Abstract：Objective To understand the current status of dyslipidemia and its correlation with dietary patterns among primary and middle school students with overweight and obesity in Xilin Gol League, Inner Mongolia so as to provide a theoretical basis for prevention and control of dyslipidemia among local pupils and middle school students. Methods In October 2020, the cluster sampling method was used to select primary and middle school students from 5 primary schools and 5 middle schools in Xilin Gol League as the research subjects. Physical examinations were carried out, a questionnaire survey was performed to collect dietary data, and laboratory examinations were conducted to collect blood biochemical data. The meal frequency method was employed to obtain the frequency and amount of food intake of the surveyed subjects during the past year, and dietary patterns were extracted by factor analysis. Correlations between the risk of dyslipidemia and dietary patterns in students with overweight and obesity were explored by logistic regression analysis. Results The detection rates of overweight, obesity and dyslipidemia in the primary and middle school students in this area were 14.04%, 15.38% and 16.65% respectively. The detection rate of dyslipidemia was higher in students with overweight and obesity than in students with normal weight (P<0.05). There were 4 dietary patterns for primary and middle school students in this area, namely, the dietary pattern of bean products and vegetables, the dietary pattern of fruits and sweets, the dietary pattern of poultry and eggs, and the dietary pattern of Mongolian ethnic minority. After correcting confounding factors, the results of logistic regression analysis revealed that the dietary pattern of fruits and sweets (OR=1.652, 95%CI:1.080-2.525, P<0.05) was a risk factor for dyslipidemia. The dietary pattern of soy products and vegetables (OR=0.272, 95%CI:0.110-0.67) and the dietary pattern of Mongolian ethnic minority (OR=0.615, 95%CI:0.428-0.844) were protective factors for dyslipidemia (OR=0.272, OR=0.615, P<0.05). Conclusion The dyslipidemia rate of the primary and middle school students inthis area is lower than the national level. The dietary pattern of fruits and sweets is a risk factor for dyslipidemia, but the dietary pattern of soy products and vegetables and the dietary pattern of Mongolian ethnic minority are protective factors for dyslipidemia, suggesting that we can improve the dietary patterns to achieve the purpose of controlling dyslipidemia in the primary and middle school students.
黄丽思, 吴艳宇, 迟宝峰. 锡林郭勒盟超重肥胖中小学生血脂异常与膳食模式相关性分析[J]. 实用预防医学, 2023, 30(11): 1312-1316.
HUANG Lisi, WU Yanyu, CHI Baofeng. Correlation of dyslipidemia with dietary patterns among primary and middle school students with overweight and obesity in Xilin Gol League. , 2023, 30(11): 1312-1316.
[1] Burlutskaya AV, Tri lVE, Polischuk LV, et al. Dyslipidemia in pediatrician's practice[J].Rev Cardiovasc Med,2021,22(3):817-834. [2] 周方怡. 我国儿童肥胖症流行病学研究进展[J].中国当代医药,2019,26(27):26-29. [3] Faienza MF,Wang DQ,Fruhbeck G,et al. The dangerous link between childhood and adulthood predictors of obesity and metabolic syndrome[J].Intern Emerg Med,2016,11(2):175-182. [4] Siri-Tarino PW,Krauss RM. Diet, lipids, and cardiovascular disease[J].Curr Opin Lipidol,2016,27(4):323-328. [5] 国家卫生健康委员会. 学龄儿童青少年超重与肥胖筛查:WS/T 586—2018[S].北京:人民卫生出版社,2018:1-8. [6] 向伟. 儿童青少年血脂异常防治专家共识[J].中华儿科杂志,2009,47(6):426-428. [7] 王烁,董彦会,王政和,等. 1985—2014年中国7～18岁学生超重与肥胖流行趋势[J].中华预防医学杂志,2017,51(4):300-305. [8] 李颂婷,钟燕. 体成分与儿童青少年肥胖的相关研究进展[J].中国儿童保健杂志,2020,28(2):161-164. [9] 王政和,邹志勇,阳益德,等. 2012年中国7省份6～17岁儿童青少年血脂异常流行情况及相关因素分析[J].中华预防医学杂志,2018,52(8):798-801. [10] 范奕,陈婷,程慧健,等. 江西省6～17岁儿童青少年血脂水平[J].中国学校卫生,2021,42(5):772-775. [11] 金红芳,米杰,杨晓征,等. 北京地区肥胖儿童青少年血脂状况调查[J].实用儿科临床杂志,2008,23(13):997-999. [12] 叶佩玉,陈芳芳,米杰. 儿童期肥胖的健康危害:来自中国人群的证据[J].中华预防医学会杂志,2016,50(1):97-100. [13] 张敏,陆国平. 血脂异常与代谢综合征[J].中华心血管病杂志,2003,14(12):81-83. [14] 张静娴,汪元元,田亭,等. 江苏省成年人血脂异常与膳食模式的相关性研究[J].实用预防医学,2020,27(10):1172-1176. [15] 曹黎,徐静,张宇,等. 北京市某社区女性居民膳食模式与常见慢性病的关系[J].中国食物与营养,2020,26(4):84-88. [16] 钞虹,陈希鹏,李刚,等. 高寒地区某高校在校大学生膳食模式与肥胖的相关性分析[J].中国慢性病预防与控制,2021,29(8):597-600. [17] Schoeneck M,Iggman D. The effects of foods on LDL cholesterol levels: a systematic review of the accumulated evidence from systematic reviews and meta-analyses of randomized controlled trials[J].Nutr Metab Cardiovasc Dis,2021,31(5):1325-1338 [18] Vos MB,Kaar JL,Welsh JA,et al. Added sugars and cardiovascular disease risk in children: a scientific statement from the American Heart Association[J].Circulation,2017,135(19):e1017-e1034. [19] Soliman GA. Dietary fiber, atherosclerosis, and cardiovascular disease[J].Nutrients,2019,11(5):1155. [20] Sirichaiwetchakoon K, Lowe GM, Kupittayanant S, et al. Pluchea indica (L.) Less. tea ameliorates hyperglycemia, dyslipidemia, and obesity in high fat diet-fed mice[J].Evid Based Complement Alternat Med,2020,2020:8746137. [21] Zhou X,Ge B,Zhang X,et al. Metabolomics analysis reveals the effects of compound Fuzhuan brick tea (CFBT) on regulating dyslipidemia and metabolic disorders in mice induced by high-fat diet[J].Nutrients,2022,14(6):1128. [22] Liu R,Zhao Y,Wang X,et al. Association of egg consumption frequency and quantity with dyslipidemia in Chinese rural adults[J]. J Am Nutr Assoc,2022,42(6):1-11. [23] 张欣雨. 鸡蛋摄入与血脂水平及血脂异常关系的前瞻性队列研究[D].郑州:郑州大学,2021. [24] 李艳清,黄展,许洁婷,等. 2017—2021年江门市儿童青少年学生超重与肥胖流行趋势分析[J].实用预防医学,2022,29(12):1439-1442. [25] 施风兰. 儿童青少年血糖、血脂异常流行现状及影响因素概述[J].中国妇幼保健,2017,32(10):2266-2270.
2023, Vol. 30 
