Abstract: Objective To investigate the potential complications of obesity in primary and secondary school students and the importance of early intervention. Method Height,weight,waist circumference,hip circumference,fat rate,fasting blood glucose,blood lipids,liver function,uric acid,insulin,postprandial glucose and insulin were detected in 247 cases of primary and secondary school students who participated in the training of obesity related knowledge voluntarily(136 cases were obese,55 were overweight,56 were normal),and all the children received pulmonary function test.The clinical data were analyzed. Results The incidence of hypertension,dyslipidemia,abnormal glucose metabolism,liver damage,hyperinsulinism and abnormal pulmonary function was 10.3%,38.2%,25.7%,22.1%,52.2%,51.5% and 56.6%,respectively. Conclusions Obese primary and secondary school students often suffer from potential complications such as hypertension,dyslipidemia,abnormal glucose metabolism,fatty liver,hyperuricemia,lung function damage.Therefore,obesity in primary and secondary school students should not be ignored,and the early intervention is very important.

Key words: school children, obesity, complications

摘要： 目的 分析超重/肥胖中小学生的潜在并发症,为早期干预提供依据。方法 自愿参加肥胖相关知识培训的中小学生共247例,其中肥胖136例,超重55例,体型正常56例,全部进行身高、体重、腰围、臀围、脂肪率、空腹血糖、血脂、肝功能、尿酸、胰岛素及餐后血糖和胰岛素测定,并行肺功能检查,对临床资料进行分析。结果 136例肥胖中小学生中高血压、血脂紊乱、糖代谢异常、肝功损害、高胰岛素血症、高尿酸血症、肺功能异常的检出率分别为10.3%、38.2%、25.7%、22.1%、52.2%、51.5%和56.6%。结论 肥胖中小学生易并发高血压、血脂紊乱、糖代谢异常、脂肪肝、高尿酸血症、肺功能损害等潜在并发症,中小学生肥胖症不容忽视,早期干预很有必要。

关键词: 学生, 肥胖, 并发症