本文選題：肥胖癥　切入點(diǎn)：心血管系統(tǒng)　出處：《中國(guó)學(xué)校衛(wèi)生》2017年08期

【摘要】：目的了解體重正常而體脂肪含量超標(biāo)的"隱性肥胖"青少年與正常組心血管代謝指標(biāo)的差異,為評(píng)估青少年肥胖及心血管代謝風(fēng)險(xiǎn)提供依據(jù)。方法選取哈爾濱市體質(zhì)監(jiān)測(cè)點(diǎn)校某中學(xué)的623名初中生進(jìn)行體格檢查、體成分測(cè)定及相關(guān)代謝生化指標(biāo)檢測(cè)。將BMI正常的369名初中生作為研究對(duì)象,將體脂率男生20%,女生25%定義為隱性肥胖,其中隱性肥胖組134名,正常組235名。結(jié)果學(xué)生隱性肥胖檢出率為36.3%,其中男生為18.9%,女生為48.6%(χ~2=34.06,P0.05)。隱性肥胖組總膽固醇(TC)和低密度脂蛋白膽固醇(LDL-C)水平均高于正常組,男生隱性肥胖組三酰甘油(TG)水平高于正常組,女生隱性肥胖組高密度脂蛋白膽固醇(HDL-C)水平低于正常組(P值均0.05);隱性肥胖組血壓、血糖水平與正常組之間的差異均無(wú)統(tǒng)計(jì)學(xué)意義(P值均0.05)。男生隱性肥胖組高TG血癥檢出率高于正常組,女生隱性肥胖組高TC、高LDL-C檢出率均高于正常組(P值均0.05),但男女生隱性肥胖組與正常組的血壓偏高和高血糖的檢出率差異均無(wú)統(tǒng)計(jì)學(xué)意義(P值均0.05)。結(jié)論哈爾濱市某中學(xué)隱性肥胖檢出率較高,隱性肥胖的青少年存在一定比例血脂代謝異常。及早識(shí)別青少年隱性肥胖,對(duì)控制心血管代謝性疾病具有積極意義。
[Abstract]:Objective to investigate the difference of cardiovascular metabolic indexes between recessive obese adolescents with normal body weight and body fat content, and to provide evidence for assessing obesity and cardiovascular metabolic risk in adolescents.Methods 623 junior high school students from a middle school in Harbin physical monitoring point were selected for physical examination, body composition determination and related metabolic biochemical index detection.A total of 369 junior high school students with normal BMI were studied. The body fat rate of 20 boys and 25% of girls was defined as recessive obesity, including 134 recessive obesity and 235 normal subjects.Results the prevalence rate of recessive obesity was 36.3%, including 18.9% for boys and 48.6% for girls (蠂 ~ 2 + 34.06) (P 0.05).The levels of total cholesterol (TC) and low density lipoprotein cholesterol (LDL-C) in the recessive obesity group were higher than those in the normal group, and the levels of triglyceride TGin in the male recessive obesity group were higher than those in the normal group.The HDL-Clevel of female covert obesity group was lower than that of normal group (P < 0.05), and there was no significant difference in blood pressure, blood glucose level between recessive obesity group and normal group (P = 0.05).The detection rate of hypertriglyceridemia in boys with recessive obesity was higher than that in normal subjects.The detection rate of high TC and high LDL-C in female recessive obesity group was higher than that in normal group (P < 0.05), but there was no significant difference in blood pressure and hyperglycemia between male and female recessive obesity group and normal group (P = 0.05).Conclusion the detection rate of recessive obesity is high in a middle school in Harbin, and there is a certain proportion of abnormal lipid metabolism among the adolescents with recessive obesity.Early identification of adolescent recessive obesity has positive significance in controlling cardiovascular metabolic diseases.
【作者單位】： 哈爾濱醫(yī)科大學(xué)公共衛(wèi)生學(xué)院兒少衛(wèi)生與婦幼保健學(xué)教研室;牡丹江市婦幼保健院;哈爾濱市中小學(xué)保健所;北京大學(xué)公共衛(wèi)生學(xué)院兒童青少年衛(wèi)生研究所;
【基金】：衛(wèi)生行業(yè)科研專(zhuān)項(xiàng)基金項(xiàng)目(201202010)
【分類(lèi)號(hào)】：R723.14

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