[1]李玲霞,白 玲,姬存亮△,等.早期减肥对肥胖儿童肺功影响临床研究*[J].陕西医学杂志,2020,49(6):691-694.[doi:DOI:10.3969/j.issn.10007377.2020.06.013]
　LI Lingxia,BAI Ling,JI Cunliang,et al.Clinical study on the effect of early weight loss on lung function in obese children[J].,2020,49(6):691-694.[doi:DOI:10.3969/j.issn.10007377.2020.06.013]
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早期减肥对肥胖儿童肺功影响临床研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年6期
页码:
691-694
栏目:
临床研究
出版日期:
2020-06-05

文章信息/Info

Title:
Clinical study on the effect of early weight loss on lung function in obese children
作者:
李玲霞1; 白 玲2; 姬存亮3△; 李元霞1; 王 敏1; 张云清1; 李元军1
1.延安大学附属医院(延安 716000); 2.陕西省延安市人民医院(延安 716000); 3.陕西省延安市宝塔区妇幼保健计划生育中心(延安 716000)
Author(s):
LI Lingxia; BAI Ling; JI Cunliang; et al.
Affiliated Hospital of Yan'an University(Yan'an 716000)
关键词:
早期减肥;  肥胖儿童;  肺功能;  饮食疗法;  体育运动
Keywords:
Early weight loss;  Obese children;  Lung function;  Dietary therapy;  Sports
分类号:
R725
DOI:
DOI:10.3969/j.issn.10007377.2020.06.013
文献标志码:
A
摘要:
目的:探讨早期减肥对肥胖儿童肺功能的影响。方法:选择9岁肥胖儿童30例和11岁肥胖儿童30例分别为试验A组(早期减肥组)和试验B组,同时选择正常健康9岁、11岁儿童各30例分别为对照A组和对照B组,并对试验A和B组分别进行为期1年的干预,包括调整饮食、进行体育锻炼和行为干预,在两试验组肥胖儿童12岁时分别测其减肥后用力肺活量(FVC)、第一秒用力呼气量(FEV1)、最大呼气流速(PEF),并与同龄对照组儿童进行比较,同时对两试验组肺功能进行比较。结果:减肥前,试验组肥胖儿童用力肺活量、第一秒用力呼气量、最大呼气流速均低于正常健康同龄儿童; 减肥后,试验A组用力肺活量、第一秒用力呼气量、最大呼气流速较同龄对照组明显升高(P<0.05),试验B组用力肺活量、第一秒用力呼气量、最大呼气流明显提高(P<0.05),但低于同龄对照组(P<0.05),且试验A组即早期减肥组用力肺活量、第一秒钟用力呼气量、最大呼气流速皆高于试验B组(P<0.05)。结论:早期减肥可明显改善肥胖儿童肺功能。
Abstract:
Objective:To investigate the effect of early weight loss on lung function in obese children.Methods:30 obese children of 9 years old and 30 obese children of 11 years old were selected as experimental group A(early weight loss group)and experimental group B respectively,and 30 healthy children of 9 and 11 years old were selected as control group A and control group B respectively.The experimental group A and B were intervened for one year,including diet adjustment,physical exercise and behavior intervention.At the age of 12,forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1)and peak expiratory flow(PEF)of obese children in the two experimental groups were measured respectively and compared with those in the same age control group.At the same time,the lung function of the two experimental groups was compared.Results:Before weight loss,FVC,FEV1 and PEF of obese children in the experimental groups were all lower than those of healthy children of the same age.After weight loss,FVC,FEV1 and PEF in the experimental group A were significantly higher than those in the same age control group(P<0.05); FVC,FEV1 and PEF in the experimental group B were significantly increased(P<0.05),but lower than those in the same age control group(P<0.05); FVC,FEV1 and PEF in the experimental group A were higher than those in the experimental group B(P<0.05).Conclusion:Early weight loss can significantly improve lung function of obese children.

参考文献/References:

[1] GBD 2015 Obesity Collaborators.Health effects of overweight and obesity in 195 countries over 25 years[J].N Engl J Med,2017,377:13-27.
[2] 杨丽丽,席 波.济南市城区6～17岁儿童青少年超重和肥胖流行现状[J].中国儿童保健杂志,2017,25(11):1108-1112.
[3] 张 茜,马传伟,席 波.超重肥胖对高血压学龄儿童左心室肥厚的影响[J].中国学校卫生,2019(6):815-817.
[4] Kong IG,Lee HJ,Kim SY,et al.Physical activity,study sitting time,leisure sitting time,and sleep time are differently associated with obesity in korean adolescents:A population-based study[J].Medicine,2015,94(44):e1965.
[5] 陈秋映,李显丽,李奕平.儿童、青少年肥胖的研究进展[J].药品评价,2019,16(3):3-6,14.
[6] 辛美云,申长清,蔡文仙,等.减肥对肥胖儿肺功能的影响[J].济宁医学院学报,2011,34(3):176-177.
[7] 郭 吟,陈佩杰,陈文鹤.4周有氧运动对肥胖儿童青少年身体形态、血脂和血胰岛素的影响[J].中国运动医学杂志,2011,30(5):426-431.
[8] Li H,Zong XN,Ji CY,et al.Body mass index cutoffs for overweight and obesity in Chinese children and adolescents aged 2-18 years [J].Chin J Epidemiol,2010,31(6):616-620.
[9] 武俸羽.体育锻炼防治儿童单纯性肥胖的研究[A].中国生理学会运动生理学专业委员会.2017年中国生理学会运动生理学专业委员会会议暨“学生体质健康与运动生理学”学术研讨会论文集[C].北京:中国生理学会运动生理学专业委员会:中国生理学会,2017:1.
[10] 任媛媛,张文静,王 欣,等.穴位埋线对胃肠实热型肥胖患者饮食行为的临床研究[J].陕西中医,2019,40(5):661-663,670.
[11] 晓 牧.儿童更应拒绝肥胖防治糖尿病[J].糖尿病新世界,2014(1):36-37.
[12] 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,2019,48(1):19-21.
[13] 孙长良,何敏学,解 超.体育活动对肥胖学龄儿童身体成分影响的meta分析[J].西安体育学院学报,2018,35(5):599-605.
[14] 张吉芳.运动减肥对肥胖青少年身体形态、素质及机能变化影响的研究[D].杭州:杭州师范大学,2011.
[15] 李 婷.认知行为疗法结合运动饮食干预对肥胖儿童的效果研究[D].上海:上海体育学院,2016.
[16] 孙婷茹.肥胖与正常体重儿童同伴关系的比较研究[D].济南:山东师范大学,2011.
[17] 王 心,高修成,李晓南,等.利用磁共振波谱定量评价肥胖儿童青少年肝内脂肪含量[J].中国医学计算机成像杂志,2019,25(2):170-175.
[18] 邹 卉.儿童肥胖的危害与干预[J].中国计划生育学杂志,2018,26(12):1268-1269.
[19] 李慧英.不同儿童体重指数和儿童变应性鼻炎的关系研究[J].赣南医学院学报,2019,39(4):363-365.

备注/Memo

备注/Memo:
*陕西省社会发展科技攻关项目(2016SF-075)；陕西省卫生和计划生育委员会科研基金资助项目(2016D82)；陕西省延安市科技攻关计划项目(2018KS-10-02)
更新日期/Last Update: 2020-07-28