中重度肥胖儿童与正常儿童血脂水平及自我意识水平的差异

Differences of blood lipid levels and self-consciousness level between children with moderate to severe obesity and normal children

目的比较分析中重度肥胖儿童与正常儿童的血脂水平及自我意识水平的异同。方法对商丘市3所小学6年级学生912例进行身高、体重检测,将符合儿童中重度肥胖的26例设为肥胖组,并选择同年级自愿参与研究的身高、体重正常的健康儿童26例设为对照组。两组均由专业的临床医师和专业的心理医师进行血脂及Piers-Harris儿童自我意识量表测试。结果肥胖组血总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白-胆固醇(LDL-C)及高密度脂蛋白-胆固醇(HDL-C)与正常组比较差异有统计学意义(P<0.01)。肥胖组儿童自我意识总分及各分量表评分与对照组比较差异有统计学意义(P<0.01)。结论中重度肥胖症儿童的血脂较正常儿童偏高,自我意识低于正常同龄儿童。提示儿童肥胖症给儿童的身心均带来不同程度的损害,应高度重视儿童肥胖症的纠正与预防。

Objective To compare and analyze the differences of blood lipid levels and self- consciousness level between children with moderate to severe obesity and normal children. Methods The subjects were the pupils of Grade 6 from 3 primary schools in Shangqiu city between December 2002 and March 2003. Totally 912 students participated in the measurement of body height and body mass, and 56 of them accorded with the diagnostic standard of obesity for children, 26 children with moderate to severe obesity were taken as the observational group. Another 26 healthy children （control group） of the same grade with normal body height and body mass took part in the study voluntarily. In both groups, blood lipids were detected and Piers- Harris children＇s self- concept scale （PHCSS） was given by professional clinicians and professional psychological physicians respectively. Results The blood lipid indexes of TC, TG, LDL-C and HDL-C in the moderate to severe obesity group were obviously different from those in the normal body mass group （P 〈 0.01）. The total score of PHCSS and the scores of sub -scales were significantly different between the two groups （P 〈 0.01）. Conclusion The blood lipids of children with moderate to severe obesity are a little higher than those of normal children, and the self- consciousness is lower than that of normal children, it is indicated that obesity in children will bring them physical and mental lesions of different degree, so we should pay great attention to the correction and prevention of obesity in children.