黔南州6～12岁苗族和布依族儿童代谢综合征危险因素对比

A comparative study on the risk factors of metabolic syndrome between 6～12-year old children of Miao nationality and 6～12-year old children of Bouyei nationality in Qiannan Autonomous Prefecture

目的:探讨黔南州6～12岁苗族和布依族儿童代谢综合征危险因素的特征。方法:2009年1月～2010年12月收集225例代谢综合征儿童为研究对象,按民族分为苗族组(107例)和布依族组(118例),分别进行问卷调查、体格检查及生化指标检测,并对与代谢综合征相关的因素进行分析。结果:①两民族代谢综合征儿童危险因素比较:布依族组在被动吸烟、体重增加、高血压家族史、高血脂家族史等方面与苗族组比较,差异有统计学意义(P<0.01);②两民族代谢综合征儿童膳食结构及其他因素比较:布依族组在摄入主食、猪肉、猪肉肥瘦、花生、咸菜、甜食等方面明显高于苗族组(P<0.01),在摄入蔬菜方面明显低于苗族组(P<0.01)。苗族组的经济收入明显低于布依族组(P<0.01)。③两民族代谢综合征儿童肥胖和代谢指标水平比较:布依族组儿童的收缩压、舒张压、甘油三酯、腰围、腰臀比及体重指数水平均高于苗族组儿童,高密度脂蛋白-C水平明显低于苗族组儿童(P<0.01);两组空腹血糖水平比较,差异无统计学意义(P>0.05)。结论:黔南州布依族和苗族儿童代谢综合征的患病水平存在明显差异,其危险因素为高血压家族史、高血脂家族史、高体重指数、高腰臀比、被动吸烟、膳食口味咸、高碳水化合物饮食、高脂饮食等因素与代谢综合征发病有关。

Objective：To explore the characteristics of risk factors of metabolic syndrome among 6～12-year old children of Miao nationality and Bouyei nationality in Qiannan Autonomous Prefecture. Methods：225 children with metabolic syndrome were collected from January 2009 to December 2010 as study objects,then they were divided into Miao nationality group（107 children） and Bouyei nationality group（118 children） according to different nationalities;questionnaire survey,physical examination and biochemical indicators detection were conducted,and the related factors of metabolic syndrome were analyzed. Results：Comparison of risk factors of metabolic syndrome between Miao nationality group and Bouyei nationality group： there was significant difference in passive smoking,weight gain,family history of hypertension,family history of hyperlipidemia between the two groups（P0.01）.Comparison of dietary structure and other factors between Miao nationality group and Bouyei nationality group： the intakes rates of staple food,pork,fat and lean meat,peanuts,pickles and sweets in Bouyei nationality group were significantly higher than those in Miao nationality group（P0.01）,the intake rate of vegetables in Bouyei nationality group was significantly lower than that in Miao nationality group（P0.01）,the economic income in Miao nationality group was significantly lower than that in Bouyei nationality group（P0.01）.Comparison of levels of obesity and metabolic indexes of metabolic syndrome between Miao nationality group and Bouyei nationality group： the systolic blood pressure（SBP）,diastolic blood pressure（DBP）,triglyceride（TG）,waist circumference,waist-to hip ratio（WHR） and body mass index（BMI） in Bouyei nationality group were significantly higher than those in Miao nationality group,the level of high density lipoprotein-C in Bouyei nationality group was significantly lower than that in Miao nationality group（P0.01）.There was no significant difference in fasting blood glucose level between the two groups（P0.05）. Conclusion：There is significant difference in the prevalence of metabolic syndrome between the children of Miao nationality and the children of Bouyei nationality in Qiannan Autonomous Prefecture,the related risk factors of metabolic syndrome include the family history of hypertension,the family history of hyperlipidemia,high BMI,high WHR,passive smoking,salty dietary taste,high-carbohydrate diet and high fat diet.