本文已被：浏览 3791次 下载 0次
中文摘要: 目的 使用不同指标评价儿童青少年肥胖，探讨各项指标对儿童青少年代谢综合征的诊断价值。 方法 选取辽宁省辽阳市917名11~16周岁的初高中学生为研究对象，测量身高、体重、腰围和血压，测定空腹血糖、空腹胰岛素和血脂系列。 结果 (1) 男生的腰围、体质指数(BMI)、腰臀比、腰围身高比、血压和血糖均显著高于女生。(2) 体质指数与腰围筛查肥胖结果有关联，但关系不大密切，二者的一致性较差。(3) 腰围、体质指数、腰臀比和腰围身高比均适用于代谢综合征的评估，腰围对评估代谢综合征的诊断价值最高，其次为腰围身高比；腰围身高比的敏感性最高。 结论 腰围对儿童青少年肥胖的筛查优于体质指数，对评估代谢综合征等心血管疾病危险因素的风险更有价值。
Abstract:OBJECTIVE Using different indicators to evaluate obesity in children，and to compare their diagnostic value of metabolic syndrome in children. METHODS It performed a cross-sectional study on 917 children and adolescents aged 11~16 years from junior and senior high schools in Liaoyang City, Liaoning Province. The height, weight, waist circumference, blood pressure, fasting glucose, fasting insulin, total cholesterol, low density lipoprotein cholesterol, high density lipoprotein protein cholesterol and triglycerides were measured. RESULTS (1) Waist circumference, body mass index, waist-hip ratio, waist high ratio, blood pressure and blood glucose were significantly higher in boys. (2) There were association between body mass index and waist circumference in diagnose obesity, but not closely related. The consistency were poor. (3) Waist circumference, body mass index, waist-hip ratio and waist high ratio were applicable to the assessment of metabolic syndrome. Waist circumference had the maximum value. Waist high ratio had the highest sensitivity. CONCLUSION Waist was better screening obese in children than body mass index, which was more valuable to assess the risk factors of cardiovascular disease.
keywords: children obesity body mass index waist metabolic syndrome
文章编号：3202003053 中图分类号：R589.2 文献标志码：
基金项目:
| 作者 | 单位 |
| 郭 爽①，白冬志①，王杨① |
| Author Name | Affiliation |
引用文本：