杭州市企事业单位负责人体格测量指标与脂肪肝患病的相关性

CORRELATION BETWEEN PHYSICAL MEASUREMENT INDICES AND FATTY LIVER DISEASE AMONG THE PEOPLE IN CHARGE OF ENTERPRISES OR INSTITUTIONS IN HANGZHOU

目的探讨杭州市企事业单位负责人体质指数(BMI)、腰围及腹壁脂肪厚度与脂肪肝患病的相关性,为脂肪肝风险预测提供线索。方法对2013年来我院营养门诊进行营养咨询的362名杭州市企事业单位负责人进行身高、体质量、腰围测量和腹部B超检测,按照BMI将其分为体质量正常、超重和肥胖组;依诊断标准确认向心型肥胖及脂肪肝患者;采用Logistic回归对脂肪肝与上述指标的相关性进行分析。结果受检者中超重者占43.7%,肥胖者占14.9%,向心型肥胖者占67.7%。超重及肥胖组脂肪肝的患病率分别为74.7%和96.3%,明显高于体质量正常组(12.7%),差异有显著性(P<0.01);向心型肥胖组脂肪肝的患病率为73.5%,明显高于正常体型组(7.7%),差异有显著性(P<0.01)。362名被检人员中,脂肪肝组BMI、腰围及腹壁脂肪厚度均明显高于非脂肪肝组,差异有显著性(P<0.01)。多因素Logistic回归分析表明,BMI、腰围及腹壁脂肪厚度与脂肪肝的OR分别为5.775、7.340、1.113(P<0.01)。结论 BMI、腰围及腹壁脂肪厚度均可作为预测脂肪肝的危险因素;减轻体质量、减少腹部脂肪堆积对于预防脂肪肝有重要意义。

Objective To provide some evidences for predicting the risk of fatty liver disease,the relationship of physical measurement indices with fatty liver disease among the people in charge of enterprises or institutions in Hangzhou was studied. Methods In 2013,362 people were selected as the subjects. Obesity,style of obesity,and fatty liver disease were diagnosed according to BMI value,waist circumference,and criteria for fatty liver（ including results of abdominal B ultrasonic examination） respectively. Results Among the subjects,overweight accounted for43. 7%; obesity,14. 9%; centripetal obesity,67. 7%. The prevalence of fatty liver in overweight,and obesity group（ 74. 7%,and 96. 3% respectively） was significantly higher than that in normal BMI group（ 12. 7%）,（ P〈0. 01）;that in centripetal obesity group（ 73. 5%） was significantly higher than that in normal style group（ 7. 7%）,（ P〈0.01）. Among 362 subjects,the BMI,waist circumference,and abdominal skinfold thickness in fatty liver group were significantly higher than that in non-fatty liver group（ P〈0. 01）. Multivariate Logistic regression analysis showed that the OR values of BMI,waist circumference,and abdominal skinfold thickness with fat liver were 5. 775,7. 340,and 1. 113 respectively（ P〈0. 01）. Conclusion Body mass index,waist circumference,and abdominal skinfold thickness can be used as the risk factor for prediction of fatty liver; and reducing weight and the accumulation of abdominal wall fat is important for the prevention of fatty liver.