浙江省农村学生营养改善计划地区中小学生肥胖类型与血脂的关系  

Association between obesity and dyslipidemia among rural primary and middle school students in Students Nutrition Improvement Program Areas of Zhejiang Province

作　　者：赵栋[1] 黄李春[1] 苏丹婷[1] 顾炜[1] 韩丹 章荣华[1] ZHAO Dong;HUANG Lichun;SU Danting;GU Wei;HAN Dan;ZHANG Ronghua(Department of Nutrition and Food Safety,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou(310051),Zhejiang Province,China)

机构地区：[1]浙江省疾病预防控制中心营养与食品安全所,杭州310051

出　　处：《中国学校卫生》2024年第3期414-418,共5页Chinese Journal of School Health

基　　金：浙江省医药卫生科技计划项目(2022RC123)。

摘　　要：目的探讨中小学生不同肥胖类型与血脂指标的关联,为进一步控制中小学生肥胖及血脂偏高提供科学依据。方法于2021年9—11月在浙江省农村义务教育学生营养改善项目5个监测点采用分层整群随机抽样的方法选取1244名中小学生进行身高、体重检测,并采集静脉血进行血脂检测。采用χ^(2)检验和Logistic回归分析中小学生肥胖类型与血脂之间的关联。结果中小学生的超重率、肥胖率、腹型肥胖率、血脂偏高率分别为15.11%,12.46%,17.60%,21.78%。高三酰甘油发生风险肥胖组是非超重肥胖组的3.97倍(95%CI=2.54~6.20),腹型肥胖组是正常腰围组的4.45倍(95%CI=2.95~6.72)(P值均<0.05)。胆固醇偏高超重肥胖且腰围正常组与非超重肥胖且腰围正常组相比OR值最高(OR=2.53,95%CI=1.45~4.42),血脂和三酰甘油偏高超重肥胖且腰围异常组OR值最高(OR=1.82,95%CI=1.33~2.48;OR=3.64,95%CI=2.45~5.43)(P值均<0.05)。结论浙江省农村义务教育学生营养改善计划地区中小学生超重肥胖、腹型肥胖、血脂异常检出率均较高。儿童腹型肥胖与血脂异常关系更为密切,应定期对中小学生进行腰围测量及相关知识的普及。Objective The study aimed to analyze the association between different types of obesity and dyslipidemia among rural primary and middle school students in Zhejiang Province,so as to inform strategies for prevention and control of childhood obesity and hyperlipidemia.Methods As part of Nutrition Improvement Programme for Rural Compulsory Education Students,1244 participants were selected by stratified cluster random sampling in 5 counties of Zhejiang Province during September to December 2021.Physical examination,detection of blood lipid and questionnaire survey were conducted.The Chi-square test and Logistic regression analyses were used to assess the association between different types of obesity and dyslipidemia.Results The prevalence rates of overweight,obesity,abdominal obesity,and hyperlipidemia were 15.11%,12.46%,17.60%,and 21.78%.Obesity and abdominal obesity were correlated to high risk of high triglycerides(OR=3.97,95%CI=2.54-6.20;OR=4.45,95%CI=2.95-6.72)(P<0.05).Compared with the non overweight and obese group with normal waist circumference,the overweight and obesity group were correlated to high risk of high cholesterol(OR=2.53,95%CI=1.45-4.42,P<0.05).Abdominal overweight or obese group had the highest risk for dyslipidemia and triglycerides(OR=1.82,95%CI=1.33-2.48;OR=3.64,95%CI=2.45-5.43)(P<0.05).Conclusions The prevalence rates of overweight,obesity,abdominal obesity,and hyperlipidemia are relatively high in rural primary and middle school students of Nutrition Improvement Programme for Rural Compulsory Education Students in Zhejiang Province.Abdominal obesity is a more important risk factor for hyperlipidemia.Waist circumference should be the focus of considerable attention.

关 键 词：肥胖症 血脂异常 生长和发育 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] R723.14[医药卫生—公共卫生与预防医学] R339.35