单纯性肥胖儿童血脂、胰岛素抵抗与肥胖指标的关系  

Relationship between blood lipids,insulin resistance and obesity indexes among the simple obesity of children

作　　者：金咏梅[1] 都鹏飞[1] 项云[1] 李全礼[1] 范晓晨[2] 杨善志[2] 

机构地区：[1]安徽医科大学第二附属医院儿科,合肥230061 [2]安徽医科大学第一附属医院儿科

出　　处：《中国临床保健杂志》2015年第5期500-502,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的研究单纯性肥胖儿童血脂及胰岛素抵抗与肥胖指标的相关性。方法两组儿童体格检查并检测血脂、血胰岛素,计算体质量指数(BMI)和胰岛素抵抗指数,并分析其与肥胖指标的相关性。结果肥胖儿童体质量、体质量指数、腰围、腰臀比、血总胆固醇(TCH)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、血压、内皮素(ET)、空腹胰岛素(FIns)及胰岛素抵抗(IR)明显高于对照组,均差异有统计学意义(P<0.05)。TCH、ET、IR与腰围有着明显的相关性。结论预测单纯性肥胖健康风险中,肥胖指标中的腰围比BMI意义更大。Objective To study the relationship between blood lipids,insulin resistance and obesity indexes among the simple of obesity children.Methods Lipids,fasting glucose and insulin were measured and physical ex-amination was did for all cases of two groups.The body mass index （ BMI） and insulin resistance index （ HOMA-IR=fasting insulin ＆#215;fasting glucose/22.5） were calculated by formula.Results The weight,BMI,waist,waist-to-hip ra-tio, TCH, TG, LDL-C, SBP, DBP, ET and FINS of cases in simple obesity group were higher than those in control group,the differences were statistical significance （P＆lt;0.05）.The level of TG,ET and IR had a close correlation with waist.Conclusions The waist is worth more than BMI in health risk prediction of simple obesity children.

关 键 词：肥胖症 腰围 血脂异常 胰岛素抵抗 儿童 

分 类 号：R723.14[医药卫生—儿科]