摘要
目的:了解不同程度肥胖对儿童血压、血脂的影响,并与正常儿童血压、血脂水平比较分析。方法:354例肥胖儿童分轻度(n=115)、中度(n=136)、重度(n=103)3个组,以同年龄正常体质量儿童为对照组(n=70)。对4组儿童血压、血脂水平进行动态观察,比较分析。所得数据采用方差分析及q检验。结果:①血压:4组样本均数之间差异有显著性(F=70.59,17.86,P<0.01),轻度肥胖儿童收缩压水平即有升高,随着儿童肥胖时间的延长,肥胖程度的加重,重度肥胖儿即有舒张压升高。②血脂水平:不同程度肥胖儿童之间总胆固醇水平波动不大,但均高于正常儿童,但4组均数之间无显著性差异(F=2.02,P>0.05);三酰甘油、低密度脂蛋白-胆固醇、高密度脂蛋白-胆固醇等4组均数之间都有显著性差异(F=12.9,10.0,5.5,P<0.01),轻度肥胖,三酰甘油即升高,中度以上肥胖儿童即有低密度脂蛋白-胆固醇升高,高密度脂蛋白-胆固醇下降;3组肥胖儿载脂蛋白B与正常儿组相比有显著差异(F=25.2,P<0.01),且轻、中、重度肥胖儿童载脂蛋白B水平都有明显升高。结论:不同程度肥胖儿童都伴有脂质代谢紊乱和血压偏高。要从儿童时期开始重视对肥胖的控制。
AIM:To explore the effect of obesity of different degree on the blood pressure and blood lipid, and compare with those levels of unimpaired children. METHODS:354 obesity children were divided into 3 groups:light group(n=115),moderate group(n=136), heavy group(n=106),and children of the same age and normal body weight were as control group(n=70). Dynamic observation and comparative analysis of blood pressure and blood lipid level were made to the children of the 4 groups,and the data were made analysis of variance and q test. RESULTS:①Blood pressure: the mean of the 4 groups samples were significantly different(F=70.59, 17.86,P< 0.01) ,the level of systolic pressure increased if light obesity, and the diastolic pressure increased if heavy obesity along with the elongation of time and increase of obese degree. ②Blood lipid: The fluctuation of total cholesterol level were not great among the obesity children of different degree, while all higher than that of unimpaired children, but there were no significant difference ( F=2.02,P >0.05);the mean of triacylglycerol, low density lipoprotein(LDL) cholesterol, high density lipoprotein(HDL) cholesterol were significantly different (F=12.9,10.0,5.5,P< 0.01),triacylglycerol increased if light obesity,LDL cholesterol increased and HDL cholesterol decreased if over moderate obesity;Apolipoprotein B of the children in 3 obesity groups were significantly different from that in control group(F=25.2,P< 0.01),and its level in the 3 obesity groups were all increased.
出处
《中国临床康复》
CSCD
2003年第30期4086-4087,共2页
Chinese Journal of Clinical Rehabilitation
基金
河南省科技攻关计划项目(971200102-8)
关键词
肥胖
儿童
血压
血脂
脂质代谢紊乱
There is metabolism disorder of lipid and higher blood pressure in children with obesity of different degree. Obesity should be controlled in children.
