿童有任意1、2、3个所选心血管疾病危险因素的危险性分别是正常儿童的2.74、13.15和15.33倍(95%CI分别是1.92～3.92、6.69～25.87和4.17～56.39)。结论儿童期超重与肥胖增加儿童心血管疾病危险因素的聚集性以及儿童获得多个心血管疾病的危险性。控制儿童超重和肥胖有助于心血管疾病的早期预防。

English Abstract:

Objective To explore the clustering character of overweight and obesity with multiple cardiovascular disease risk factors such as blood pressure, serum lipids and glucose, and to provide evidence for intervention in childhood. Methods A cross-sectional study was conducted on 913 children aged 7-13years in urban area of Shijiazhuang. Measurements included height, weight, systolic blood pressure(SBP), diastolic blood pressure(DBP) and fasting serum total cholesterol(TC), triglyceride(TG), high-density lipoprotein cholesterol(HDL-C) and serum glucose(GLU). Results Overall prevalence rate of overweight and obesity was 29.24%(boys: 34.98% vs. girls: 24.23%). When compared with normal children, children with overweight or obesity had significantly higher levels of SBP, DBP, TC, TG but low HDL-C. The prevalence rates of high SBP, DBP, TC, TG, GLU and low HDL-Cin overweight and obese children were higher than in normal children. After adjusted for gender and age, the odds ratios of overweight and obese children for high SBP, DBP, TC, TG, GLU and low HDL-Cwere 6.77, 3.22, 2.55, 6.42, 3.85and 2.94(95%CI: 4.15- 11.04, 1.38- 7.49, 1.59- 4.11, 3.46- 11.92, 1.69- 8.78and 1.83- 4.73), respectively. Odds ratios of overweight and obese children holding any one, two or three of the selected six risk factors appeared to be 2.74, 13.15and 15.33(95%CI: 1.92- 3.92, 6.69- 25.87and 4.17- 56.39), respectively. Conclusion Childhood overweightand obesity increased the clustering of children's risk factors on cardiovascular diseases, as well as increasing the risk of children acquiring multiple cardiovascular disease risk factors. Controlling overweight and obesity would help early prevention on children from getting cardiovascular diseases.

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