Abstract: Objective To discuss the influence on the simple obese children’s renal function by the joint intervention of exercise， diet and education. Methods Mensurate respectively the renal function of 50 cases of simple obese children by simple diet control before and after treatment and 52 cases of simple obese children based on the control of diet and setting down a planned exercise and health education before and after treatment. Then compare the different effect accordingly. Results Compare the simple treatment group before treatment， joint intervention group before treatment with control group： Alb， IgG， TRF were higher than the controls and the differences were significant （ P <0.01）. There was no significant difference （P >0.05） in each index between simple treatment group before treatment and joint intervention group before treatment. Compare simple treatment group before treatment with after treatment： Alb， IgG， TRF differences were significant （P <0.01）. Compare joint intervention group before treatment with after treatment： Alb， IgG， TRF differences were significant （P <0.01）. Compare the simple treatment group after treatment， joint intervention group after treatment with control group： there was much significant difference （P <0.01）in each index in simple treatment group after treatment. There was no significant difference （P >0.05） in each index in joint intervention group after treatment. Conclusion The simple obese children’s renal function can be improved by the joint intervention of exercise， diet and health education. It has a positive effect on improving sufferers’ life quality in the future.

Key words: health education, simple obesity , diet

摘要： 探讨运动、饮食、教育联合干预对单纯性肥胖儿童肾功能的影响。方法　分别对2005年5月至2008年3月浙江省温州市第二人民医院儿科门诊50例单纯性肥胖儿童单纯饮食控制治疗前后和52例单纯性肥胖儿童在饮食控制基础上再制定有计划运动及健康教育联合干预治疗前后肾功能进行测定，并对其疗效进行比较。结果　治疗前单纯治疗组、联合干预组尿白蛋白Alb、IgG、TRF均高于对照组，差异均有统计学意义（P＜0.01），而单纯治疗组治疗前与联合干预组治疗前比较差异均无统计学意义（P >0.05）。单纯治疗组治疗前后比较：Alb、IgG、TRF差异均有统计学意义（P＜0.01）。联合干预组治疗前后比较：Alb、IgG、TRF差异均有统计学意义（P＜0.01）。单纯治疗组治疗后、联合干预组治疗后与对照组比较：单纯治疗组治疗后各项指标差异仍有统计学意义（P＜0.01），联合干预组治疗后各项指标差异均无统计学意义（P＞0.05）。结论　运动、饮食及健康教育联合干预对单纯性肥胖儿童的肾功能改善效果较好，对患儿以后提高生活质量有积极的作用。

关键词: 运动, 饮食, 健康教育, 单纯性肥胖