耳穴、有氧运动、行为治疗对单纯性肥胖儿童形体、血清瘦素及血脂的影响

THE INFLUENCE OF AURICULAR POINT,AEROBIC EXERCISE AND BEHAVIOR THERAPY ON THE PHYSIQUE AND THE SERUM LEPTIN,BLOOD LIPID INGREDIENT OF CHILDREN WITH SIMPLE OBESITY

[目的]观察耳穴、有氧运动、行为治疗对儿童单纯性肥胖形体指标及血清瘦素、血脂成分影响。[方法]按身高别体重法将明确诊断为儿童单纯性肥胖60例随机分为3组:A组耳穴、有氧运动、行为综合治疗;B组行为治疗加有氧运动;C组单纯行为治疗。治疗时间3个月。治疗前后分别测量体重、腰围、臀围、上臂围、身高、BMI及血清瘦素、TC、TG、LDL-C、HDL-C。[结果]3组单纯性肥胖儿童治疗后形体指标均发生变化,体重下降,腰围、臀围、上臂围、BMI缩小,以A组为优tac5.44、P﹤0.01,B组次之tbc.4.52、P﹤0.05,C组差异无统计学意义。治疗前单纯肥胖儿童血清瘦素水平较高,治疗后下降。血脂成分亦发生改变,以A组最为显著ta6.02、P﹤0.01,B组tb.5.16、P﹤0.05与治疗前比较有差异,C组差异无统计学意义tc4.01、P﹥0.05。[结论]儿童单纯性肥胖采用耳穴、有氧运动、行为综合治疗效果最好。行为治疗控制食欲,有氧运动增加能量消耗,配合耳穴调整内分泌、脾胃功能、减少食欲,治疗后体重、腰围、臀围、上臂围、BMI缩小。高瘦素血症纠正,血脂成分发生明显变化。本方案患儿可长期坚持不影响生长发育。

[ Objective] To observe the influence of auricular point, aerobic exercise, and behavior therapy on the physique and the serum leptin, blood lipid ingredient of children with simple obesity. [ Methods] Basing on the height and weight method, we divided 60 patients who were diagnosed clearly with simple obesity into 3 groups at random. Group A had the auricular point, aerobic exercise and behavioral treatment; group B＇s treatment increased the aerobic exercise; group C pnrely had the behavioral therapy, the time of therapy was 3 months. Before and after the therapy, we separately surveyed the body weight, waistline, hip circumference, upper arm circumference, height, BMI and serum leptin, TC, TG, LDL-C, HDL-C. [ Results] After the therapy of the children with simple obesity in 3 groups, all of the physique changed. The body weight dropped, the waistline, hip circumference, upper arm circumference, BMI reduced. The group A was significant, it was tac5.44, P 〈 0.01, the group B followed by tbc4.52. P 〈 0.05, the differences of group C were meaningless. Before the treatment, the serum leptin levels in obese children were higher, but dropped after the treatment. The blood hpid ingredients also changed. The changes of group A were the most remarkable, it was ta6.02, P〈 0.01, the group B was tb.5.16. P〈 0.05, it had difference comparing with the condition before therapy. The differences in group C were meaningless, it was tc4.01, P 〉 0.05. [ Conclusion] Children who with simple obesity are carried on the auricular point, and behavior therapy, which will have the best effect. The behavior treatment may control the appetite; the aerobic exercise can increase energy consumption, coordinating auricular point can adjust the endocrine, the function of spleen and stomach and reduce appetite. After the therapy, the body weight drops, waistline, hip circumference, upper arm circumference, BMI reduce. High leptin hyperlipidemia is corrected, the ingredients of lipid change significantly. This program can be persisted for a long time without affecting children＇s growth and development .