[1]高阿宁.儿童肥胖指数与血脂及心率变异性临床研究*[J].陕西医学杂志,2019,(1):19-21.
　GAO A'ning..Clinical research between childhood obesity index and blood lipid and heart rate variability[J].,2019,(1):19-21.
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儿童肥胖指数与血脂及心率变异性临床研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年1期
页码:
19-21
栏目:
临床研究
出版日期:
2019-01-05

文章信息/Info

Title:
Clinical research between childhood obesity index and blood lipid and heart rate variability
文章编号:
DOI:10.3969/j.issn.10007377.2019.01.006
作者:
高阿宁
陕西省咸阳市中心医院（咸阳 712000）
Author(s):
GAO A'ning.
Xianyang Central Hospital of Shaanxi Province (Xianyang 712000)
关键词:
儿童; 肥胖; 血脂; 心率变异性; 体质指数; 相关性
Keywords:
Key words Children;  Obesity;  Blood lipids;  Heart rate variability;  BMI; Correlation
分类号:
R725.8
文献标志码:
A
摘要:
摘 要 目的:探讨儿童肥胖指数与血脂及心率变异性的关系。方法:选取70例肥胖儿童纳入观察组，70例体重正常的儿童纳入对照组。检测两组研究对象的体质指数(BMI)、血脂指标\[包括血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDLC)、低密度脂蛋白胆固醇(LDLC)\]、心率变异性指标\[RR间期总体标准差(SDNN)、RR间期平均值的标准差(SDANN)、相邻RR间期差值的均方根(RMSSD)\]，分析BMI、血脂及心率变异性指标之间的相关性。结果:观察组BMI、TG、LDLC均高于对照组，差异有统计学意义(P＜0.05)，SDNN、SDANN、RMSSD低于对照组，差异有统计学意义(P＜0.05)。肥胖儿童的BMI与TG（线性方程：y = 0.0368x + 0.1169）、LDLC（线性方程：y = 0.012x + 1.0454）呈正相关，BMI与SDNN（线性方程：y = 1.5473x + 163.38）、SDANN（线性方程：y = 12.331x + 125.55）、RMSSD（线性方程：y = 42.817x + 80.866）呈负相关。TG与SDNN、SDANN、RMSSD之间均呈负相关(r=0.452,0.521,0.583,P＜0.05)。结论:肥胖儿童主要因高TG水平而造成自主神经损害，引起心率变异性降低，应积极控制肥胖儿童体重与TG水平。
Abstract:
Abstract Objective:To explore the relationship between childhood obesity index and blood lipid and heart rate variability.Methods：Total of 70 cases of obese children were enrolled in the observation group and 70 cases of healthy children were included in the control group. The levels of body mass index (BMI),blood lipid index \[including serum total cholesterol (TC),triglyceride (TG),high density lipoprotein Cholesterol (HDLC),low density lipoprotein cholesterol (LDLC)\] and heart rate variability index \[including standard deviation of normaltonormal RR intervals (SDNN),standard deviation of the average normaltonormal intervals (SDANN),root mean square of successive differences (RMSSD)\] were detected. The correlation between BMI,blood lipid index and heart rate variability index were analyzed. Results：The BMI,TG and LDLC in the observation group were higher than the control group,SDNN,SDANN,The RMSSD were lower than the control group,and the difference were statistically significant (P＜0.05). The BMI of obese children were positively correlated with TG (linear equation：y=0.0368x +0.1169) and LDLC (linear equation：y=0.012x+1.0454),and negatively correlated with SDNN (linear equation：y=1.5473x+163.38),SDANN (linear equation：y=12.331x+125.55) and RMSSD (linear equation：y=42.817x+80.866). There were negative correlation between TG and SDNN,SDANN and RMSSD (r=0.452,0.521,0.583,P＜0.05). Conclusion :The obese children mainly suffer from autonomic nerve damage due to high TG levels,causing heart rate variability decreased. Obese children should actively control the weight and TG level.

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备注/Memo

备注/Memo:
*陕西省科技计划项目（2017K160306）
更新日期/Last Update: 2019-01-22