天津市5~6岁儿童空腹血糖现状及影响因素分析

doi:10.11852/zgetbjzz2022-0161

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (7): 715-719.DOI: 10.11852/zgetbjzz2022-0161

天津市5~6岁儿童空腹血糖现状及影响因素分析

卢晓哲¹, 李卫芹², 乔毅娟², 张涛², 冷俊宏^1,2

1.天津医科大学公共卫生学院,天津 300070;
2.天津市妇女儿童保健中心儿保指导科

收稿日期:2022-02-09 修回日期:2022-03-29 发布日期:2022-07-25 出版日期:2022-07-10
通讯作者: 冷俊宏,E-mail:ljhlzqljhlzq@163.com
作者简介:卢晓哲(1999-),女,山东人,硕士研究生在读,主要研究方向为儿童保健。
基金资助:
天津市医学重点学科(专科)建设项目;天津市科技计划项目(18ZXRHSY00220)

Current status and influencing factors of fasting plasma glucose of children aged 5 - 6 years in Tianjin

LU Xiao-zhe^*, LI Wei-qin, QIAO Yi-juan, ZHANG Tao, LENG Jun-hong

^*School of Public Health, Tianjin Medical University, Tianjin 300070, China

Received:2022-02-09 Revised:2022-03-29 Online:2022-07-10 Published:2022-07-25
Contact: LENG Jun-hong, E-mail:ljhlzqljhlzq@163.com

摘要/Abstract

摘要： 目的调查天津市5~6岁儿童的空腹血糖(FPG)水平现状,分析儿童空腹血糖水平及空腹血糖受损(IFG)的影响因素,为预防成人慢性病提供参考。方法采用整群抽样法于2018年3—6月对天津市除滨海新区外的15个行政区的49所幼儿园的5~6岁儿童进行了横断面调查。调查包括测量身高、体重,采集空腹指尖血 2 ml检测FPG,问卷收集儿童的饮食、运动情况以及生活方式。结果 5 942名5~6岁儿童FPG平均水平为(4.77±0.38)mmol/L,IFG(FPG≥5.6 mmol/L)检出率为0.82%。多因素线性回归结果显示,男童的FPG水平高于女童(β=0.140,P＜0.001),居住在市区儿童的FPG水平高于郊区儿童(β=0.126,P＜0.001),超重和肥胖儿童FPG水平均高于体重正常儿童(β＝0.059、0.072,P＜0.001),白天运动时间＜0.5 h/d儿童FPG水平高于白天运动时间≥2 h/d儿童(β=0.031,P＜0.05)。多因素Logistic回归结果显示男童(OR=2.245,95%CI:1.204~4.186)、居住地为市区(OR=2.112,95%CI:1.169~3.817)和含糖饮料摄入频次≥3次/周(OR=7.724,95%CI:1.725~34.579)是儿童IFG发生的危险因素(P＜0.05)。结论开展学龄前儿童空腹血糖早期筛查和健康生活方式干预,对于成人慢性病的早期预防具有重要公共卫生学意义。

关键词: 血糖, 空腹血糖受损, 学龄前儿童

Abstract: Objective To investigate the current status of fasting plasma glucose(FPG) in children aged 5 to 6 years in Tianjin, and to understand the influencing factors of FPG levels and impaired fasting glucose(IFG) in children for early prevention of adult chronic diseases. Methods A cross-sectional survey was conducted, children aged 5 to 6 in 49 kindergartens from 15 administrative districts of Tianjin were selected using the cluster sampling method from March to June 2018. Children's height and weight were measured, fasting fingertip blood was collected to test FPG, and questionnaires were collected on children's diet, exercise and lifestyle. Results The average FPG level of 5 942 children aged 5 to 6 years was (4.77±0.38)mmol/L, and the detection rate of IFG(FPG≥5.6 mmol/L) was 0.82%. Multivariate linear regression results showed that boys had higher FPG levels than girls(β=0.140, P＜0.001), children living in urban areas had higher FPG levels than suburban children(β=0.126, P＜0.001), overweight and obese children had higher FPG levels than normal-weight children(β＝0.059, 0.072, P＜0.001), and the FPG level of children with daytime exercise time ＜0.5 h/d was higher than that of children with exercise time≥2 h/d(β=0.031, P＜0.05). The results of multivariate Logistic regression showed that boys(OR=2.245, 95%CI:1.204 - 4.186), living in urban area(OR=2.112, 95%CI:1.169 - 3.817) and frequency of intake of sugary drinks ≥3 times /week(OR=7.724, 95%CI:1.725 - 34.579) were risk factors for IFG in children(P＜0.05). Conclusion Early screening of FPG and healthy lifestyle intervention for preschool children are of important public health significance for the early prevention of adult chronic diseases.

Key words: blood glucose, impaired fasting glucose, preschool children

中图分类号:

R179

卢晓哲, 李卫芹, 乔毅娟, 张涛, 冷俊宏. 天津市5~6岁儿童空腹血糖现状及影响因素分析[J]. 中国儿童保健杂志, 2022, 30(7): 715-719.

LU Xiao-zhe, LI Wei-qin, QIAO Yi-juan, ZHANG Tao, LENG Jun-hong. Current status and influencing factors of fasting plasma glucose of children aged 5 - 6 years in Tianjin[J]. Chinese Journal of Child Health Care, 2022, 30(7): 715-719.

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天津市5~6岁儿童空腹血糖现状及影响因素分析

Current status and influencing factors of fasting plasma glucose of children aged 5 - 6 years in Tianjin

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