摘要
目的通过大样本流行病学调查,了解北京地区肥胖儿童青少年血脂状况,为早期预防心血管疾病的发生提供科学依据。方法对北京市4个市区包括东城、西城、海淀、朝阳,3个郊区包括大兴、平谷、延庆共7个城郊区县的6~19岁儿童青少年进行横断面的流行病学调查,共19450例。男9 727例,女9723例;年龄（12.59±3.25）岁。城区儿童青少年10292例,郊区儿童青少年9158例。测量所有对象的体质量、身高,计算体质量指数（BMI）,参照《中国学生超重、肥胖BMI筛查标准》,根据BMI将被调查人群分为肥胖组（n=2220）、超重组（n=1690）和正常组（n=15540）,应用Accutrend GCT诊断仪检测各组周围血总胆固醇（TC）和三酰甘油（TG）。应用SPSS 13.0软件进行统计学分析。结果肥胖组TC、TG水平均显著高于超重组及正常组（Pa〈0.01）。在正常组中,女生TC、TG显著高于男生,城区人群TC水平显著高于郊区,而郊区人群TG水平显著高于城区（Pa〈0.01）。在超重组中,男生和女生TC水平无显著性差异,TG水平女生显著高于男生（P〈0.01）,城区人群TC水平显著高于郊区（P〈0.05）,而城区、郊区人群TG水平无显著性差异。在肥胖组中,男生和女生TC水平及TG水平均无显著性差异,城区、郊区人群间比较TC、TG水平均无显著性差异。结论肥胖儿童青少年血TC、TG水平显著升高,血脂水平存在城郊区间及性别间的分布特征。
Objective To understand the profile of lipid level in obese children and adolescent in Beijing area through the epidemiologi- cal study so as to provide theoretical base for early prevention from cardiovascular diseases. Methods Nineteen thousand four hundred and fifty children aged 6 to 19 years old from 4 urban areas, including Dongcheng, Xicheng, Haidian and Chaoyang, and 3 rural areas, including Da-xing,Pinggu and Yanqing,were surveyed in a random cluster sample in Beijing area. Of them,9 727 were boys and 9 723 were girls,aged （ 12.59 ± 3.25） years old. Ten thousand two hundred and ninety - two subjects came from urban and 9 158 from rural areas. Body weight, height were measured by using internationally standardized methods, and body mass index （BMI） were calculated. According to Body Mass In- dex Reference Norm for Screening Overweight and Obesity in Chinese Children and Adolescents and BMI, all children were divided into 3 groups according to BMI：overweight group （n =2 220） ,obesity group （ n = 1 690） and healthy group （ n = 15 540）. Fasting capillary blood total cholesterol （TC） and triglyceride （TG） levels were measured by Accutrend GCT Detector. SPSS 13.0 software was used to analyze the data. Results The levels of TC and TG in obesity group were significantly higher than those in overweight and healthy groups （P 〈 0.01 ）. In healthy group ,the levels of TC and TG in girls were significantly higher than those in boys ,the level of TG in urban was higher than that in rural, while the level of TG in rural was higher than that in urban （P 〈 0.01 ）. In overweight group, the level of TG in girls was higher than that in boys（P 〈0.01 ）. The level of TC in girls were not differ from that in boys. The level of TC in urban was higher than that in rural （ P 〈 0.05 ）, but the level of TG in urban was not differ from that in rural. In obesity group, the levels of TC and TG in girls did not differ from those in boys, and the levels of TC and TG in urban did not differ from those in rural. Conclusions The levels of TC and TG in obese children and adolescent are significantly high, and there are epidemiological characteristics of urban - countryside and gender differences.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2008年第13期997-999,共3页
Journal of Applied Clinical Pediatrics
基金
国家自然科学基金项目资助(30425010,30630031,30571971)
国家重点基础研究发展规划项目资助(2006CB503807)
国家长江学者奖励计划
北京市科技计划项目资助(H030-93003003)
关键词
血脂
肥胖
北京
儿童
青少年
lipid
obese
Beijing
child
adolescent
