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目的探讨高中学生超重与血糖、血脂、转氨酶代谢紊乱的相关性,分析超重相关因素。方法对本地区高中545名超重学生和537名体重正常学生进行谷丙转氨酶、空腹血糖、总胆固醇、甘油三酯等项目检查,并对两组学生相关病史、生活方式等进行问卷调查。结果 545名超重学生谷丙转氨酶、空腹血糖、甘油三酯指标高于对照组(P<0.05);超重男生明显多于女生(P<0.001);超重学生患有血压增高史或血糖增高史及高血压、糖尿病家族史者多于对照组(P<0.05);超重学生喜肉食、快餐者,半年体重增加者多于对照组(P<0.05),超重与性格、保健品、睡眠时间、学习压力、学习持续时间长短无明显相关性。结论对超重的学生,尤其是曾有过血压增高或血糖增高、或有高血压、糖尿病家族史的学生,应定期监测相关生化指标,及时给予必要的生活方式干预,有效控制体重增加。
Objective To investigate the correlation between overweight and high blood sugar, blood lipid and aminotransferase metabolism in high school students and to analyze the related factors of overweight. Methods A total of 545 overweight students and 537 normal weight students in the region were tested for alanine aminotransferase, fasting blood glucose, total cholesterol, triglyceride and other items. Questionnaire investigation was made on the related history, lifestyle and so on. Results The level of alanine aminotransferase, fasting blood glucose and triglyceride in 545 overweight students was significantly higher than that in the control group (P <0.05). The number of overweight boys was significantly higher than that of girls (P <0.001). Overweight students had history of hypertension or hyperglycemia Hypertension and family history of diabetes were more than those in the control group (P <0.05). Overweight students were more likely to eat meat or fast food than those in the control group (P <0.05), overweight and disposition, health products, sleep time and learning Pressure, duration of learning no significant correlation. Conclusions For overweight students, especially those who have had a history of hypertension or hyperglycemia or who have high blood pressure and family history of diabetes, they should regularly monitor relevant biochemical indicators and timely give the necessary lifestyle intervention to effectively control their weight gain.