摘要
目的 分析矮身材儿童的致矮因素 ,为开展针对性干预措施、降低矮身材发生率提供依据。方法 对郑州市 4所中学初中生3 2 4 0名进行身高测量 ,筛选出 92例矮身材儿童为研究对象 ,将正常身高儿童 1∶1与之配对 ,进行问卷调查、体格测量、骨龄判定、血清激素及头发微量元素测定。结果 矮身材检出率为 3 .2 1 % ;病例与对照组间父母身高、骨龄差异有显著性 (P <0 .0 0 1 ) ,出生方式、出生体重差异有显著性 (P值分别 <0 .0 5和 0 .0 1 ) ;矮身材儿童偏食者多、缺乏体育活动 ,两组差异有显著性 (P值分别 <0 .0 5和 0 .0 1 ) ;矮身材组血清睾酮均值低于对照组 (P <0 .0 0 1 ) ,睾酮与身高、骨龄之间存在正相关性。结论 矮身材发生与父母身材矮小、难产、低出生体重、偏食、体育活动少、血清睾酮水平偏低等因素有关 ;
Objective To explore the factors related to short stature and to provide scientific evidence for preventing and controlling children's short stature.Methods The method of 1∶1 matched case control study was adopted.Ninety two students of short stature were taken as experimental group, which were selected from 3 240 students in 4 middle schools, and those of normal stature were taken as the controls. All Students were given questionnaires, anthropometric assessment and their estimation of skeletal age.Hair trace element (Ca,Zn,Cu,Fe),serum testosterone were measured.Results The incidence of short stature was 3.21%;the stature of parents and skeletal age were different between experimental and control groups( P <0.01).The dystocia history, low birth weight, partiality for particular foods and less sports for experimental group were significantly higher than those of control group(separate P <0.05 and 0.01).The serum testosterone content for experimental group was significantly lower than that of the control group( P <0.001).The testosterone was correlated with parents' stature and skeletal age.Conclusion The incidence of short stature is associated with the stature of parents, dystocia history, lower birth weight, partiality for particular foods, less sports and serum testosterone.The lower testosterone content may be the endocrine factor resulting in short stature.
出处
《中国学校卫生》
CAS
北大核心
2004年第1期21-23,共3页
Chinese Journal of School Health
关键词
身高
睾酮
生活方式
儿童
青少年
Body height
Testosterone
Life style
Child
Adolescence
