儿童肥胖:临床评价标准的价值

Annales de pediatrie Pub Date : 1993-05-01
J P Girardet, P Tounian, M A le Bars, A Boreux
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引用次数: 0

摘要

为明确儿童肥胖的危险因素,寻找影响预后的因素,对113例肥胖儿童首次就诊及治疗期间的简单临床参数进行分析。制作了身高和体重图。体重指数(W/H2)反弹时父母肥胖、1岁时体重超标是主要危险因素。肥胖严重程度与自发热量摄入无关,但与体重指数反弹时的年龄呈负相关(r = -0.34;P = 0.017),且与肥胖发病年龄有关(r = -0.53;P < 0.001)。密切测量高危儿童的体重、身高和身体质量指数,可以在确定的肥胖阶段之前进行适当的预防治疗。治疗结果令人失望:只有28%的研究对象体重显著减轻。
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[Obesity in children: value of clinical evaluation criteria].

To clarify risk factors for obesity in children and look for factors affecting prognosis, simple clinical parameters were analyzed in 113 obese children at the first visit and during treatment. Height and weight charts were constructed. The main risk factors were parental obesity, excess weight at the age of one and above all young age at the time of the rebound in body mass index (W/H2). Severity of obesity was unrelated to spontaneous caloric intake but was negatively correlated with age at the time of rebound in body mass index (r = -0.34; p = 0.017) and above all with age at onset of obesity (r = -0.53; p < 0.001). Closely spaced measurements of weight, stature, and body mass index in high risk children would allow appropriate preventive treatment before the phase of established obesity. Curative treatment is disappointing: only 28% of the study subjects achieved significant reductions in weight.

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