References

problendo

Проблемы Эндокринологии

Problems of Endocrinology

0375-96602308-1430

Endocrinology Research Centre

10.14341/probl201157515-23

problendo-4557

Research Article

Статьи

Articles

Частота абдоминального ожирения и ассоциированных с ним метаболических нарушений у детей 7-13 лет

The incidence of abdominal obesity and the associated metabolic disturbances in the children aged 7-13 years

Vaĭnilovich

E G

yelenava@hotmail.com

Lushchik

M L

Sretenskaia

Zh L

Zapol'skiĭ

S A

Danilova

L I

2011

15102011

575

ТОМ 57, №5 (2011)

1523

2011

Vaĭnilovich E.G., Lushchik M.L., Sretenskaia Z.L., Zapol'skiĭ S.A., Danilova L.I.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.probl-endojournals.ru/jour/article/view/4557

На первом этапе данного исследования оценивалась частота абдоминального ожирения у 878 городских школьников 7-13 лет по процентильным таблицам объема талии (ОТ) для детской популяции Великобритании и индексу ОТ/рост, который выявляет детей с самым высоким риском метаболических нарушений. Частота абдоминального ожирения по критерию ОТ ≤90-го процентиля (ПЦ) для возраста и пола составила 33,1% в общей группе без достоверной разницы между мальчиками и девочками (30,7% против 35,5%). Частота абдоминального ожирения по критерию ОТ/рост с пороговым значением ≤0,5 для обоих полов составила 9,9% в общей группе и была достоверно выше у мальчиков, чем у девочек (13,1% против 6,9%). На втором этапе у 51 ребенка с ОТ ≤90-го ПЦ были достоверно повышенное систолическое и диастолическое артериальное давление, уровень триглицеридов, инсулина, индекс HOMAIR и ниже уровень ЛПВП по сравнению с группой контроля (28 детей) с ОТ <90-го ПЦ. Полученные данные свидетельствуют о высокой частоте абдоминального ожирения у городских детей младшего школьного возраста. У детей с абдоминальным ожирением формируются метаболические нарушения и факторы риска сердечно-сосудистых заболеваний.

Stage 1 of the present study was designed to estimate the incidence of abdominal obesity among 878 schoolchildren aged between 7 and 13 years using the percentile tables for the waist circumference (WC) in the children's population of the United Kingdom and from the WC/height ratio that makes it possible to identify children at the highest risk of metabolic disturbances. The incidence of abdominal obesity based on the criterion of WC≤90th percentile (PC) for the age and the sex was estimated to be 33.1% for the entire group in the absence of significant difference between boys and girls (30.7% vs 35,5%). The incidence of abdominal obesity based on the criterion of WC/height ratio with a threshold value of ≤0.5 was 9.9% for both sexes in the entire group; it was significantly higher in the boys than in the girls (13.1% vs 6.9%). At the second stage of the study, the group of the children having WC≤90th percentile (n=51) showed significantly higher systolic and diastolic arterial pressure, blood triglyceride and insulin levels and HOMAIR index but lower HDL levels than control patients with WC < 90th percentile (n=28). The results of the study suggest the high incidence of abdominal obesity among young schoolchildren residing in large cities. Moreover, such children tend to develop metabolic disturbances and are at risk of cardiovascular diseases.

детиобъем талииабдоминальное ожирениеиндекс объема талии к росту

childrenwaist circumferenceabdominal obesitywaist circumference to height ratio

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The authors declare that there are no conflicts of interest present.