摘要
目的:探讨肥胖儿童青少年宏量营养素摄入与身体成分之间的关系。方法:收集首次就诊的6~18岁单纯性肥胖儿童的临床资料,包括一日24小时膳食记录,身体成分,采用广义线性回归模型分析宏量营养素摄入与身体测量指标,包括BMI、内脏脂肪面积(VFA)、体脂率、全身体脂肪质量指数(FMI)、全身肌肉质量指数(MMI)之间的关系。结果:纳入分析的432例肥胖儿童平均年龄(10.4±2.3)岁。13.9%患儿蛋白质、49.5%患儿脂肪和10.0%患儿碳水化合物供能比高于宏量营养素可接受范围(AMDR)。在调整了肥胖儿童的年龄、性别及总能量摄入后,宏量营养素摄入与身体成分指标之间关联无统计学意义。但在男童中,碳水化合物摄入与BMI呈正相关,且与体成分中脂肪相关指标VFA、体脂率、FMI均呈正相关关系;蛋白质摄入与体脂率及FMI呈负相关关系。结论:肥胖儿童青少年膳食脂肪摄入超标比例较高,其中男童膳食碳水化合物及蛋白质摄入对体脂有影响。
【Objective】To investigate the association between macronutrients intake and body composition in obese children and adolescents.【Method】Clinical data of 6-18-year-old obese children at their first visit were collected,including a 24-hour recall and body composition.Generalized linear model was used to analyze the association between macronutrients intake and body measurement indicators,including Body Mass Index(BMI),Visceral Fat Area(VFA),body fat percentage,Fat Mass Index(FMI),and Muscle Mass Index(MMI).【Result】A total of 432 obese children were included in the analysis,with an average age of(10.4±2.3)years.The ratio of energy from protein,fat,and carbohydrates higher than the Acceptable Macronutrient Distribution Range(AMDR)was 13.9%,49.5%,and 10.0%,respectively.After adjusting for age,gender,and total energy intake in obese children,there was no statistically significant association between macronutrients intake and body composition indicators.However,in boys,the carbohydrates was positively correlated with BMI and fat-related indicators,including VFA,body fat percentage,and FMI.Protein was negatively correlated with body fat percentage and FMI.【Conclusion】A high proportion of excessive dietary fat intake was found in children and adolescents.Carbohydrate and protein intake were associated with body fat in obese boys.
作者
王美辰
赵文利
杨文利
黄鸿眉
闫洁
WANG Mei-chen;ZHAO Wen-li;YANG Wen-li;HUANG Hong-mei;YAN Jie(Department of Clinical Nutrition,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing100045,China)
出处
《中国食物与营养》
2024年第12期33-36,41,共5页
Food and Nutrition in China
关键词
宏量营养素
儿童青少年
身体成分
macronutrient
child and adolescent
body composition
