某院儿童保健门诊肥胖儿童骨龄发育状况分析

谢秋梅; 陈艳琳; 余婉燕; 黎小萍; 柯丽娜; 陈瑛; 李丽

doi:10.19757/j.cnki.issn1674-7763.2022.05.007

某院儿童保健门诊肥胖儿童骨龄发育状况分析

Bone age development among obese children from a child health care clinic

摘要

摘要:
目的了解7 ~ 12岁肥胖儿童骨龄发育现状, 并分析儿童不同骨龄发育状况的影响因素, 为更好地控制肥胖儿童骨龄发育提供科学依据。
方法选取2020年7月1日至2021年12月30日于深圳市罗湖区妇幼保健院儿保科门诊就诊的7 ~ 12岁肥胖儿童203例（病例组）与正常儿童244例（对照组）为研究对象, 将其骨龄进行对比。
结果病例组男、女童的骨龄较实际年龄均提前（均P < 0.05）。病例组与对照组儿童的骨龄差异有统计学意义（P < 0.05）。病例组儿童骨龄提前的比例高于对照组儿童（P < 0.05）。Logistic回归分析发现, 性别为男性是骨龄提前的保护性因素, 肥胖是骨龄提前的危险因素；而男性也是骨龄落后的危险因素（均P < 0.05）。
结论肥胖儿童较正常儿童更容易出现骨龄提前, 女童更容易发生骨龄提前, 而男童更容易出现骨龄落后。

Abstract:
Objective To investigate the current situation of bone age development among obese children aged 7－12 and analyze the factors associated with it so as to provide scientific evidence for better control of bone age development among obese children.
Methods A total of 203 obese children aged 7－12 who visited outpatient clinic of child health care department, Luohu District Maternal and Child Health Hospital were recruited as case group from July 1^st, 2020 to December 30^th, 2021, and 244 normal children were recruited as control group. Bone age development were compared between 2 groups.
Results Bone age of all boys or girls in the case group was earlier than their actual age (P < 0.05). The difference of bone age between case group and control group was statistically significant (P < 0.05). The proportion of obese children with advanced bone age was higher than that of normal children (P < 0.05). Logistic regression analysis showed that male gender was a protective factor of premature bone age and a risk factor for delayed bone age, while obesity was a risk factor of premature bone age(all P < 0.05).
Conclusion Obese children are more likely to have early bone age than normal children. Girls are more likely to have early bone age, whole boys are more likely to show delayed bone age development.

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