腰臀围及体重指数与非酒精性脂肪肝的关联探讨

Association research of nonalcoholic fatty liver disease with waist, hip circumference and body mass index

目的 分析腰臀围和体重指数与非酒精性脂肪肝（NAFLD）发生发展的相关性,探讨预防对策.方法 选择2013年11月乌鲁木齐市12家企业的职工2 503人进行健康体检及问卷调查,测量身高、体质量、腰围、臀围、血压、血脂、血糖等指标.按是否患有NAFLD进行分组（NAFLD组和对照组）,并分析NAFLD与体质量、腰臀围、体重指数等危险因素的相关性及流行病学特征.结果 2 503例受检者中,NAFLD组490人占19.57％;NAFLD组人群体质量及BMI明显高于对照组,差异有统计学意义;BMI分级结果显示,对照组人群为超重,而NAFLD组人群为肥胖,差异有统计学意义.NAFLD组腰围及臀围均大于对照组,差异有统计学意义.结论 腰臀围大、体质量过重是诱发NAFLD的危险因素,应采取有效干预措施、科学控制体质量、合理膳食、加强体育锻炼以预防和控制脂肪肝的发生、发展.

Objective To analyze the correlation of nonalcoholic fatty liver disease （NAFLD） with waist,hip circumference and body mass index in order to explore the prevention countermeasures.Methods The datum of routine physical examination and questionnaire survey among 2 503 employees of 12 enterprises in November 2013 were collected.The indexes of height,weight,waist circumference,hip circumference,blood pressure,blood lipid and blood glucose of the subjects were measured.The grouping was according to whether the subjects suffering from NAFLID.The correlation and epidemiological characteristics between each group and the risk factors of body weight,waist,hip circumference and body mass index were analyzed.Results 2 503 subjects were collected including 490 NAFLID patients （19.57％）.The body weight and body mass index of NAFLID patients were significantly lower than those of the control group.The result of BMI classification showed that the subjects of the control group were overweight while the subjects with NAFLID were obesity.The waist circumference and hip circumference of NAFLID patients were significantly larger than that of the control group.Conclusions Larger waist and hip circumference and overweight are risk factors of NAFLID.Effective intervention measures,scientific control of body weight,rational diet,the strengthening of physical exercises should be taken in order to prevent and control the development of fatty liver.