运动和膳食干预对儿童代谢综合征的影响  

Physical activities and dietary intervention on metabolic syndrome in children

作　　者：林深婷[1] 许志远[2] 王晶晶[1] 李百惠[1] 裴正存[1] 王海俊[1] 马军[1] 

机构地区：[1]北京大学公共卫生学院／儿童青少年卫生研究所,100191 [2]北京市朝阳区疾病预防控制中心

出　　处：《中华流行病学杂志》2012年第2期135-139,共5页Chinese Journal of Epidemiology

基　　金：基金项目：“十一五”国家科技支撑计划（2008BA158805）;国家自然科学基金（30700668）

摘　　要：目的研究运动和膳食干预对小学生代谢综合征（MS）的影响。方法对北京市海淀区8所小学1～5年级1564名学生，进行为期1年的运动或膳食干预，运动组主要采取“快乐10分钟”方法，膳食组采取营养健康教育方法，分别于基线和干预后检测全体学生的身高、体重、腰围、血脂、血糖、血压。结果基线调查时MS检出率为9．0％。采用膳食和运动干预方法在改善MS组分（甘油三酯、高密度脂蛋白胆固醇、空腹血糖、舒张压、腰围）取得一些效果，且膳食干预比运动干预效果更显著。干预后膳食干预组MS检出率从10．4％下降到4．6％，差异有统计学意义（P〈0．001），而运动干预组和对照组均升高。膳食干预对女生效果较好；大龄学生的运动干预效果比低龄好；膳食能显著改善非超重和超重学生的MS组分异常个数。结论目前北京市小学生MS检出率较高，营养健康教育能有效降低MS检出率和明显改善其组分异常个数，比运动干预效果更显著，干预效果受性别、年龄、营养状况等因素影响。Objective To study the effect of physical activities and dietary intervention on metabolic syndrome （MS） in primary school students. Methods Either one-year physical activities （PA） or dietary intervention was conducted in Grade 1-5 children from eight primary schools in Haidian district, Beijing. A ＇happy 10 minutes＇ program was held in the PA group, while the dietary group receiving nutrition lectures. Baseline and post-intervention data on height, weight, waist circumference, serum lipids, glucose, and blood pressure were collected. Results The prevalence of MS at baseline was 9.0%. After intervention programs were carried out, improvements on triglyceride, high density lipoprotein, fasting blood glucose, diastolic blood pressure and waist circumference in the dietary group or PA group were seen, with the dietary group showed better effects than the PA group. The prevalence of MS decreased from 10.4% to 4.6% in the dietary group with statistically significant difference, while it increased in both the PA group and the control group. Girls showed better effects in the dietary group. Older students showed better effects than the younger students in the PA group. In non-overweight and overweight students of the dietary intervention group, the MS related components were significantly improved. Conclusion The prevalence of metabolic syndrome was relatively high in the primary school students in Beijing. Education on nutrition could reduce the prevalence and improve the related components, which seemed to be more effective than in the PA intervention. Sex, age and nutritional status were the confounding factors for intervention programs.

关 键 词：代谢综合征 膳食 运动 干预 儿童 

分 类 号：R725.8[医药卫生—儿科]