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非酒精性脂肪性肝病与代谢综合征指标变化的相关性分析

张洁 陈友鹏 李虹 卢永平 林汉生 陈贤梓 梁旭竞

中国实用内科杂志2012,Vol.32Issue(5):356-359,4.
中国实用内科杂志2012,Vol.32Issue(5):356-359,4.

非酒精性脂肪性肝病与代谢综合征指标变化的相关性分析

Correlation between metabolic syndrome-related parameters and nonalcoholic fatty liver disease

张洁 1陈友鹏 2李虹 1卢永平 2林汉生 3陈贤梓 1梁旭竞2

作者信息

  • 1. 暨南大学附属第一医院,校门诊部,广州510632
  • 2. 暨南大学附属第一医院,感染科,广州510632
  • 3. 暨南大学附属第一医院,医学院统计学教研室,广州510632
  • 折叠

摘要

Abstract

Objective To investigate metabolic syndrome-related parameters in prevalence rate of nonalcoholic fatty acid liver disease( NAFLD) in middle-age and elderly people. Methods We collected the profiles of B ultrasound examinations in those who were aged above 40 yrs for health check between 2010 and 2011. Correlation between changes in condition of NAFLD and variation in BMl,FBG,trigiycerol(TG) ,TC( total cholesterol) ,HDL-C( high-density lipoprotein-cholesterol), LDL-C(low-density lipoprotein-cholesterol) .alanine transferase( ALT) and uric acid(UA) was analyzed using Logistic regression model. Results Both sex groups yielded an increased rate of NAFLD in year 2011. Incidence of NAFLD was significantly higher among males as compared with females (13.7% vs 7. 5% ,P <0.OS). A 5.5% reduction in the prevalence rate was associated with both sexes,with patients aged 60 yrs presenting the most significant reduction. Variation in BM1 was associated with increased prevalence of NAFLD (OR = 1.474,95%CI1.184 - 1. 811). There was no correlation between variation in BMI and TG levels and increased prevalence of NAFLD. In addition,changes in BMI and TG were negatively correlated with the reduced prevalence rate of NAFLD (For BMI,OR = 0.628,95% Cl 0.460 ~0. 857 ;for TG,OR = 0.653,95% CI0. 508 ~ 0. 838). By contrast, no correlation was revealed between change in FBG and reduced prevalence rate of NAFLD. Conclusion Variation in BMI is closely correlated with incidence of NAFLD. The negative correlation between TG and BMI is associated with reduced prevalence of NAFLD and is one of the impact {actors that contribute to changes in the disease condition.

关键词

非酒精性脂肪性肝痛/代谢综合征

Key words

nonalcoholic fatty liver disease/metabolic syndrome

分类

医药卫生

引用本文复制引用

张洁,陈友鹏,李虹,卢永平,林汉生,陈贤梓,梁旭竞..非酒精性脂肪性肝病与代谢综合征指标变化的相关性分析[J].中国实用内科杂志,2012,32(5):356-359,4.

基金项目

广东省医学科研基金(A2011347) (A2011347)

暨南大学科研培育创新基金(21611521)(中央高校基本科研业务费专项资金资助) (21611521)

中国实用内科杂志

OA北大核心CSCDCSTPCD

1005-2194

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