南宁市城区成人脂肪肝检出率及其危险因素分析  

Prevalence of Fatty Liver and its Risk Factors in General Adult Population of Nanning Urban District

作　　者：张志哲[1] 青姚[1] 吴会红[1] 张曦元[1] 陆桂清[1] 何文军[1] 杨丽妍[1] 

机构地区：[1]广西医科大学附属南宁市第一人民医院,南宁市530022

出　　处：《广西医学》2011年第11期1419-1421,共3页Guangxi Medical Journal

基　　金：广西医药卫生科学研究基金资助项目(Z2007347)

摘　　要：目的调查南宁市不同人群中脂肪肝检出率并分析相关危险因素。方法采用横断面现况调查方式,调查南宁市城区农民、城市居民、工厂工人、学校教师和机关干部中脂肪肝患病情况以及基本情况、身高、体重、腰围、臀围、血压、血糖、谷丙转氨酶(ALT)、胆固醇(TC)、三酰甘油(TG)等。结果共调查5 428人,检出脂肪肝801人,脂肪肝检出率为14.76%,男性检出率为23.58%,女性检出率为6.28%,男性脂肪肝检出率显著高于女性(P<0.01)。脂肪肝检出率随着年龄增加而上升。不同职业群体中脂肪肝检出率:干部22.46%、工人18.01%、教师17.51%、居民16.30%和农民7.27%,农民组检出率低于城市中干部、工人、教师、居民差异有统计学意义(P均<0.01)。经单因素和Logistic多元回归分析,吸烟、腹型肥胖、高血脂和糖尿病与脂肪肝密切相关,其中腹型肥胖相对风险度最高(OR为13.7957)。结论农民脂肪肝检出率显著低于城市中的干部、工人和教师。肥胖是脂肪肝最主要的危险因素。Objective To investigate the prevalence and major risk factors of fatty liver among adult residents in Nanning. Methods A cross-sectional survey with multiple-stage stratified cluster and randomized sampling was performed. All residents aged 18 years and above were invited to participate in the survey. They came from city dwellers,factory workers,school teachers and cadres in the prevalence. Questionnaire,physical examination measured height,weight,waist circumference, hip circumference, blood pressure, biochemistry test blood glucose, ALT, TC, TG and B type ultrasonic examination of liver and gallbladder were undertaken. Results A total of 5428 residents were eligible. In 801 cases of fatty liver,the prevalence of fatty liver was 14.76% ,the prevalence in male was 23.58% and female was 6.28% ,the prevalence of fatty liver in male was significantly higher than that in females （P 〈 0.01 ）. The prevalence of fatty liver increased with increasing age. The prevalence of fatty liver in different occupational groups ：22.46% of cadres ,workers of 18.01%, teachers of 17.51% ,residents of 16.30% and farmers of 7.27%. The prevalence of fatty liver in farmers was the lowest, which was significantly lower than those in all other groups. Simple correlation and multiple Logistic regression analysis demonstrated that fatty liver was closely related to smoking, abdominal obesity, high cholesterol and diabetes of which abdominal obesity were the highest risk factors（OR = 13.7957 respectively）. Conclusion The prevalence of fatty liver in Nanning was 14.76%. The prevalence of fatty liver in farmers was significantly lower than that of cadres,factory workers,school teachers and in city dwellers. Obesity is the major risk factor of fatty liver.

关 键 词：脂肪肝 肥胖 检出率 危险因素 南宁市 

分 类 号：R589.2[医药卫生—内分泌]