Survey on components of the metabolic syndrome and analysis of its influencing factors among 7-16 years old children and adolescents in Chongqing

Wang Yanyan; Xiong Feng; Zhang Yani; Yang Bin; Lin Qin; Zhu Min; Zeng Yan; Luo Yanhong; Song Cui; Zhu Gaohui

doi:10.13406/j.cnki.cyxb.001033

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Survey on components of the metabolic syndrome and analysis of its influencing factors among 7-16 years old children and adolescents in Chongqing

更新时间：2024-01-17

- Survey on components of the metabolic syndrome and analysis of its influencing factors among 7-16 years old children and adolescents in Chongqing
- Journal of Chongqing Medical University Vol. 41, Issue 10, Pages: 1069-1075(2016)
- 作者机构：
  
  1. 重庆医科大学附属儿童医院内分泌科
  2. 重庆市沙坪坝区中小学生卫生保健所
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001033
  CLC： R725.8
- Published：2016，
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[1]王嫣嫣,熊丰,张亚妮,杨彬,林琴,朱岷,曾燕,罗雁红,宋萃,朱高慧.重庆市7～16岁儿童青少年代谢综合征组分的调查及影响因素的分析[J].重庆医科大学学报,2016,41(10):1069-1075.

Wang Yanyan, Xiong Feng, Zhang Yani, et al. Survey on components of the metabolic syndrome and analysis of its influencing factors among 7-16 years old children and adolescents in Chongqing. [J]. Journal of Chongqing Medical University 41(10):1069-1075(2016)
[1]王嫣嫣,熊丰,张亚妮,杨彬,林琴,朱岷,曾燕,罗雁红,宋萃,朱高慧.重庆市7～16岁儿童青少年代谢综合征组分的调查及影响因素的分析[J].重庆医科大学学报,2016,41(10):1069-1075. DOI： 10.13406/j.cnki.cyxb.001033.

Wang Yanyan, Xiong Feng, Zhang Yani, et al. Survey on components of the metabolic syndrome and analysis of its influencing factors among 7-16 years old children and adolescents in Chongqing. [J]. Journal of Chongqing Medical University 41(10):1069-1075(2016) DOI： 10.13406/j.cnki.cyxb.001033.

摘要

目的:探讨重庆市7

6岁儿童青少年代谢综合征（metabolic syndrome

MS）的组分及其影响因素

为有针对性的干预提供流行病学依据。方法:按照整群随机抽样方法抽取重庆市5所中小学7

6岁在校生共4481名进行代谢指标及影响因素问卷调查。按照体质指数（body mass index

BMI）法分为正常组、超重组、肥胖组。对各代谢指标进行分析

对MS影响因素进行Logistic回归分析

并比较MS影响因素的性别差异。结果:（1）重庆地区7

6岁儿童青少年总超重率9.8%

其中男生12.0%

女生7.4%。总肥胖率5.4%

其中男生7.3%

女生3.4%。男生超重率、肥胖率均高于女生（P

0.05）。（2）随着BMI的增加

收缩压、舒张压、甘油三酯、胆固醇、低密度脂蛋白胆固醇、非高密度脂蛋白胆固醇、腰围有升高的趋势

高密度脂蛋白胆固醇呈降低趋势（P

0.05）。（3）MS总体检出率为0.45%。肥胖组MS的患病率（6.9%）明显高于超重组（0.5%）和正常组（0.0%）（P

0.05）

且男生患病率高于女生（P

0.05）。肥胖儿童MS出现单项异常的检出率依次为高腰围（37.9%）、高甘油三酯（22.7%）、低高密度脂蛋白（19.7%）、高非高密度脂蛋白（7.4%）、高血压（4.4%）、高空腹血浆葡萄糖（2.0%）。（4）MS影响因素logistic回归分析结果显示

有3个因素与MS相关:腰围、每次肉类摄入量、高血脂家族史均与MS的发病率呈正相关。男生高腰围、每次肉类摄入量≥3两检出率高于女生（P

0.05）。结论:MS组分异常已在重庆地区超重肥胖儿童青少年中发生。高腰围、高甘油三酯、低高密度脂蛋白是重庆肥胖儿童最常见的代谢异常

应引起社会的重视。

Abstract

Objective:To study the components of the metabolic syndrome and its influencing factors among 7-16 years old children and adolescents in Chongqing

in order to provide the evidence for a target precaution. Methods:According to the method of cluster random sampling

4 481 school-age children aged 7 to 16 years old were enrolled from 5 middle schools and primary schools(2 urban schools and 3 rural schools)of Chongqing to measure metabolic index and to fill influencing factors questionnaires. Children were divided into normal group

overweight group and obese group according to body mass index(BMI). The metabolic indices

influencing factors of metabolic syndrome were analyzed by logistic regression analysis

and the differences between boys and girls were compared. Results:(1)Overall overweight incidences among 7-16 years old children and adolescents in Chongqing were 9.8%

12.0% in boys and 7.4% in girls. Overall obesity incidences were 5.4%

7.3% in boys and 3.4% in girls(P<0.05).(2)With increased BMI

the levels of systolic blood pressure

diastolic blood pressure

triglycerides(TG)

cholesterol

low-density lipoprotein cholesterol(LDL-C)

non-high-density lipoprotein cholesterol(nonHDL-C)

waist circumference(WC) were also increased

the level of high- density lipoprotein- cholesterol(HDL- C) was reduced(P<0.05).(3)The overall prevalence of metabolic syndrome was 0.45%. In obese group

children had significantly higher MS prevalence(6.9%)compared with their counterparts in overweight group(0.5%)and normal weight group(0.0%)(P<0.05);the prevalence of MS in boys was higher than that in girls(P<0.05).The detective rates of individual MS component among obese children were:37.9% for high WC

22.7% for high TG

19.7% for low HDL-C

7.4% for high non-HDL-C

4.4% for elevated blood pressure

2.0% for fasting plasma glucose.(4)MS logistic regression analysis demonstrated that WC

meat intake

and family history of hyperlipidemia were risk factors. Boys had higher WC eat more meat than girls(P<0.05). Conclusion:The abnormal components of MS occurred in the overweight and obese children and adoles cents of Chongqing area. High WC

high TG

low HDL-C are the leading three abnormal indices among the obese children in Chongqing

to which we should pay more attention.

关键词

儿童青少年肥胖代谢综合征组分影响因素

Keywords

Children and adolescentsobesitymetabolic syndromeComponentsinfluencing factors

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