上海地区20～40岁男性非酒精性脂肪性肝病人群含糖饮料消耗的横断面调查  

A cross-sectional study on consumption of sugar-sweetened beverages among male non-alcoholic fatty liver disease patients between ages of 20 and 40 in Shanghai

作　　者：朱筱丽 胡义扬[1] 冯琴[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海中医药大学肝病研究所,肝肾疾病病证教育部重点研究室,上海市中医临床重点实验室,201203

出　　处：《肝脏》2015年第4期273-276,共4页Chinese Hepatology

基　　金：国家自然基金面上项目(81374031;81173404);上海市自然基金项目(13ZR1442600)

摘　　要：目的探讨过量饮用含糖饮料与非酒精性脂肪性肝病（NAFLD）的可能关系。方法采用随机抽样方法，选取经上海中医药大学附属曙光医院体检部B超确诊、20~40岁的92例NAFLD男性患者及73名健康男性进行问卷调查，收集体质量、BMI、腰围、饮料消费品种及每周饮料消耗量等资料；并对照各种常见饮料的营养成分表，计算每周通过饮料摄入的碳水化合物总量，进行组间比较分析。结果20~40岁NAFLD男性患者人群含糖饮料消耗量较健康人群均显著升高（P〈0．01），NAFLD平均每日通过饮料摄入碳水化合物19．03g，显著高于健康男性的11．57g；NAFLD男性患者最喜爱的含糖饮料前三位依次为碳酸饮料类、茶饮料及凉茶类、果汁及果汁饮料类。结论过多的含糖饮料摄入可能是导致NAFLD的重要危险因素。Objective To investigate consumption differences of sugar-sweetened beverages between non-alcoholic fatty liver disease （NAFLD） male patients and healthy males, and provide a scientific basis for carrying out targeted health education and guiding the rational consumption of beverages. Methods Using random method, 92 male NAFLD patients （20 to 40 years old） diagnosed by ultrasound in Shanghai Shuguang hospital examination department and 73 healthy males of the same age were enrolled to do questionnaire about body weight, BMI and waist size, consumption of sugar-sweetened beverages, and so on. Total intake of carbohydrate per week from sugar-sweetened beverages was calculated and compared between two groups. Results Sugar-sweetened beverages consumption of male NAFLD patients was significant higher than that of healthy males （P〈0.01）. Average daily carbohydrate intake from sugar-sweetened beverages of NAFLD patients was 19.03g, which was higher than health people＇s 11. 57 g. The top three sugar-sweetened beverages of male NAFLD patient＇ favorite were carbonated beverages, tea drinks and juice beverages. Conclusion Consumption of sugar-sweetened beverages and intake of carbohydrate, especially fructose from sugar-sweetened beverages, in male NAFLD patients is significantly higher than that in healthy males. Overconsumption of sugar-sweetened beverages might be an important risk factor of non-alcoholic fatty liver disease.

关 键 词：非酒精性脂肪性肝病 含糖饮料 果糖 消耗量 

分 类 号：R575.5[医药卫生—消化系统]