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目的了解天水市秦州区3~7岁儿童代谢综合征的患病情况,对秦州区3~7岁儿童代谢综合征的发病情况进行调查。方法对12 686名儿童采用整群随机抽样的方法,随机抽取年龄3~7岁儿童,通过测量身高和体重,计算体重指数(BMI),根据BMI筛检超重、偏胖及肥胖儿童,进行血压、血脂分析、HDL-C及血糖测定。本研究中各项指标检出率的比较采用χ2检验。结果 1天水市秦州区3~7岁儿童肥胖总检出率为0.50%、代谢综合征总患病率为0.10%,其中代谢综合征男8例(0.62%)、女5例(0.38%),男女比较差异无统计学意义(χ2=3.61,P>0.05)。2城市儿童超重患病率是附近农村儿童的2.2倍、偏胖为2.5倍、肥胖是4.5倍,代谢综合征城市9例、农村4例,城市是农村的2.37倍。3肥胖及代谢综合征的发病年龄以5~7岁较多。4影响天水市3~7岁儿童代谢综合征的危险因素有家族遗传史(糖尿病家族史、高血压家族史等)、父母文化水平、膳食喜油炸及高能量饮食、运动时间少等。结论天水市秦州区3~7岁儿童代谢综合征发病率低于国内外儿童,无性别差异,城市儿童多于附近农村儿童,发病年龄以5~7岁较多。其中父母文化水平、体重指数、高脂饮食、运动习惯、高血压及糖尿病的遗传背景等是3~7岁儿童代谢综合征最重要相关因素。
Objective To investigate the prevalence of metabolic syndrome in children aged 3-7 years in Qinzhou District of Tianshui City and investigate the incidence of metabolic syndrome in children aged 3-7 years in Qinzhou District. Methods A total of 12 686 children were randomly enrolled in this study. Children aged 3 to 7 years were randomly selected to calculate body mass index (BMI) by height and weight. BMI was used to screen overweight, obesity and obesity in children. Blood pressure , Lipids analysis, HDL-C and blood glucose measurement. In this study, the detection rate of the indicators using χ2 test. Results The total prevalence of obesity in children aged 3 ~ 7 years was 0.50% in Qinzhou District of Tianshui City, and the overall prevalence of metabolic syndrome was 0.10%. Among them, 8 were metabolic syndrome (0.62%) and 5 were female (0.38%), , No significant difference between men and women (χ2 = 3.61, P> 0.05). 2 The prevalence of overweight in urban children is 2.2 times that of children in rural areas nearby, 2.5 times overweight, 4.5 times overweight, 9 in metabolic syndrome, 4 in rural areas and 2.37 times in urban areas. 3 The age of onset of obesity and metabolic syndrome in 5 to 7 years old more. 4 risk factors affecting 3- to 7-year-old children with metabolic syndrome in Tianshui City are family history (family history of diabetes, family history of hypertension, etc.), parental literacy, dietary frying and high-energy diet, and less exercise time. Conclusion The incidence of metabolic syndrome in children aged 3-7 years in Qinzhou District of Tianshui City is lower than that of domestic and foreign children. There is no gender difference in urban children than in rural children in nearby cities. The age of onset is more than 5 to 7 years old. Among them, the parents’ education level, body mass index, high fat diet, exercise habit, hypertension and the genetic background of diabetes are the most important related factors of 3-7-year-old children’s metabolic syndrome.