青少年代谢综合征发病与其体重超标或肥胖的关系研究(1)
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[摘要] 目的 探讨青少年代谢综合征与体重超标或肥胖的关系。 方法 选择2010年于本院体检的7～18岁青少年900名为研究对象，其中超重250名(A组)，肥胖340名(B组)，体重正常310名(C组)，测量其身高、腰围、血脂、血糖及胰岛功能等指标，并进行组间比较。 结果 三组间MS检出率差异有统计学意义(P < 0.05)，A、B组腰围、血压、FBG、TC、LDL—C、TG均明显高于C组(P < 0.05)，但三组间HDL—C差异无统计学意义。A、B组代谢综合征各项目检出率均明显高于C组(P < 0.05或P < 0.01)。 结论 超重及肥胖青少年代谢综合征发生率明显高于正常体重青少年，并且腰围、血压、血脂等代谢综合症的相关因素随体重增加而增加，应引起临床重视。
[关键词] 青少年；代谢综合征；体重；腰围；血脂；血糖；胰岛素
[中图分类号] R589；R181.3 [文献标识码] B [文章编号] 1673—9701(2012)26—0035—02
Relations of metabolic syndrome of youth and overweight or obesity
ZHOU Wei
Department of Endocrinology，the Eighth Hospital of Changsha City in Hunan Province，Changsha 410000，China
[Abstract] Objective To explore the relationship between adolescent metabolic syndrome and overweight or obese. Methods Selected 900 cases of young people aged 7—18 years in 2010 as research object， 250 cases with(A group) overweight ， 340 cases with obesity(B group)， normal weight of 310 cases(C group)， to measure and compare the height， waist circumference， blood lipids， blood sugar and insulin function indicators of three groups. Results MS detection rate among the three groups was significant different(P < 0.05). Waist circumference， blood pressure， FBG， TC， LDL—C， TG of group A， B were significantly higher than group C(P < 0.05)， the differences of HDL—C among three groups were not significant(P > 0.05). The metabolic syndrome detection rate of group A， B were significantly higher than group C(P < 0.05 or 0.01). Conclusion The incidence of overweight and obese adolescents metabolic syndrome was significantly higher than the young people of normal weight ， and waist circumference， blood pressure， lipids and other relevant factors of the metabolic syndrome increased with body weight increasing ......
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