目的 分析不同性别、体重状态、肥胖类型学龄儿童的体成分差异,探讨体重状态和肥胖类型对瘦体重与脂肪质量比值(MFR)、体脂百分比(FMP)的影响。 方法 2019-2020年随访山东莱州湾出生队列440名7岁儿童,用体成分仪测量并计算得到总体成分、去脂体重和体脂肪相关的12种体成分指标。依据BMI分为3种体重状态,依据体重指数(BMI)及腰围身高比分为4种肥胖类型,分析其与体成分的关系。 结果 体成分性别差异分析表明,男女生的MFR、FMP差异无统计学意义(t=1.16、0.39,P＞0.05)。MFR在正常、超重、肥胖组间递减,在非肥胖、腹型肥胖、一般性肥胖、复合型肥胖组间也递减(F=141.65、63.96,P＜0.05),而其他体成分指标在各组间呈递增趋势(P＜0.05)。多重线性回归表明肥胖组比正常组儿童的MFR低3.28(95%CI:-3.69~-2.87,P<0.001),FMP高17.25%(95%CI:16.07~18.43,P<0.001);复合型肥胖组比非肥胖组儿童的MFR低3.18(95%CI:-3.65~-2.71,P<0.001),FMP高17.55%(95%CI:16.15~18.95,P<0.001)。 结论 肥胖儿童的增重主要归于体脂肪的增加,复合型肥胖儿童的肌肉和脂肪平衡失调,提示在儿童期防控复合型肥胖对降低其健康风险具有重要的公共卫生学意义。
Abstract
Objective To analyze the differences in body composition among school-age children with different genders, weight status or obesity types, and to explore the influence of weight status or obesity types on muscle to fat ratio (MFR) and fat mass percentage (FMP). Methods A total of 440 seven-year-old children from Laizhou Wan Birth Cohort were followed up from 2019 to 2020.Twelve kinds of body composition indexes related to the total body composition, fat free mass and fat mass were measured and calculated by human component analyzer.Weight status was divided into three types based on body mass index (BMI).BMI and waist-to-height ratio were used to divide the participants into four obesity types.Then the correlations of weight status and obesity type with body composition were analyzed. Results No significant gender difference in MFR and FMP was found (t=1.16, 0.39, P>0.05).MFR showed a decreased trend among the normal, overweight and obesity groups, and it also decreased in non-obesity, abdominal obesity, general obesity and compound obesity (F=141.65, 63.96, P<0.05).But other body composition indexes increased gradually among groups (P<0.05).The results of multiple linear regression showed that MFR was 3.28 (95%CI:-3.69 - -2.87,P<0.001) lower and FMP was 17.25% (95%CI:16.07 - 18.43,P<0.001) higher in the obese group than that in the normal group.MFR was 3.18 (95%CI:-3.65 - -2.71, P<0.001) lower and FMP was 17.55% (95%CI:16.15 - 18.95, P<0.001) higher in the compound obesity group than that in the non-obesity group. Conclusions The weight gain of obese children is mainly attributed to the increase of body fat.The imbalance of muscle and fat in children with compound obesity suggests that the prevention and control of compound obesity in childhood has important public health significance to reduce its health risk.
关键词
体成分 /
瘦体重与脂肪质量比值 /
体脂百分比 /
复合型肥胖 /
学龄儿童
Key words
body composition /
muscle to fat ratio /
fat mass percentage /
compound obesity /
school-age children
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参考文献
[1] Steffl M, Chrudimsky J, Tufano JJ.Using relative handgrip strength to identify children at risk of sarcopenic obesity[J].PLoS One, 2017, 12(5):e0177006.
[2] 李颂婷, 钟燕.体成分与儿童青少年肥胖的相关研究进展[J].中国儿童保健杂志, 2020, 28(2):161-164.
[3] 张娜, 马冠生.《中国儿童肥胖报告》解读[J].营养学报, 2017, 39(6):530-534.
