首页|肥胖儿童青少年维生素D营养状况与身体成分的相关性研究

肥胖儿童青少年维生素D营养状况与身体成分的相关性研究

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目的:探讨肥胖儿童青少年血清25-轻维生素D[25-(OH)D]水平与身体成分之间的相关性。方法:选取6~18岁单纯性肥胖儿童289例为研究对象,测定血清总25-(OH)D水平,采用生物电阻抗法(BIA)测定身体成分,分析血清25-(OH)D水平与BMI以及体成分指标的相关性。结果:血清维生素D缺乏和不足率分别为25。6%和43。3%。不同维生素D营养状况分组的BMI及体成分指标差异有统计学意义(P<0。05)。多重线性回归分析结果显示,经校正后,体脂率、内脏脂肪面积(VFA)、脂肪质量指数(FMI)、躯干脂肪质量指数(TFMI)均与血清25-(OH)D水平呈线性负相关关系。BMI以及体脂率、VFA、FMI、四肢脂肪质量指数(AFMI)、TFMI均与维生素D缺乏患病风险增高有关(P<0。05)。结论:肥胖儿童身体成分对血清25-(OH)D含量有影响,其中体脂肪量及脂肪分布与维生素D含量有关。
Study on The Association Between Vitamin D and Body Composition in Obese Children and Adolescent
[Objective]To investigate the association between serum 25-hydroxyvitamin D[25-(OH)D]levels and body composition in obese children and adolescents.[Method]A total of 289 obese children aged 6-18 years were selected as the study subjects.Serum 25-(OH)D levels were measured and body composition was assessed using bioelectrical impedance analysis(BIA).The association between serum 25-(OH)D levels and BMI as well as body composition indices were analyzed.[Result]Deficiency and insufficiency rates of vitamin D is 25.6%and 43.3%,respectively.There were statistically significant differences in BMI and body composition indices among different groups of vitamin D nutritional status.Multiple linear regression analysis showed that after adjusting body fat percentage were linearly negatively correlated with serum 25-(OH)D levels.BMI as well as body fat percentage,VFA,FMI,AFMI,and TFMI were associated with an increased risk of vitamin D deficiency(P<0.05).[Conclusion]Body composition of obese children influences serum 25-(OH)D levels,particularly the amount and distribution of body fat.

vitamin Dbody compositionvisceral fat area

王美辰、潘长鹭、杨文利、闫洁

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国家儿童医学中心/首都医科大学附属北京儿童医院临床营养科,北京 100045

维生素D 身体成分 内脏脂肪面积

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(9)