北京市体重正常和超重肥胖儿童血糖血脂状况分析.pdfVIP

坚旦堂拭卫生2007年1 箜堡誊第12期 Chin J Sch Health，December 2007，Vo1．28，No．12 1087 【生长发育与健康状况】 北京市体重正常和超重肥胖儿童血糖血脂状况分析 张世伟 ，马军 ，邬盛鑫 ，张衡 ，马受良 【摘要】 目的 探讨超重、肥胖儿童血糖、血脂水平变化特点，为儿童肥胖的干预研究提供依据。方法 选择北京市3所中学、2所小 学，根据2005—2006年中小学生体检身高、体重结果进行筛选，对自愿参加的1 045名7～15岁学生进行身高、体重测量。采集空腹肘静脉 血测定血清总胆固醇(Tc)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL—C)、低密度脂蛋白胆固醇(LDL—C)和空腹血糖(FPG)。结果 FPG，TG，HDL—C，LDL—C在不同体型男、女儿童间差异均有统计学意义(P值均0．01)，HDL—C水平为肥胖组超重组正常组，FPG， TG，LDL—C水平均为肥胖组超重组正常组。男童Tc异常检出率差异无统计学意义，FPG，TG，LDL—C偏高和HDL—C偏低的检出率 均为肥胖组超重组正常组；女童FPG，TC，LDL—C异常检出率差异均无统计学意义(P值均0．05)，TG偏高和HDL—C偏低的检出率 为肥胖组超重组正常组。结论 超重和肥胖儿童较体重正常儿童存在明显的血糖和血脂异常。应加强超重和肥胖儿童血糖和血脂检 测，并进行综合干预。 【关键词】体重；超重；肥胖症；血糖；血脂异常；儿童 【中图分类号】 R 179 R 589．2 【文献标识码】A 【文章编号】 10130．9817(2Oo7)12．1087．03 FastingGlucose and SerumLipidsI七veI ofNomal-weight，Overweight andObeseChildreninBeijing／ZHANGShi—wei 。MA Jun，WUSheng-xin。et a1．7rtstitutefor Children andAdolescent Health，Peking University。Beijing(100083)。China 【Abstract】 Objective To explore the characteristics of fasting uc0se and serum lipids in overweight and obese children，and to provide evidence for the intervention against children’s obesity．Methods The normal-weight。overweight and obese children were selected from three middle schools and two primary scI100ls in Beijing according to the results of height and weight in students’physical examination in 2005—2006．Height，weight，TC，TG，HDL— C，LDL—C and FPG were measuredfor all the l 045 students aged 7—15 years dd．Results [here were significant differences in the levels ofFPG，TG， HDL—C and LDL—C between boys and girls with different body types(P0．01)．qhe level of HDL—C was obesityoverweightnormal weight，FPG， TG，LDL—C were obesityoverweightnormal weight．Exceptfor TC，the prevalence of higher FPG。TG，LDL—CandlowerHDL—Cinmale children