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肥胖儿童臂-踝脉搏波传导速度影响因素分析

狄云霏 丁粤粤 徐秋琴 吕海涛 陈临琪 吴海瑛 陈秀丽 史晓燕 陈婷

郑州大学学报(医学版)2024,Vol.59Issue(3):357-360,4.
郑州大学学报(医学版)2024,Vol.59Issue(3):357-360,4.DOI:10.13705/j.issn.1671-6825.2023.07.064

肥胖儿童臂-踝脉搏波传导速度影响因素分析

Influencing factors of arm-ankle pulse wave conduction velocity in obese children

狄云霏 1丁粤粤 2徐秋琴 2吕海涛 2陈临琪 3吴海瑛 3陈秀丽 3史晓燕 4陈婷5

作者信息

  • 1. 苏州大学附属儿童医院内分泌遗传代谢科 江苏苏州 215025||无锡市惠山区人民医院儿科 江苏无锡 214187
  • 2. 苏州大学附属儿童医院心内科 江苏苏州 215025
  • 3. 苏州大学附属儿童医院内分泌遗传代谢科 江苏苏州 215025
  • 4. 苏州大学附属儿童医院儿童保健科 江苏苏州 215025
  • 5. 苏州大学附属儿童医院内分泌遗传代谢科 江苏苏州 215025||昆山市第六人民医院儿科 江苏昆山 215300
  • 折叠

摘要

Abstract

Aim:To explore alterations in arm-ankle pulse wave conduction velocity(baPWV)in obese children and analyze its influencing factors.Methods:A total of 94 obese children and 57 physically examined healthy children who at-tended the Department of Endocrinology and Genetic Metabolism and the Department of Child Health of Children's Hospital of Soochow University,respectively from June 2021 to October 2022 were selected.The differences in BMI,gender,age,blood uric acid,blood lipids,fasting glucose and insulin,carotid intima-media thickness(cIMT),baPWV,Z-score of BMI(Z-BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),homeostasis model of insulin resistance index(HO-MA-IR)were compared between the 2 groups.The differences in baPWV between hypertensive and normotensive,pubertal and prepubertal groups in obese children were compared.Multiple linear regression was used to analyze the influencing fac-tors of baPWV.Results:BaPWV was slower in obese children than in healthy children(P=0.036).Inobese children,baP-WV was faster in the hypertensive group than that in the normotensive group,and faster in the pubertal group than in the prepubertal group(P<0.05).Multiple linear regression analysis showed that DBP and HOMA-IR were influencing factors for baPWV in obese children,with B(95%CI)of 10.959(4.745-17.173)and 3.416(0.771-6.061).Conclusion:BaPWV in obese children is associated with blood pressure,HOMA-IR,and puberty.

关键词

肥胖/儿童/动脉硬化/臂-踝脉搏波传导速度

Key words

obesity/children/atherosclerosis/arm-ankle pulse wave conduction velocity

分类

医药卫生

引用本文复制引用

狄云霏,丁粤粤,徐秋琴,吕海涛,陈临琪,吴海瑛,陈秀丽,史晓燕,陈婷..肥胖儿童臂-踝脉搏波传导速度影响因素分析[J].郑州大学学报(医学版),2024,59(3):357-360,4.

基金项目

江苏省卫生健康委员会科研项目(M2021082) (M2021082)

苏州大学临床高峰项目(ML13100523) (ML13100523)

郑州大学学报(医学版)

OA北大核心CSTPCD

1671-6825

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