سندرم متابولیک در کودکان با افزایش وزن

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشیار گروه کودکان ، دانشگاه علوم پزشکی مشهد – ایران

2 استادیار گروه پزشکی اجتماعی- دانشگاه علوم پزشکی مشهد- ایران

چکیده

مقدمه
چاقی یکی از بیماریهای شایع تغذیه ای در دنیا می باشد و بامشکلات زیا دی از نظر سلامت عمومی جامعـه همـراه
است. به علاوه چاقی نقش عمده ای در ایجاد سندرم متابولیک دارد .بـا توجـه بـه شـیوع افـزایش یابنـده چـاقی در
کودکان و نوجوانان شیوع این سندرم نیز در این گروه سنی، بیشتر شده است. در این مطالعه شیوع سندرم متابولیک
وعوامل پیشگویی کننده مورد بررسی قرارگرفته است.
روش کار
در یک مطالعه مقطعی توصیفی 249 کوک 15-5ساله با اندکس توده بدنی بیشتر از صدک 85 از فروردین ماه 87
لغایت پایان اسفند ماه 87 در بیمارستان امام رضا (ع)، از نظر معیارهای رشد وزنی، قدی، فشار خـون، سـطح لیپیـد،
قند خون ناشتا، سطح انسولین و تست تحمل گلوکزمورد ارزیابی قرار گرفتند. نتایج بـه دسـت آمـده بـا اسـتفاده از
آمار توصیفی و آزمون کای اسکوئر تجزیه و تحلیل شد.
نتایج
متوسط سن مراجعه کنندگان 9/8 ±2/8 سال ،بیشترین سن مراجعه دختران 10-5سال و پسران بالای 10 سـال بـود.
70/6% مراجعین دخترو بقیه پسر بودند. هم چنین 66/5 % چاق و 33/5 % افزایش وزن داشتند. شیوع هیپرانسولینیسم
27/3 %، تست تحمل مختل 11/6%، مقاومت به انسولین 3/6 % و دیابت 1/2 % بود. در30 % مـوارد فـشارخون بـالا و
در 66/2 % اختلال سطح لیپید مشاهده شد.
نتیجه گیری
در این مطالعه شیوع سندرم متابولیک 20/1 % گزارش شد و اختلال سطح لیپید بیشترین اخـتلال سـندرم متابولیـک
مشاهده شده، بود.

کلیدواژه‌ها


عنوان مقاله [English]

Prevalence of Metabolic Syndrome in Children with Overweight

نویسندگان [English]

  • Nosrat Ghaemi 1
  • Monavar Afzal Aghaee 2
1 Associate professor , pediatrics Department ,Mashhad university of Medical sciences, Iran
2 Assistant professor in Social Medical
چکیده [English]

Introduction
Childhood obesity is increasingly common and is associated with health problems. In particular, obesity plays a central role in the metabolic syndrome. We estimated the prevalence of metabolic syndrome. In obese children and adolescents 5-15 years old.
 
Materials and Methods
This descriptive cross Sectional study took place from April 2008 to March 2009, a total of 249 children and adolescents 5-15 years old with BMI>85percentil evaluated for growth parameters, BMI, blood pressure, Lipid profile, fasting blood sugar, insulin, and OGTT.
 
Results
Mean age recorded was 9.8± 2.8 year, females with the range of 5-10 years old and males with above l0 years old. Of them 70.6% were female and others male, 66.5% were obese and 33.5% over weight.
Frequency of hyperinsulinism, impaired glucose tolerance test, Insulin resistance and type 2 diabetes were 27.3%, 11.6%, 3.6% and 1.2% respectively. Overall 30% of children had high blood pressure and 66.2% dyslipidemia
 
Conclusion
Frequency of metabolic syndrome in this study was 20.1% and dyslipidemia was more common.
 

کلیدواژه‌ها [English]

  • blood pressure
  • BMI
  • Dyslipidemia
  • insulin resistance
  • Obesity
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