营养控制联合运动教育干预对肥胖儿童肾功能的影响

Nutrition intervention and exercise education for improvement of renal function in obese children

目的:探讨营养控制联合运动教育干预对肥胖儿童肾功能的影响。方法:采用随机、对照研究,选择76例肥胖儿童。随机分为实验组、单纯治疗组和正常对照组,实验组按照营养师的要求进行饮食控制,单纯治疗组自行饮食控制,观察期为6个月,并对其疗效进行比较。结果:正常对照组、单纯治疗组、实验组ɑ1-MG,NAG、血BUN、血Cr组间比较,差异均无统计学意义(P>0.05)。单纯治疗组、实验组治疗前Alb、IgG、TRF与正常对照组比,差异均有统计学意义(P<0.01)。单纯治疗组治疗前各组指标与实验组治疗前比较,差异无统计学意义(P>0.05)。单纯治疗组治疗前、后Alb、IgG、TRF比较:差异均有统计学意义(P<0.01);实验组治疗前、后Alb、IgG、TRF比较,差异均有统计学意义(P<0.01)。单纯治疗组、实验组治疗后与对照组比较:单纯治疗组治疗后各指标差异仍有显着性(P<0.01)。实验组治疗后各指标差异均无统计学意义(P>0.05)。结论:营养控制联合运动教育干预对肥胖儿童肾功能的改善较好,对患儿以后提高生活质量有积极作用。

Objective： To investigate effects of nutrition intervention and exercise education on improvement of renal function in obese children.Methods： A randomized,controlled study was conducted,76 obese children were randomly divided into experimental group,simple treatment group and normal control group.The experimental group was required to eat and exercise as the nutritionists instructed,while the simple treatment group was self-controlled.After observation for 12 months,compared the effects.Results： Level of urinary trace protein and blood indicators of renal function including ɑ-MG,NAG,serum BUN,serum Cr of the experimental group and simple treatment group was not significantly different from each other（P〉0.05）,while the difference between levels of Alb,IgG,TRF of the 2 groups was statistically significant.（P〈0.01 or P〈0.05）.Conclusion： Nutrition intervention and exercise education is good for improving renal functions and life quality of obese children.