运动与膳食干预治疗儿童代谢综合征68例  

Exercise and dietary interventions in the treatment of pediatric metabolic syndrome in 68 cases

作　　者：李春枝[1] 郝会民[1] 刘晓景[1] 张英娴[1] 

机构地区：[1]河南省郑州市儿童医院内分泌遗传代谢科,河南郑州450053

出　　处：《中国当代医药》2013年第23期75-76,共2页China Modern Medicine

基　　金：世界健康基金会科研项目(AFINS-HOPE-2013-07)

摘　　要：目的研究运动与膳食对治疗儿童代谢综合征的作用,确定儿童代谢综合征的最佳治疗状态。方法将68例儿童代谢综合征患儿分为3组,第一组为运动干预治疗组:引导儿童患者每天坚持半小时的慢跑活动;第二组为膳食干预治疗组:合理搭配食物的营养素,注意蔬菜、水果、奶制品、肉类的配比;第三组为运动与膳食干预治疗组:引导儿童患者每天坚持半小时的慢跑活动,合理搭配食物的营养素,注意蔬菜、水果、奶制品、肉类的配比。比较3组干预治疗前后的疗效。结果 3组患儿干预前后代谢综合征症状都有明显改善,第一、二组干预治疗前后,总有效率分别为73.91%和78.26%,差异有统计学意义(P<0.05),第三组干预治疗前后总有效率为95.45%,差异有统计学意义(P<0.01),第三组与第一组相比差异有统计学意义(P<0.05),第三组与第二组相比差异有统计学意义(P<0.05)。结论运动与膳食干预都可以改善儿童代谢综合征的症状,而运动与膳食干预相结合对改善儿童代谢综合征症状的效果更显著。Objective To study the effects of exercise and dietary in the treatment of pediatric metabolic syndrome and confirm the optimum therapeutic method to treat it.Methods 68 children with metabolic syndrome were divided into 3 groups：the first group,the second group,and the third group.In the first group,that was exercise intervention group,children were guided to jog for half an hour every day.In the second group,dietary intervention group,nutrients were reasonably matched and proportions of vegetable,fruit,dairy product,and meat should be paid attention.In the third group,that was exercise and dietary intervention group,which combined the therapeutic methods in the first group and the second group together.The effects before and after interventions in 3 groups were compared.Results The symptoms of metabolic syndrome before and after interventions in 3 groups were obviously improved.The total effective rates pretherapy and post-treatment in the first group and the second group were 73.91% and 78.26% with significant differences（P＆lt;0.05）.In the third group,the total effective rate before and after intervention was 95.45% with an extremely statistical difference（P＆lt;0.01）.The differences between the first group and the third group,and the second group and the third group were also significant（P＆lt;0.05）.Conclusion Both exercise and dietary interventions can improve the symptoms of pediatric metabolic syndrome,but the combination of exercise and dietary interventions to improve the symptoms of metabolic syndrome in children is more effective.

关 键 词：运动 膳食 干预治疗 儿童代谢综合征 

分 类 号：R725.8[医药卫生—儿科]