上海市浦东新区学龄儿童代谢综合征流行现状

Prevalence of Metabolic Syndrome among Schoolchildren in Pudong New Area of Shanghai

[目的]了解学龄儿童代谢综合征流行现状,为代谢综合征早期预防提供依据。[方法]以浦东新区2所学校363名学生为研究对象,测定其身高、体重、腰围和血压,检测血糖及血脂等指标,分析儿童代谢综合征的患病情况。[结果]儿童代谢综合征总患病率为3.6%,超重儿童为9.5%,肥胖儿童为22.6%;儿童腰围、血压、三酰甘油及高密度脂蛋白胆固醇异常率分别为18.2%、4.1%、14.9%、24.0%,不同性别间差别无统计学意义。多因素logistic回归分析显示,体质指数和腰围是儿童代谢综合征患病的影响因素(P<0.05)。[结论]代谢综合征在超重和肥胖儿童中患病率较高。

[ Objective ] To analyze the epidemiological prevalence of metabolic syndrome （MS） among schoolchildren, in order to provide scientific evidence for the early prevention of MS. [ Methods ] The study enrolled 363 students from two schools in Pudong New Area. Their body height, weight, waist circumference, and blood pressure were measured, as well as fasting glucose and plasma lipid, to estimate prevalence of MS among the subjects. [ Results ] The prevalence of MS was 3.6% in total, 9.5% in the overweight group, and 22.6% in the obese group. The abnormal rates of waist circumference, blood pressure, serum triglycerides, and high-density lipoprotein cholesterol were 18.2%, 4.1%, 14.9%, and 24.0%, respectively. The difference of selected indicators was not statistically significant of the schoolchildren between genders. By logistic regression analysis, body mass index and waist circumference were the factors associated to the prevalence of MS among the schoolchildren （P 〈 0.05）. [ Conclusion ] The prevalence of MS is high in the overweight and obese schoolchildren.