摘要:
分析回、汉族儿童代谢综合征(MS)及相关指标,为预防儿童MS的发生提供基础数据.方法 分层整群随机抽取宁夏银川和吴忠2市的小学、中学和高中各3所7~18岁学生2 365名,进行相关体格检查和生化指标检测.结果 学生MS总检出率为2.6%,汉族为3.0%,回族为1.8%.腹型肥胖、高血压、高血糖、高三酰甘油(TG)和低高密度脂蛋白胆固醇(HDL-C)总检出率分别为12.6%,9.0%,0.7%,7.9%和30.9%,其中汉族为13.2%,10.0%,0.8%,7.8%,27.0%,回族为11.2%,6.8%,0.5%,8.2%和39.4%,回族高血压检出率低于汉族,低HDL-C检出率高于汉族(P值均<0.05).回、汉族儿童同性别MS相关指标水平比较,男、女生的HDL-C水平回族均低于汉族,男生TG水平回族高于汉族(P值均<0.01).同性别回、汉族学生的MS组分(1项指标、2项指标、腹型肥胖合并1项指标异常)及MS检出率比较,1项指标异常检出率均为回族高于汉族(P值均<0.05).随着年龄的升高,MS组分及其检出率升高.结论 宁夏儿童MS及相关指标异常检出率较高,预防儿童MS的发生刻不容缓.
Abstract:
Objective To provide basic data on metabolic syndrome (MS) prevention among minority children,this study was designed to compare MS epidemiology in Hui and Han ethnicity children.Methods Three elementary,middle and high schools were randomly selected from Yinchuan and Wuzhong.A total of 2 365 students aged 7 and 18 years old were selected.With informed consent,physical and biochemical examination was carried out.Results MS detection rate of 2.6%,with no significant difference in Han (3.0%) and Hui (1.8%) ethnicity children.Rate of abdominal obesity,high blood pressure,high blood sugar,high TG and low HDL-C was 12.6%,9.0%,0.7%,7.9% and 30.9%,respectively.Children of Hui ethinicty had higher prevalence on high blood pressure and lower prevalence on high HDL-C,compared with children with Han ethnicity.Children of Hui had lower level of HDL-C compared with Han children with same gender (P<0.01).Hui boys had higher TG levels than Han boys (P<0.01).In regard to MS components and MS detection rate,the difference was statistically significant,with Hui higher than Han(P<0.05).Detection rate of MS and its components increased with age.Conclusion The detection rate of MS and its components is relatively high among children of Hui and Han ethnicity,specific strategies should be developed accordingly.