新疆維、漢、哈三民族兒童脂肪重聚年齡的比較
發(fā)布時(shí)間：2018-10-20 10:05
【摘要】：目的:通過對(duì)新疆維吾爾族(維族)、漢族、哈薩克族(哈族)兒童生長發(fā)育指標(biāo)隨訪調(diào)查,獲得兒童脂肪重聚(Adiposity Rebound,AR)年齡,比較維、漢、哈三民族兒童AR分布差異性,從而探討AR年齡對(duì)兒童肥胖的預(yù)測(cè)價(jià)值,為制定兒童肥胖干預(yù)策略提供科學(xué)依據(jù)。方法:依托國家自然科學(xué)基金(81260440),前期于2014年完成烏魯木齊市、克拉瑪依市、阿勒泰市、伊寧市四地區(qū)3~9歲兒童體格發(fā)育調(diào)查,進(jìn)行父母填寫問卷調(diào)查獲得兒童家庭狀況、出生情況、父母生長指標(biāo)等信息。本研究對(duì)小于7歲的兒童在每年4月及10月進(jìn)行兩次身高、體重、腰圍測(cè)量的隨訪,共隨訪5次,觀察BMI、BSA、WHtr等指標(biāo)變化情況;應(yīng)用SAS 9.3軟件對(duì)隨訪BMI進(jìn)行廣義相加模型擬合,得出個(gè)體AR年齡,應(yīng)用SPSS 21.0軟件描述維、漢、哈三民族兒童AR年齡分布情況并進(jìn)行比較;分析肥胖兒童和非肥胖兒童中,維、漢、哈三民族AR年齡的分布特征并進(jìn)行比較;分析AR年齡與生長發(fā)育指標(biāo)的相關(guān)性;比較三民族AR年齡與隨訪期間BMI等級(jí)變化的關(guān)系;采用多重線性回歸探究維、漢、哈三民族AR年齡的影響因素。結(jié)果:共隨訪2453名兒童,其中維族875人,漢族1050人,哈族528人;男童1276人,女童1177人。兒童個(gè)體AR年齡多發(fā)生于4~6歲,維、漢、哈三民族AR年齡分布差異有統(tǒng)計(jì)學(xué)意義(F=172.309,P0.001);非肥胖與肥胖組,三民族AR年齡差異仍具有統(tǒng)計(jì)學(xué)意義(F=162.092,P0.001;F=20.87,P0.001);隨訪兒童AR年齡與BMI、BSA、WHtr具有一定相關(guān)性;隨訪期間,BMI分級(jí)由正常變?yōu)榉逝纸M與肥胖變?yōu)檎＝M相比,兩組AR年齡差異有統(tǒng)計(jì)學(xué)意義(t=-10.123,P0.001),且前者AR年齡小于后者;多重線性回歸結(jié)果顯示,家庭收入是維、漢、哈三民族兒童AR年齡的共同影響因素,其他影響因素不完全一致。結(jié)論:維、漢、哈三民族AR年齡分布明顯不同,AR年齡可作為兒童肥胖的一個(gè)預(yù)測(cè)指標(biāo)。
[Abstract]:Objective: to investigate the growth and development indexes of Uygur, Han and Kazakh children in Xinjiang Uygur, and to obtain the age of Adiposity Rebound,AR and the difference of AR distribution among children of Uygur, Han and Kazakh nationalities. To explore the predictive value of AR age on childhood obesity and to provide scientific basis for the formulation of intervention strategies for childhood obesity. Methods: based on the National Natural Science Foundation (81260440), the physical development survey of 3-year-old children in Urumqi, Karamay, Altay and Yining was completed in 2014. Birth status, parental growth indicators and other information. In this study, children younger than 7 years of age were followed up twice a year in April and October to measure height, weight and waist circumference for 5 times, to observe the changes of BMI,BSA,WHtr and other indexes, and to use SAS 9.3 software to carry out generalized additive model fitting to follow up BMI. The age distribution of AR in children of Uygur, Han and Kazakh nationalities was described by using SPSS 21.0 software, and the distribution characteristics of AR age in obese children and non-obese children were analyzed and compared. To analyze the correlation between the age of AR and the growth and development index, to compare the relationship between the age of AR and the change of BMI grade during the follow-up period, and to explore the influence factors of AR age of the three nationalities by multiple linear regression. Results: a total of 2453 children were followed up, including 875 Uygur, 1050 Han, 528 Kazakh, 1276 boys and 1177 girls. The age distribution of AR in children aged 4 to 6 years was statistically significant (F172.309, P0.001), and the age distribution of AR in non-obese and obese groups was significantly higher than that in non-obese and obese groups, but there was a significant difference in the age distribution of AR between Uygur, Han and Kazakh nationalities (P 0.001). The age difference of AR in the three nationalities was still statistically significant (FF162.092P0.001F0.87 P0.001), the age of AR was correlated with BMI,BSA,WHtr in children followed up, during the follow-up period, the BMI grade changed from normal to obese and obese to normal. The age difference of AR between the two groups was statistically significant (t = 10.123, P0.001), and the AR age of the former was lower than that of the latter, and the multiple linear regression showed that family income was the common influencing factor of AR age of children of Uygur, Han and Kazakh nationalities, while the other influencing factors were not completely consistent. Conclusion: the age distribution of AR in Uygur, Han and Kazakh nationalities is obviously different. AR age can be used as a predictor of childhood obesity.