首页|浙江省农村学生营养改善计划地区中小学生肥胖类型与血脂的关系

浙江省农村学生营养改善计划地区中小学生肥胖类型与血脂的关系

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目的 探讨中小学生不同肥胖类型与血脂指标的关联,为进一步控制中小学生肥胖及血脂偏高提供科学依据。方法 于2021年9-11月在浙江省农村义务教育学生营养改善项目5个监测点采用分层整群随机抽样的方法选取1 244名中小学生进行身高、体重检测,并采集静脉血进行血脂检测。采用x2检验和Logistic回归分析中小学生肥胖类型与血脂之间的关联。结果 中小学生的超重率、肥胖率、腹型肥胖率、血脂偏高率分别为15。11%,12。46%,17。60%,21。78%。高三酰甘油发生风险肥胖组是非超重肥胖组的3。97倍(95%CI=2。54~6。20),腹型肥胖组是正常腰围组的4。45倍(95%CI=2。95~6。72)(P值均<0。05)。胆固醇偏高超重肥胖且腰围正常组与非超重肥胖且腰围正常组相比OR值最高(OR=2。53,95%CI=1。45~4。42),血脂和三酰甘油偏高超重肥胖且腰围异常组OR值最高(OR=1。82,95%CI=1。33~2。48;OR=3。64,95%CI=2。45~5。43)(P值均<0。05)。结论 浙江省农村义务教育学生营养改善计划地区中小学生超重肥胖、腹型肥胖、血脂异常检出率均较高。儿童腹型肥胖与血脂异常关系更为密切,应定期对中小学生进行腰围测量及相关知识的普及。
Association between obesity and dyslipidemia among rural primary and middle school students in Students Nutrition Im-provement Program Areas of Zhejiang Province
Objective The study aimed to analyze the association between different types of obesity and dyslipidemia among ru-ral primary and middle school students in Zhejiang Province,so as to inform strategies for prevention and control of childhood obesi-ty and hyperlipidemia.Methods As part of Nutrition Improvement Programme for Rural Compulsory Education Students,1 244 participants were selected by stratified cluster random sampling in 5 counties of Zhejiang Province during September to December 2021.Physical examination,detection of blood lipid and questionnaire survey were conducted.The Chi-square test and Logistic re-gression analyses were used to assess the association between different types of obesity and dyslipidemia.Results The prevalence rates of overweight,obesity,abdominal obesity,and hyperlipidemia were 15.11%,12.46%,17.60%,and 21.78%.Obesity and abdominal obesity were correlated to high risk of high triglycerides(OR=3.97,95%CI=2.54-6.20;OR=4.45,95%CI=2.95-6.72)(P<0.05).Compared with the non overweight and obese group with normal waist circumference,the overweight and obesity group were correlated to high risk of high cholesterol(OR=2.53,95%CI=1.45-4.42,P<0.05).Abdominal overweight or obese group had the highest risk for dyslipidemia and triglycerides(OR=1.82,95%CI=1.33-2.48;OR=3.64,95%CI=2.45-5.43)(P<0.05).Conclusions The prevalence rates of overweight,obesity,abdominal obesity,and hyperlipidemia are relatively high in rural primary and middle school students of Nutrition Improvement Programme for Rural Compulsory Education Students in Zhejiang Province.Abdominal obesity is a more important risk factor for hyperlipidemia.Waist circumference should be the focus of consider-able attention.

ObesityDyslipidemiasGrowth and developmentRegression analysisStudents

赵栋、黄李春、苏丹婷、顾炜、韩丹、章荣华

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浙江省疾病预防控制中心营养与食品安全所,杭州 310051

肥胖症 血脂异常 生长和发育 回归分析 学生

浙江省医药卫生科技计划

2022RC123

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(3)
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