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郭建丽, 徐勤, 刘瑛, 王秀兰. 清华大学教工非酒精性脂肪肝及相关因素分析[J]. 中国公共卫生, 2011, 27(5): 617-619. DOI: 10.11847/zgggws-2011-27-05-42
引用本文: 郭建丽, 徐勤, 刘瑛, 王秀兰. 清华大学教工非酒精性脂肪肝及相关因素分析[J]. 中国公共卫生, 2011, 27(5): 617-619. DOI: 10.11847/zgggws-2011-27-05-42
GUO Jian-li, XU Qin, LIU Ying, . Risk factors related to nonalcoholic fatty liver disease among staff in Tsinghua university[J]. Chinese Journal of Public Health, 2011, 27(5): 617-619. DOI: 10.11847/zgggws-2011-27-05-42
Citation: GUO Jian-li, XU Qin, LIU Ying, . Risk factors related to nonalcoholic fatty liver disease among staff in Tsinghua university[J]. Chinese Journal of Public Health, 2011, 27(5): 617-619. DOI: 10.11847/zgggws-2011-27-05-42

清华大学教工非酒精性脂肪肝及相关因素分析

Risk factors related to nonalcoholic fatty liver disease among staff in Tsinghua university

  • 摘要: 目的 探讨非酒精性脂肪肝与高血压、糖尿病、体质指数、血脂等的关系。方法 于2009年对清华大学9852名大学在职和退休教职工进行健康体检和问卷调查,并对结果进行统计分析。结果 共检出非酒精性脂肪肝2 391例,年龄(51±17)岁,各年龄组非酒精性脂肪肝的检出率均随着年龄的变化依次增加(趋势检验P<0.01),<70岁男性患病率均高于女性(χ2=259.686,P<0.001),>70岁男性与女性的患病率无明显差异;60~70岁年龄组人群非酒精性脂肪肝组的体质指数、血压、甘油三酯、血糖、谷丙转氨酶、尿酸的水平均明显高于对照组(P<0.01),而高密度脂蛋白胆固醇的水平明显低于对照组(P<0.01);调查对象中的糖尿病或/和高血压患者,脂肪肝和超重、肥胖的患病率均明显高于非糖尿病或/和高血压患者(P<0.01),Logistic回归分析显示,年龄、男性体质指数、空腹血糖、舒张压、谷丙转氨酶、尿酸、低密度脂蛋白胆固醇、甘油三酯是非酒精性脂肪肝的危险因素。结论 非酒精性脂肪肝与高血压、糖尿病、肥胖、血脂异常等疾病的发病关系密切,互相影响。

     

    Abstract: Objective To investigate the prevalence and major risk factors of nonalcoholic fatty liver disease (NAFLD)among the staff taking health examination in a unive rsity in Beijing.Methods Questionnaire survey and health examination were conducted among 9.852 active or retired staff in the university,2009.Results The preva lence rate of AFLD in the staff was 24.3%.The prevalence of NAFLD in the men was significantly higher than that of in the women (29.9% vs 17.9%,P<0.01).NAFLD was correlated to age and gender.The highest prevalence was found in the staff at ages of 51-60 years in men(33.9%)and 61-70 years in women(32.2%).The prevalence of NAFLD in the male staff of<70 years old was significantly higher than that of in the women(χ2=259.686,P<0.001).However,no gender difference in the preva lence was observed among the staff>70 years old(χ2=1.378,P>0.05).The level of body mass index (BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),triglyceride lipase(TG),blood glucose,glumatic pyruric tran saminase(GPT),and uricacid in NAFLD group was remarkably higher than those in control group(P<0.01 for all),whereas the level of high density lipopro tein cholesterol(HDLC)was lower than that of the control(t=9.424,P=0.000)among the staff at the age of 61-70 years.For the staff with diabetes or hypertension,the prevalence of AFLD,overweight,and obesity were significantly higher than those of incontrol group.The major comorbid diseases of AFLD were overweight or obesity,diabetes,and hypertension.NAFLD was related to age,gender,BMI,blood glucose, BP,TG,HDL-C,GPT,and uricacid.Conclusion NAFLD is closely related with chronic non infectious diseases,especially with diabetes and hypertension.

     

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