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R723.14
本文編號(hào)：2282819
[Abstract]:Objective: to investigate the growth and development indexes of Uygur, Han and Kazakh children in Xinjiang Uygur, and to obtain the age of Adiposity Rebound,AR and the difference of AR distribution among children of Uygur, Han and Kazakh nationalities. To explore the predictive value of AR age on childhood obesity and to provide scientific basis for the formulation of intervention strategies for childhood obesity. Methods: based on the National Natural Science Foundation (81260440), the physical development survey of 3-year-old children in Urumqi, Karamay, Altay and Yining was completed in 2014. Birth status, parental growth indicators and other information. In this study, children younger than 7 years of age were followed up twice a year in April and October to measure height, weight and waist circumference for 5 times, to observe the changes of BMI,BSA,WHtr and other indexes, and to use SAS 9.3 software to carry out generalized additive model fitting to follow up BMI. The age distribution of AR in children of Uygur, Han and Kazakh nationalities was described by using SPSS 21.0 software, and the distribution characteristics of AR age in obese children and non-obese children were analyzed and compared. To analyze the correlation between the age of AR and the growth and development index, to compare the relationship between the age of AR and the change of BMI grade during the follow-up period, and to explore the influence factors of AR age of the three nationalities by multiple linear regression. Results: a total of 2453 children were followed up, including 875 Uygur, 1050 Han, 528 Kazakh, 1276 boys and 1177 girls. The age distribution of AR in children aged 4 to 6 years was statistically significant (F172.309, P0.001), and the age distribution of AR in non-obese and obese groups was significantly higher than that in non-obese and obese groups, but there was a significant difference in the age distribution of AR between Uygur, Han and Kazakh nationalities (P 0.001). The age difference of AR in the three nationalities was still statistically significant (FF162.092P0.001F0.87 P0.001), the age of AR was correlated with BMI,BSA,WHtr in children followed up, during the follow-up period, the BMI grade changed from normal to obese and obese to normal. The age difference of AR between the two groups was statistically significant (t = 10.123, P0.001), and the AR age of the former was lower than that of the latter, and the multiple linear regression showed that family income was the common influencing factor of AR age of children of Uygur, Han and Kazakh nationalities, while the other influencing factors were not completely consistent. Conclusion: the age distribution of AR in Uygur, Han and Kazakh nationalities is obviously different. AR age can be used as a predictor of childhood obesity.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R723.14
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