Current status and influencing factors of fasting plasma glucose of children aged 5 - 6 years in Tianjin

LU Xiao-zhe; LI Wei-qin; QIAO Yi-juan; ZHANG Tao; LENG Jun-hong

doi:10.11852/zgetbjzz2022-0161

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Chinese Journal of Child Health Care ›› 2022, Vol. 30 ›› Issue (7) : 715-719. DOI: 10.11852/zgetbjzz2022-0161

Original Articles

Current status and influencing factors of fasting plasma glucose of children aged 5 - 6 years in Tianjin

LU Xiao-zhe^*, LI Wei-qin, QIAO Yi-juan, ZHANG Tao, LENG Jun-hong

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Abstract

Objective To investigate the current status of fasting plasma glucose(FPG) in children aged 5 to 6 years in Tianjin, and to understand the influencing factors of FPG levels and impaired fasting glucose(IFG) in children for early prevention of adult chronic diseases. Methods A cross-sectional survey was conducted, children aged 5 to 6 in 49 kindergartens from 15 administrative districts of Tianjin were selected using the cluster sampling method from March to June 2018. Children's height and weight were measured, fasting fingertip blood was collected to test FPG, and questionnaires were collected on children's diet, exercise and lifestyle. Results The average FPG level of 5 942 children aged 5 to 6 years was (4.77±0.38)mmol/L, and the detection rate of IFG(FPG≥5.6 mmol/L) was 0.82%. Multivariate linear regression results showed that boys had higher FPG levels than girls(β=0.140, P＜0.001), children living in urban areas had higher FPG levels than suburban children(β=0.126, P＜0.001), overweight and obese children had higher FPG levels than normal-weight children(β＝0.059, 0.072, P＜0.001), and the FPG level of children with daytime exercise time ＜0.5 h/d was higher than that of children with exercise time≥2 h/d(β=0.031, P＜0.05). The results of multivariate Logistic regression showed that boys(OR=2.245, 95%CI:1.204 - 4.186), living in urban area(OR=2.112, 95%CI:1.169 - 3.817) and frequency of intake of sugary drinks ≥3 times /week(OR=7.724, 95%CI:1.725 - 34.579) were risk factors for IFG in children(P＜0.05). Conclusion Early screening of FPG and healthy lifestyle intervention for preschool children are of important public health significance for the early prevention of adult chronic diseases.

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blood glucose / impaired fasting glucose / preschool children

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LU Xiao-zhe, LI Wei-qin, QIAO Yi-juan, ZHANG Tao, LENG Jun-hong. Current status and influencing factors of fasting plasma glucose of children aged 5 - 6 years in Tianjin[J]. Chinese Journal of Child Health Care. 2022, 30(7): 715-719 https://doi.org/10.11852/zgetbjzz2022-0161

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