青岛港男性职工脂肪肝与体重指数和腰围的关系

Relationship of fatty liver to body weight indexes and waistlines of male workers in Qingdao Port

目的 探讨肥胖和向心性肥胖与脂肪肝的关系 ,为制定预防和控制策略提供科学依据。方法 利用 2 0 0 1年参加健康研究的 82 97名 3 5～ 80岁男性参与者的肝脏超声检查资料和其他相关资料 ,对资料进行单因素和多元logistic回归。结果 单因素分析肥胖和超重的OR值 (优势比 )分别为 7 87(95 %CI 6 69～ 9 2 6)和 2 5 7(95 %CI2 0 6～ 3 2 .0 ) ;向心性肥胖(腰围≥ 90cm)的OR值为 7 3 (95 %CI 6 5～ 8.3 )。多元logistic回归结果的调整OR值减小 ,但仍有统计学意义。结论 超重与肥胖是脂肪肝的重要危险因子 ,而向心性肥胖也是脂肪肝的一个独立的危险因子。要客观地确定体重与脂肪肝的关系 ,不但要考虑是否超重或肥胖 ,还要考虑肥胖的类型。

To study the relationship of fatty liver to obesity and concentric obesity and to provide scientific basis for establishment of prevention and control measures.As a part of Qingdao Port Health Study, the data included liver ultrasonic examination and other related information of 8297 men aged from 35 to 80. The univariable analysis and multiple logistic regression analysis were used.In univariable analysis, the OR value of obesity and overweight were7.87 (95% CI 6.69-9.36) and 25.7 (95% CI 20.6-30.0); the OR value of central obesity (waist≥90 cm) was 7.3(95% CI 6.5-8.3). In the multiple logistic regression analysis, the adjusted OR value decreased, but remained significant.[Conclusion]Overweight and obesity are important factors of fatty liver, and concentric obesity is an independent risk factor of it. To determine objectively the relationship between the body weight and fatty liver, not only weight, but also type of obesity should be considered.