摘要
儿童青少年肥胖发病率不断升高,但并非所有相同程度肥胖的个体都具有相同的心血管代谢风险,故根据代谢风险定义中国儿童青少年代谢健康型肥胖(MHO)表型,并筛查代谢异常型肥胖(MUO)对儿童青少年肥胖的临床管理和治疗决策具有重要意义。由此召集并成立了一个由多名多学科专家组成的委员会,基于国内大型儿童青少年代谢综合征前瞻性队列研究结果,参考国外相关研究结论,形成了一个中国儿童MHO定义。MHO的定义包括:依据体质量指数(BMI)诊断肥胖:BMI≥95百分位数(同年龄同性别,适用年龄≥2岁),同时高密度脂蛋白胆固醇>1.03 mmol/L、甘油三酯<1.70 mmol/L、收缩压和舒张压<同年龄同性别儿童血压的第90百分位数(P90)及空腹血糖<5.6 mmol/L。专家委员会进一步制定出筛查MUO的共识。
The incidence of child and adolescent obesity continuously rise,but we all known that not all individuals with the same degree of obesity possess equivalent cardiovascular risks.Therefore,according to the metabolic risk define China children and teenagers metabolically healthy obese(MHO)phenotype,screening metabolically unhealthy obesity(MUO)on the clinical management and treatment of child and adolescent obesity decision is of great significance.Then a committee composed of multidisciplinary experts was convened and established to form a definition of MHO for children in China based on the results of a large prospective cohort study on metabolic syndrome in children and adolescents in China and the conclusions of relevant studies abroad.The definition of MHO included:body mass index(BMI)was used to diagnose obesity:BMI≥95 percentiles(same age and gender,applicable age≥2 years old),HDL cholesterol>1.03 mmol/L,triglyceride<1.70 mmol/L,systolic and diastolic blood pressure<P90 and fasting blood glucose <5.6mmol/L for children of the same age and sex.The expert committee further developed a consensus on screening the MUO.
出处
《中国妇幼健康研究》
2019年第12期1487-1490,共4页
Chinese Journal of Woman and Child Health Research
