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目的:分析国际糖尿病联盟(IDF)及Cook等人提出的儿童标准(Cook)两种代谢综合征(MS)工作定义在超重/肥胖儿童中的应用可行性。方法:选取我院2013年1月~2014年2月体检的儿童120例,分为正常组、超重组和肥胖组。利用相关标准进行诊断,对比MS的患病率等。结果:应用IDF和Cook提出的MS整段儿童MS时,三组均保持较高的一致性。此外,三组的DBP、TG、HDL、FPG比较无差异无统计学意义(P>0.05);而BMI、Wc、Hc、WHr、SBP、PP比较均有差异有统计学意义(P<0.05)。结论:用IDF和Cook对MS的诊断均可以对儿童MS者的代谢异常集聚程度进行较为有效的反应,两种诊断标准均有高度一致性。
OBJECTIVE: To analyze the applicability of the two definitions of metabolic syndrome (MS) work defined by the International Diabetes Federation (IDF) and Cook et al. In Cook-Overweight / Obese Children. Methods: A total of 120 children from January 2013 to February 2014 in our hospital were selected and divided into normal group, overweight group and obesity group. The use of relevant standards for diagnosis, compared to the prevalence of MS and so on. Results: All the three groups maintained a high consistency when using the entire MS pedigree of MS proposed by IDF and Cook. There was no significant difference in DBP, TG, HDL and FPG between the three groups (P> 0.05), but there was significant difference between BMI, Wc, Hc, WHr, SBP and PP . CONCLUSIONS: Both IDF and Cook’s diagnosis of MS can be more effective in assessing the extent of metabolic abnormalities in children with MS, and both diagnostic criteria are highly consistent.