儿童青少年肥胖.pptVIP

* Medical complication of obesity * 这是CVD危险因素—HBP、HCTG、HCTC及IFG随BMI变化的趋势： 将“基础人群”分男女按6-11岁及12-18岁各分为两个年龄组，以第一张图为例展示的是HBP的检出率随BMI的变化情况：以BMI的性别年龄组十分位值为横坐标，以HBP的检出率为纵坐标，图中不同颜色的线条代表的是不同性别年龄组HBP检出率随BMI的变化趋势。们可以看到HBP在BMI较低时危险性也较低，趋势平缓，待BMI增加到一定程度，大约在性别年龄组P85，危险性迅速增加，此规律在HCTG、HCTC随BMI的变化中基本相同，而IFG中表现得不甚明显。 * The tracking of BMI that occurs from childhood to adulthood is clearly shown in data from a study by Robert Whitaker (Children’s Hospital Medical Center in Cincinnati) and colleagues. They examined the probability of obesity in young adults in relation to the presence or absence of overweight at various times during childhood. For example, in children 10 to 15 years old, 10% of those with BMI-for-age 85th percentile were obese at age 25 whereas 75% of those with a BMI-for-age 85th percentile were obese as adults and 83% of those with a BMI-for-age 95th percentile were obese at age 25. (The sample size for the study was 854.) This study clearly shows that an overweight child is more likely than a child of normal weight to be obese as an adult. Other studies have shown this same trend of tracking occurring from childhood to adulthood. * * Compare three BMI references, China, CDC2000 and IOTF, the prevalence of combined overweight was close to each other for children who aged 9 to 14 years. But the result of definition by three BMI reference was quite different in children younger than 9 years or older than15 years. * Metabolic syndrome The metabolic syndrome is also known as the insulin resistance syndrome, dysmetabolic syndrome, and syndrome X. There is no precise definition of this syndrome, but it represents a specific body phenotype in conjunction with a group of metabolic abnormalities that are risk factors for coronary heart disease (CHD). Characteristics of this syndrome include abdominal obesity, insulin-resistant glucose metabolism (hyperinsulinemia, high fasting plasma glucose concentrations, impaired glucose tolerance), dyslipidemia (hypertriglycerid