文章摘要
薄慧,刘娜娜,薛辉,等.学龄儿童人体测量参数及相关生化指标分析[J].安徽医药,2024,28(6):1212-1217.
学龄儿童人体测量参数及相关生化指标分析
Analysis of anthropometric parameters and related biochemical indices in school-aged children
  
DOI:10.3969/j.issn.1009-6469.2024.06.033
中文关键词: 学龄儿童  矮身材  血脂  尿酸  人体测量
英文关键词: School-aged children  Short stature  Blood lipids  Uric acid  Anthropo-measurement
基金项目:静海区医院 2021年度科技计划项目( JY202102)
作者单位
薄慧 天津市静海区医院儿科天津 301600 
刘娜娜 天津市静海区医院儿科天津 301600 
薛辉 天津市静海区医院儿科天津 301600 
李庆伟 天津市静海区医院儿科天津 301600 
任伟 天津市静海区医院儿科天津 301600 
杨晶晶 天津市静海区医院儿科天津 301600 
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中文摘要:
      目的探讨学龄儿童人体测量参数与相关生化指标相关性。方法采用分层整群抽样方法, 2021年 3—6月对天津市静海地区学校学龄儿童 1 042例进行体检,并检测相关生化指标,分析其身材、体质量检出情况,并根据其身高标准差积分( Ht SDS)将其分为超高组、正常组、偏矮组及矮小组,比较四组身体测量指标;根据身体质量指数( BMI)将其分为偏轻组、正常组、超重组及肥胖组,比较四组身体测量指标;采用 Spearman相关性分析探索各指标间相关性。结果 1 042例儿童中,超高身材检出率为 14.01%,正常身材检出率为 71.11%,偏矮身材检出率为 10.08%,矮小身材检出率为 4.80%;偏轻体质量检出率为5.57%,正常体质量检出率为 52.50%,超重体质量检出率 17.56%,肥胖体质量检出率为 24.38%;女性儿童中超高身材占比较高,男性儿童中偏矮及矮小身材占比较高( P<0.05);随着年龄增加,学龄儿童三酰甘油( TG)水平呈升高趋势、总胆固醇( TC)及高密度脂蛋白胆固醇( HDL-C)水平呈降低趋势( P<0.05);基于 BMI,四组血尿酸水平随着 BMI增加而升高,且肥胖组血尿酸水平最高( P<0.05);四组 HDL-C水平随着 BMI增加而降低,且肥胖组 HDL-C水平最低( P<0.05);四组其他血脂水平比较,差异无统计学意义( P>0.05);基于 Ht SDS,四组 TG、血尿酸、血红蛋白( Hb)水平随 Ht SDS增加而升高,且矮小组 TG、血尿酸、 Hb水平最低( P<0.05);四组其他身体测量指标水平比较,均差异无统计学意义( P>0.05); Spearman相关性分析显示, TC及 HDL-C与学龄儿童年龄呈负相关, TG与学龄儿童年龄呈正相关(P<0.05); LDL-C、HDL-C、TG及血尿酸与 BMI均呈正相关(P<0.05); TG、血尿酸及 Hb均与 Ht SDS呈负相关( P<0.05)。结论学龄儿童随着年龄增加血脂水平降低,血脂及尿酸水平可能影响学龄儿童身高和体质量,血脂及尿酸水平与体质量具有正相关性,与身高具有负相关性, Hb与身高呈负相关。
英文摘要:
      Objective To explore the correlation between anthropometric parameters and related biochemical indices in school-age children.Methods Using a stratified cluster sampling method, 1 042 school-age children in schools in the Jinghai area, Tianjin city,were physically examined for examined from March to June 2021, and relevant biochemical indices were detected to analyze their stature and body mass detection. The children were divided into the ultrahigh group, the normal group, the partial-short group and the shortgroup according to their height standard deviation score (Ht SDS), and the body measurements of the four groups were compared. Basedon body mass index (BMI), the participants were categorized into underweight, normal weight, overweight and obese groups, and thefour body weight measurements were compared to explore the correlation between the indices using Spearman's correlation analysis.Re sults Among the 1 042 children, 14.01% had ultrahigh stature, 71.11% had normal stature, 10.08% had partial-short stature, and4.80% had short stature. The detection rate of underweight was 5.57%, that of normal weight was 52.50%, that of overweight was17.56%, and that of obese weight was 24.38%. The proportion of ultrahigh stature was greater in female children, and the proportion ofpartial-short and short stature was greater in male children (P<0.05). With the increasing of age, triacylglycerol (TG) levels tended to in crease, and total cholesterol (TC) and high-density lipoprotein cholesterol (HDL-C) levels tended to decrease in school-age children (P< 0.05). The serum uric acid levels in the 4 BMI groups increased with increasing BMI, and the serum uric acid levels were highest in theobesity group (P<0.05). The levels of HDL-C in the 4 groups decreased with increasing BMI, and the obese group had the lowest levels of HDL-C(P<0.05). There was no significant difference in other blood lipid levels among the 4 groups (P>0.05). Based on Ht SDS, thelevels of TG, serum uric acid and hemoglobin (Hb) in the 4 groups increased with the increasing Ht SDS, and the levels of TG, serumuric acid and Hb were the lowest in the short-term group (P<0.05). There was no significant difference in the other body parameters among the four groups (P>0.05). Spearman correlation analysis revealed that TC and HDL-C were negatively correlated with the age of the school-age children, TG was positively correlated with the age of the school-age children (P<0.05), LDL-C, HDL-C, TG and serum uric acid were positively correlated with BMI (P<0.05), and TG, serum uric acid and Hb were negatively correlated with Ht SDS (P< 0.05).Conclusions The blood lipid levels of school-age children decrease with increasing age, and the levels of blood lipids and uric acid may affect the height and body mass of school-age children. The levels of blood lipids and uric acid are positively correlated withbody mass and negatively correlated with height, and Hb is negatively correlated with height.
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