湛江市企业职工脂肪肝检出率及影响因素研究

Study on the prevalence rates and influencing factors of fatty liver of enterprise employees in Zhanjiang City

目的了解湛江市企业职工脂肪肝流行现状,为防治提供依据。方法用整群随机抽样法抽取湛江市2008—2012年19 200名职工健康体检资料进行分析。结果5年间职工脂肪肝检出率呈上升趋势,标化率从27.8%升至41.0%。男女增长趋势基本一致。男性检出率30~49岁增长迅速,女性各年龄组检出率成倍增长,≥50岁时超过男性。随着BMI增加,脂肪肝检出率上升。肥胖人群检出率男性最高达91.5%（2009年）,女性最高为91.2%（2010年）。脂肪肝检出率与性别、年龄、肥胖程度相关。结论湛江企业职工脂肪肝检出率较高,且呈上升趋势,30岁后进入快速增长期。应尽早开展健康教育。

Objective To study the prevalence of fatty liver of enterprise employees for the disease control and preven- tion in Zhanjiang City. Methods The data of physical examination of 19 200 employees were analyzed by random cluster sampling method from 2008 to 2012. Results The prevalence rates of fatty liver were increasing for the five years, the standardized rate increased from 27.8% to 41.0~, the trend of male was similar to female. The male pr evalence rate aged 30-49 increased rapidly. The female prevalence rates raised doubly, and higher than that of male in ~50 years old. The prevalence rate was increasing with BMI. The highest prevalence rate of obese in male was 91.5% （2009）, and 91.2% （2010） in female. The prevalence rates associated with gender, age and degree of obesity. Conclu- sion The prevalence rate of fatty liver of employees was at high level in Zhanjiang City, and showed increasing trend, and rapid growth in aged ≥30. Health education should be carried out as early as possible.