特勤人员健康促进生活方式与非酒精性脂肪肝患病情况相关性分析

Correlation analysis of health promoting lifestyle and fatty liver in secret service personnel

目的探讨特勤人员健康促进生活方式与非酒精性脂肪肝(NAFLD)的相关性,为特勤人员改善健康状况,提高其健康水平提供理论支持。方法选取2020年7月~12月在杭州某疗养院疗养与体检的517名特勤人员,采用健康促进生活方式量表问卷,分析健康促进生活方式与非酒精性脂肪肝之间的关系。结果特勤人员健康促进总量表评分6个维度分量表得分显示营养均值最高,其次是人际关系、自我实现、健康职责,压力处理与体育运动得分较低。NAFLD的患病率为22.05%,不同年龄段之间的患病率上升幅度较大(≤30岁组为11.74%,31~40岁组为27.96%,≥41岁组为39.29%),差异有统计学意义(χ^(2)=33.566,P=0.000)。对特勤人员患病组与正常组的健康促进生活方式量表得分均值分析结果显示,NAFLD组自我实现、营养、体育运动、压力处理、健康促进总分均值均明显低于正常组,差异有统计学意义(F=4.15、8.04、8.64、10.53、7.27,P<0.05)。logistic回归分析显示,压力处理为NAFLD的保护因素(OR=0.857,P=0.02)。结论特勤人员NAFLD患病率较高,与不健康的生活方式相关。压力处理是NAFLD的保护因素。加强特勤人员健康生活方式指导,促进其良好生活方式的养成,从而降低NAFLD患病率,改善健康状况,提高其健康水平。

Objective To explore the correlation between health promoting lifestyle and nonalcoholic fatty liver disease in secret service personnel,so as to provide theoretical support for improving health status and health level of secret service personnel.Methods A total of 517 secret service personnel were enrolled in this study.The relationship between health promoting lifestyle and nonalcoholic fatty liver disease was analyzed.Results The scores of the six dimension subscales of the total health promotion scale were displayed,the average value of nutrition was the highest,followed by interpersonal relationship,self actualization and health responsibility.The scores of stress management and sports were lower.The prevalence of nonalcoholic fatty liver disease(NAFLD)was 22.05%,which increased significantly among different age groups.74%,27.96% and 39.29% in the group of ≤ 30 years old,31-40 years old and ≥ 41 years old respectively (χ^(2)=33.566,P =0.000).The results showed that the average scores of self-realization,nutrition,sports,stress management and health promotion in NAFLD group were significantly lower than those in normal group(P <0.05).Logistic regression analysis showed that stress treatment was a protective factor for NAFLD(OR=0.857,P=0.02).Conclusion The prevalence of NAFLD in secret service personnel is high,which is related to unhealthy lifestyle.Pressure treatment is a protective factor of NAFLD.In order to reduce the prevalence of NAFLD,we should strengthen the guidance of healthy life style and promote the development of good life style.It is very important to improve their health and combat capability.