青少年单纯性肥胖伴男子乳房发育症危险因素病例-对照研究  

Case-control study on the risk factors of simple obesity with gynecomastia in adolescents.

作　　者：唐宽晓[1] 张丽[2] 王德全[1] 王洁贞[3] 

机构地区：[1]山东大学齐鲁医院内分泌科 [2]山东大学第二医院内分泌科 [3]山东大学公共卫生学院

出　　处：《山东大学学报（医学版）》2002年第6期506-508,共3页Journal of Shandong University:Health Sciences

基　　金：山东省卫生厅科研基金资助课题(N95058)

摘　　要：目的:了解青少年单纯性肥胖伴男子乳房发育症(SOGA)患病情况及危险因素。方法:采用整群抽样及病例-对照研究的方法,将流调得到的102例SOGA患者按同年龄、同身高标准与不伴乳房发育单纯性肥胖(SO)及正常体重者进行1:1:1配比研究。结果:单纯性肥胖症患病率为21.6%,SOGA占46.2%,高于正常体重伴乳房发育发生率(29.4%,P<0.005)。条件logistic回归分析有意义的因素:活动量小、常喝饮料、爱吃零食、长期与祖辈同住、流腮和父亲对患者的关心程度,OR分别为8.78、4.14、3.30、1.44、1.60和0.04。结论:父亲的关心为SOGA保护性因素,其余有意义的因素为危险因素。提示,具备上述因素的人群是社区干预的重点。Objective:This study is aimed to survey the prevalence rate of SOGA and to probe into it's risk factors,so as to formulate and implement an intervention program and provide theoretical ba-sis for management of the disease.Methods:A1:1:1matched case-control study of 102cases was con-ducted.The factors included the history of birth and feeding,diet behavior,life habit,past history and family condition,and52variables were analysed.Results:Lacking physical training,drinking beverage fre-quently,excessive between-meal nibble,living together with grandparents for a long time,mumps and fa-ther's attitude to the obese son are significantly correlated to SOGA in the model of multi-factorial condi-tional logistic regression,and the OR values are8.78,4.14,3.30,1.44,1.60,and0.04respectively.Con-Clusion:It is concluded that lacking physical training,drinking beverage frequently,eating excessively be-tween-meals,living together with grandparents for a long time and mumps are risk factors of SOGA,and father's attitude to the obese son is a protective factor.Those who have these risk factors and lack father's care are the key population of the community intervention program of the disease.

关 键 词：青少年 单纯性肥胖 男子 乳房发育症 危险因素 病例-对照研究 

分 类 号：R589.2[医药卫生—内分泌]