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目的观察儿童肥胖型代谢综合征的筛查情况,并分析膳食纤维的干预效果。方法选取2011年7月-2013年11月101例肥胖型代谢综合征儿童为研究对象(异常组),另选83例正常体检儿童作为对照(正常组),检测两组儿童血压、血糖、血脂水平的差异,同时观察摄入膳食成分的差异,并将异常组儿童抽签随机分为观察组(51例)与对照组(50例),观察组采取膳食纤维干预,对照组不采取特别饮食干预措施,比较两组儿童治疗前及治疗后半年身高、腰围、臀围等指标变化情况。结果异常组脂代谢指标甘油三酯(TG)及低密度脂蛋白胆固醇(LDC-C)水平分别为(1.82±1.15)mmol/L和(2.96±0.66)mmol/L,与正常组〔(0.86±0.25)mmol/L、(2.54±0.71)mmol/L〕比较差异有统计学意义(P<0.05);异常组与正常组糖代谢指标比较差异无统计学意义(P>0.05);异常组收缩压(SBP)为(115.13±14.58)mm Hg,与正常组〔(101.64±11.29)mm Hg〕比较显著增高(P<0.05);异常组与正常组舒张压(DBP)比较差异无统计学意义(P>0.05);异常组与正常组能量指标碳水化合物、脂肪、蛋白质及脂肪酸/能量比较差异无统计学意义(P>0.05);异常组饱和脂肪酸及单不饱和脂肪酸比例分别为(40.36±6.82)%和(38.59±4.25)%,明显高于正常组〔(30.10±6.30)%、(32.86±6.17)%〕,多不饱和脂肪酸比例为(20.36±8.27)%,显著低于正常组〔(31.95±11.85)%〕,差异均有统计学意义(P<0.05);膳食纤维干预后,观察组与对照组儿童身高比较差异无统计学意义(P>0.05),观察组儿童腰围、臀围、体重、BMI分别为(84.31±8.62)cm、(85.32±10.33)cm、(61.31±10.58)kg、(26.37±2.86)kg/m2,与对照组〔(90.56±12.05)cm、(87.15±10.32)cm、(63.01±10.64)kg、(28.35±4.55)kg/m2〕比较显著降低,差异均有统计学意义(P<0.05)。结论应定期测量肥胖型代谢综合征儿童的血糖、血压及血脂水平,做好小儿代谢综合征的筛查工作,同时对肥胖型代谢综合征患儿采取膳食干预以降低患儿体重,保障儿童身心健康。
Objective To observe the screening of obese metabolic syndrome in children and analyze the effect of dietary fiber intervention. Methods From July 2011 to November 2013, 101 children with obesity metabolic syndrome were selected as the study group (abnormal group), and 83 normal children were selected as the control group (normal group). Blood pressure, blood glucose, blood lipid (51 cases) and control group (50 cases). The observation group took dietary fiber intervention while the control group did not take special dietary intervention Measures, comparison of two groups of children before treatment and six months after treatment height, waist circumference, hip circumference and other indicators changes. Results The levels of triglyceride (TG) and low density lipoprotein cholesterol (LDC-C) were (1.82 ± 1.15) mmol / L and (2.96 ± 0.66) mmol / L respectively in the abnormal group ± 0.25) mmol / L and (2.54 ± 0.71) mmol / L, respectively (P <0.05). There was no significant difference in the indexes of glucose metabolism between the abnormal group and the normal group (P> 0.05) Systolic blood pressure (SBP) was (115.13 ± 14.58) mm Hg, which was significantly higher than that of the normal group 〔(101.64 ± 11.29) mm Hg〕 (P <0.05). There was no significant difference in DBP between the abnormal group and the normal group (P> 0.05). There was no significant difference in energy index carbohydrates, fat, protein and fatty acid / energy between the abnormal group and the normal group (P> 0.05). The proportion of saturated fatty acid and monounsaturated fatty acid were (40.36 ± 6.82% and 38.59 ± 4.25%, respectively, which were significantly higher than those in the normal group 〔(30.10 ± 6.30)% and (32.86 ± 6.17)%〕, respectively, and the proportion of polyunsaturated fatty acids was (20.36 ± 8.27)%, (31.95 ± 11.85)%〕 (P <0.05). There was no significant difference in height between observation group and control group after intervention of dietary fiber (P> 0.05), and the difference was statistically significant The waist circumference, hip circumference, body weight and BMI were (84.31 ± 8.62) cm, (85.32 ± 10.33) cm, (61.31 ± 10.58) kg and (26.37 ± 2.86) kg / m2 respectively in the control group [(90.56 ± 12.05 ), (87.15 ± 10.32) cm, (63.01 ± 10.64) kg and (28.35 ± 4.55) kg / m2 respectively. There was significant difference between the two groups (P <0.05). Conclusions The blood glucose, blood pressure and blood lipid of children with obesity metabolic syndrome should be measured regularly. The screening of children’s metabolic syndrome should be done. At the same time, dietary intervention should be taken in children with obese metabolic syndrome to reduce the body weight health.