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目的了解郑州地区学龄儿童肥胖症的患病情况并分析相关影响因素。方法通过报纸招募7～14岁肥胖儿童来我院检查,对于符合肥胖症标准的422例儿童填写统一设计的表格并进行体检和实验室检查。结果郑州地区学龄肥胖症的儿童,糖尿病、IGR、IR、良性黑棘皮病、高血压的患病率分别为2.4%、20.3%、43.1%、80.1%、35.9%。多元线性逐步回归分析发现,出生时体重和WC与BMI相关(P<0.01),性别、年龄、WC、FPG与FIns水平相关(P<0.01)。结论郑州地区肥胖儿童的糖调节障碍、IR、高血压的患病率高。儿童的肥胖程度呈现随年龄增加逐渐加重趋势。加强对肥胖儿童的筛查与管理,对防止成年后代谢疾病的高发具有重要意义。
Objective To understand the prevalence of obesity in school-age children in Zhengzhou and to analyze the related factors. Methods We recruited obese children from 7 to 14 years old to come to our hospital for examination through newspapers. We completed a unified design form and performed physical examination and laboratory examination on 422 children who meet the obesity criteria. Results The prevalence rates of diabetes, IGR, IR, benign acanthosis nigricans and hypertension in school-age children with obesity in Zhengzhou were 2.4%, 20.3%, 43.1%, 80.1% and 35.9%, respectively. Multivariate linear stepwise regression analysis found that birth weight and WC were associated with BMI (P <0.01), and gender, age, WC, FPG were correlated with FIns (P <0.01). Conclusion Obese children in Zhengzhou have a high prevalence of impaired glucose regulation, IR and hypertension. The degree of obesity in children presents a gradual increase with age. Strengthening screening and management of obese children is of great importance in preventing the onset of metabolic diseases in adulthood.