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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 investigate the effects of triple intervention on obesity and lipids and insulin in obese children. Methods 90 obese children treated in the outpatient department from March 2012 to February 2014 were selected as the research objects. The obese children were given weight-loss intervention for 12 weeks by triple systematic interventions, including “knowledge” of health education, And exercise “row ”, supervise and encourage, compare the health knowledge of obese children before and after intervention to know the comprehensive score, evaluation of distribution, physiological and blood biochemical changes. Results The obesity boy’s pre-intervention knowledge of health knowledge was (46.56 ± 16.04) points and (58.27 ± 14.68) points after intervention, the difference was statistically significant before and after intervention (t = 4.030, P <0.05) The comprehensive knowledge of health knowledge before intervention was (47.97 ± 18.7) points and (62.34 ± 14.68) points after intervention, the difference was statistically significant before and after intervention (t = 4.522, P <0.05). 2 Before intervention, the distribution of obese children was zero in normal distribution; 16 cases were mild obesity, accounting for 17.78%; 28 cases were moderate obesity, accounting for 31.11%; 46 cases were severe obesity, accounting for 51.11%. After intervention, 15 cases were normal, accounting for 16.67%; 38 cases were mild obesity, accounting for 42.22%; 12 cases were moderate obesity, accounting for 13.33%; 25 cases were severe obesity, accounting for 27.78%. The difference between before and after intervention was statistically significant (χ2 values were 16.364,12.804,8.229,10.257, all P <0.05). Body mass, BMI, diastolic blood pressure and systolic blood pressure in obese children were significantly lower than those before intervention (P <0.05). The levels of blood glucose, insulin, cholesterol and low-density lipoprotein cholesterol in obese children after intervention were significantly lower than before intervention, and the levels of high-density lipoprotein cholesterol were significantly higher than those before intervention (P <0.05). Conclusions Triple systematic interventions can effectively improve childhood obesity symptoms, significantly reduce the level of blood lipids and insulin, and reduce the rate of childhood obesity.