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作 者:熊菲[1] 杨凡[1] 毛萌[1] 霍亭竹[1] 李平[1]
机构地区:[1]四川大学华西第二医院儿童保健科,成都610041
出 处:《中国妇幼保健》2011年第30期4678-4680,共3页Maternal and Child Health Care of China
基 金:"十一五"国家科技支撑计划课题〔2009BAI80B00〕
摘 要:目的:探讨高危出生与青春期体质量指数(BMI)的关系,为早期防治青春期超重肥胖提供参考。方法:调查成都市市区9~15岁的中小学生共7 194名,根据出生胎龄、出生体重确定高危出生儿童,测量高危儿童的身高、体重,计算BMI。结果:男生大于胎龄儿的超重及肥胖检出率均高于小于胎龄儿及适于胎龄儿(P<0.05),男、女生巨大儿超重、肥胖检出率均高于低出生体重儿及正常出生体重儿(P<0.05),而早产、足月产、过期产儿的超重和肥胖的检出率比较,无统计学差异(P>0.05)。结论:出生体重不仅是反映胎儿在宫内营养状况的指标,而且也是决定其青春期健康状况的重要因素之一,青春期超重肥胖的预防应该从胎儿期开始。Objective:To explore the relationship between high risk infants at birth and body mass index(BMI) during puberty,provide reference for early prevention and treatment of overweight and obesity in puberty. Methods:7 194 students aged 9~15 years old were investigated in urban area in Chengdu,then the high risk infants at birth were defined according to the gestational age and birth weight.Body height and body weight of the high risk infants at birth were measured,and BMI was calculated. Results:Among the boys investigated,the detection rates of overweight and obesity in large for gestational age infants were significantly higher than those in small for gestational age infants and appropriate for gestational age infants(P0.05).Among all the students investigated,the detection rates of overweight and obesity in macrosomia were significantly higher than those in low birth weight infants and normal birth weight infants(P0.05),but there was no significant difference in the detection rates of overweight and obesity among premature infants,full-term infants and post-term infants(P0.05). Conclusion:Birth weight is not only a marker reflecting the intrauterine nutritional status of fetuses,but also one of the important effect factors of healthy condition in puberty,the prevention of overweight and obesity in puberty should be initiated from fetal stage.
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