[4] 董虹孛.儿童肥胖和心血管病代谢异常与骨密度关系的研究[D].北京:北京协和医学院, 2018.
[5] 张海峰, 靳迪, 吕宪玉, 等.北京某三甲医院体检人群不同肥胖类型与骨密度及握力的相关性分析[J].解放军医学院学报, 2020, 41(7):666-669, 674.
[6] 王晓燕, 王曦, 李晓萌, 等.不同营养状态学龄前儿童人体成分分析[J].北京医学, 2019, 41(11):1017-1019, 1023.
[7] 秦凯丽, 刘安明, 袁崇刚, 等.孕期多种环境污染物暴露现状—基于山东莱州湾出生队列的生物监测数据[J].上海交通大学学报(医学版),2019, 39(4):421-427.
[8] 中华人民共和国国家卫生和计划生育委员会.WS/T 586-2018学龄儿童青少年超重与肥胖筛查[S].北京:中国标准出版社, 2018.
[9] 苏月月,王虹,李晴,等.不同性别、年龄及营养状态儿童的人体成分分析[J].中国儿童保健杂志,2021,29(7):713-716.
[10] 杨艳, 张露露, 加孜拉·艾山江, 等.不同方法评价乌鲁木齐市新市区儿童青少年超重和肥胖及其体成分差异[J].中国儿童保健杂志, 2021, 29(5):537-541.
[11] 宾晓芸, 黄炎东, 李彬,等.广西桂林地区回族儿童身体成分的测量分析[J].右江民族医学院学报, 2016, 38(3):265-267.
[12] 程淑敏, 黄俊峰, 王哲.97例5~7岁儿童身体成分分析[J].中国妇幼保健, 2006, 21(1):54-55.
[13] Guo B, Hu L, Wu Q, et al.Age-and sex-dependent values of the distribution of body composition parameters among chinese children using the hattori chart[J].J Clin Densitom.2017, 20(1):120-127.
[14] Heydenreich J, Schweter A, Lührmann P.Association between body composition, physical activity, food intake and bone status in german children and adolescents[J].Int J Environ Res Public Health, 2020, 17(19):7294.
[15] 汪王朝, 涂春景, 韩晓鸣, 等.杭州市学龄前儿童身体成分分析[J].中国妇幼保健, 2019, 34(21):4921-4923.
[16] 姜红梅, 包艳, 袁甜, 等.包头市达茂旗蒙古族超重肥胖儿童和氧化应激及炎症细胞因子水平分析[J].中国慢性病预防与控制, 2020,28(8):604-606.
[17] 刘军廷, 侯冬青, 王莲革, 等.学龄儿童体成分与骨密度的关联性[J].中华骨质疏松和骨矿盐疾病杂志,2019,12(6):549-556.
[18] 王静娴,胡蓉,黄宏燕,等.成年人内脏脂肪面积与代谢综合征的相关性[J].江苏医药, 2020, 46(11):1162-1164.
[19] Miyasato Y, Oba K, Yasuno S, et al.Associations between visceral obesity and renal impairment in health checkup participants:a retrospective cohort study[J].Clin Exp Nephrol, 2020, 24(10):935-945.
[20] 刘小晖, 陈暕, 魏晶.青岛市中小学生体成分与血压的相关性分析[J].中国儿童保健杂志, 2017, 25(10):1044-1046.
[21] 姜晓岚, 刘日荣.学龄期儿童肥胖类型与心血管代谢危险因素的相关性[J].中国卫生工程学, 2020, 19(3):401-403.
[22] 徐丽媛, 王佳.心血管危险因素对学龄期儿童青少年肥胖类型的影响[J].中国卫生工程学, 2020, 19(2):216-218.
[23] 王霄鹤.天津市企事业单位人员慢性病患病情况及预测指标研究[D].石家庄:河北大学, 2020.
基金
上海市公共卫生体系建设三年行动计划重点学科建设(GWV-10.1-XK11);上海交通大学“医工交叉基金”(YG2019ZDA29);上海交通大学“医工交叉基金”(YG2021QN02)
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