摘要
目的探讨三重系统性干预对肥胖儿童血脂和胰岛素的影响。方法选择于2012年3月—2014年2月在门诊就诊的90例肥胖儿童为研究对象,采用三重系统性干预措施对肥胖儿童进行12周减肥干预,包括健康教育的"知"、食和运动的"行"、督促和鼓励,比较干预前后肥胖儿童的健康知识知晓综合评分、评价分布、生理和血生化指标的变化情况。结果 1肥胖男童干预前的健康知识知晓综合评分为(46.56±16.04)分,干预后为(58.27±14.68)分,干预前后差异有统计学意义(t=4.030,P<0.05);肥胖女童干预前的健康知识知晓综合评分为(47.97±18.7)分,干预后为(62.34±14.68)分,干预前后差异有统计学意义(t=4.522,P<0.05)。2干预前,肥胖儿童评价分布为正常状态零例;轻度肥胖16例,占17.78%;中度肥胖28例,占31.11%;重度肥胖46例,占51.11%。而干预后,正常状态15例,占16.67%;轻度肥胖38例,占42.22%;中度肥胖12例,占13.33%;重度肥胖25例,占27.78%。干预前后的差异有统计学意义(χ2值分别为16.364、12.804、8.229、10.257,均P<0.05)。3肥胖儿童干预后的体重、BMI、舒张压和收缩压均明显低于干预前(P<0.05)。4肥胖儿童干预后的血糖、胰岛素、胆固醇、低密度脂蛋白胆固醇明显低于干预前,高密度脂蛋白胆固醇明显高于干预前(P<0.05)。结论三重系统性干预措施能有效地改善儿童肥胖症状,明显地降低了血脂,胰岛素水平,降低了儿童肥胖率。
[Objective ] to observe the influence of triple systemic intervention on blood lipid and insulin of obese children. [Methods] A total of 90 cases of obese children in clinic from March 2012-February 2014 were chosen as the research object, they were intervened by triple systemic intervention measures for 12 weeks, including health education, diet and movement, supervision and encouragement, the comprehensive rating of health knowledge level of obese children, distribution and physiological indexes and blood biochemical index before and after the intervention were observed. [Results] The health knowledge level of comprehensive score of fat boy before intervention was （46.56±16.04）, after intervention for（58.27±14.68）, the difference between before and after the intervention was significant （t =4.030, P〈0.05）; for the health knowledge level of comprehensive score of obese girls before intervention was（47.97±18.7）, after intervention for（62.34±14.68）, the difference between before and after the intervention was significant （t =4.522, P〈0.05）. Before intervention, the evaluation of obese children distribution for normal was 0 cases, 16 cases （17.78%） were mild obesity, moderate obesity of 28 cases （31.11%）, severe obesity of 46 cases （51.11%）. And after the intervention, 15 cases （16.67%） had the normal state, 38 cases （42.22%） of mild obesity, 12 cases （13.33%） of moderately obese, 25 cases （27.78%,） of severe obesity, distribution of obese children evaluation before and after intervention was significantly different （X2 values were 16.364, 12.804, 8.229 , 10.257, P〈0.05）. The body weight, BMI, diastolic and systolic blood pressure of obese children before intevention were significantly lower than those before intervention （P〈0.05）. The blood glucose, insulin, TC, LDL-C was significantly lower than those before intervention, while HDL-C was significantly higher （P〈O.05）.[ Conclusion ] The triple systemic intervention measures can effectively ameliorate the symptoms of childhood obesity, significantly reduce the blood lipid, insulin level, and obesity rate among children.
出处
《职业与健康》
CAS
2015年第6期859-861,864,共4页
Occupation and Health
关键词
肥胖儿童
血脂
胰岛素
Obese children
Blood lipid
Insulin
