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目的了解超重和肥胖学龄儿童代谢综合征流行特征,探讨肥胖与代谢综合征的关系,为代谢综合征预防干预提供依据。方法以成都市2所小学261名超重和肥胖学龄儿童为研究对象,测定其身高、体重、腰围和血压,检测血糖及血脂等指标,分析儿童代谢综合征的患病情况。结果儿童代谢综合征总患病率为11.49%,超重组患病率为6.83%,肥胖组患病率为19.00%;儿童腰围、血压、空腹血糖、血浆三酰甘油(TG)及血浆高密度脂蛋白胆固醇(HDL-C)异常率分别为92.34%,21.07%,0.77%,39.08%和3.45%。结论代谢综合征在超重和肥胖儿童中高发,其严重程度随着肥胖程度增加而增加。
Objective To understand the epidemiological features of metabolic syndrome in overweight and obese school-age children and to explore the relationship between obesity and metabolic syndrome and to provide evidence for prevention of metabolic syndrome. Methods Totally 261 overweight and obese school-aged children from 2 primary schools in Chengdu were enrolled in this study. Their height, weight, waist circumference and blood pressure were measured. Blood glucose and serum lipids were measured. The prevalence of metabolic syndrome in children was analyzed. Results The overall prevalence of metabolic syndrome in children was 11.49%, the prevalence of overweight group was 6.83% and the prevalence of obesity group was 19.00%. Children’s waist circumference, blood pressure, fasting blood glucose, plasma triglyceride (TG) and plasma high density The abnormal rates of HDL-C were 92.34%, 21.07%, 0.77%, 39.08% and 3.45% respectively. Conclusion Metabolic syndrome is high in overweight and obese children, and its severity increases with the increase of obesity.