成年男性握力与脂肪性肝病关系探讨  

Relationship between Grip Strength and Fatty Liver Disease of Adult Males

作　　者：曾智鹏 郝丽 王艳[1] 王娟[1] 张玮扬 王瑜[3] 赵小兰 王正珍[1] Zeng Zhipeng;Hao Li;Wang Yan;Wang Juan;Zhang Weiyang;Wang Yu;Zhao Xiaolan;Wang Zhengzhen(Beijing Sport University,Beijing 100084,China;Department of Rehabilitation Medicine,The Second Afliated Hospital of Nanchang University,Nanchang 330006,China;Health Management Center,The 910th Hospital of PLA,Fujian 362000,China;Yihe Health Management Center,Chongqing 400038,China)

机构地区：[1]北京体育大学,北京100084 [2]南昌大学第二附属医院康复医学科,南昌330006 [3]中国人民解放军第910医院健康管理中心,福建362000 [4]重庆颐和健康管理中心,重庆400038

出　　处：《中国运动医学杂志》2020年第3期203-209,共7页Chinese Journal of Sports Medicine

基　　金：中国健康基金会项目(CHPF2014-FITEX);国家重点研发计划专项(2016YFC1300202)。

摘　　要：目的:探究成年男性握力与是否患脂肪性肝病(FLD)之间的关系,为个性化运动处方的制订提供理论基础。方法:招募1126名18~66岁成年男性,记录其基本情况,并测量其身体形态、握力、心肺耐力及相关血液指标。根据是否患有FLD,将研究对象分为FLD组(224人)和非FLD组(902人)。采用百分位数法P33、P66两个截点将全体研究对象分为3个不同等级的握力组。以10岁为年龄段,将所有研究对象分成A组(<30岁)、B组(30~39岁)、C组(40~49岁)、D组(≥50岁)4组。而后采用独立样本t检验、单因素方差分析及Logistic回归方法分析FLD组与非FLD组、不同握力组之间各指标的差异、不同年龄组握力的差异及握力指标与是否患FLD之间的关系。结果:FLD组研究对象相比非FLD组,身体形态、血压、握力及总胆固醇等生化指标差异有统计学意义(P<0.05)。随年龄的增大,不同年龄组握力水平呈逐渐降低的趋势。当控制了年龄、血压、心肺耐力及其他血液指标后,与低水平握力组相比,高水平握力组患FLD概率降低59%[OR=0.41,95%CI(0.26~0.64)]。结论:成年男性高握力水平与脂肪性肝病的低患病率有关。Objective To explore the relationship between grip strength and fatty liver disease(FLD)of adult males,and provide a theoretical basis for the formulation of personalized exercise prescription.Methods A total of 1126 adult males aged 18-66 years were enrolled.Subjects were divided into an FLD group(n=224)and a non-FLD group(n=902)according to whether they had FLD.The subjects were divided into three different levels of grip strength using the two cut points of the percentile meth⁃od P33 and P66.All subjects were divided into group A(<30 years old),group B(30-39 years old),group C(40-49 years old),and group D(≥50 years old)in groups of 10 years old.The basic condi⁃tions were recorded and their body shape,grip strength,cardiorespiratory strength,and nonalcoholic FLD-related indicators were measured.Then,the independent sample t test,one-way ANOVA,chisquare test and logistic regression method were used to analyze the difference between the FLD group and non-FLD group and among the different age groups,as well as the relationship between the grip strength index and FLD.Results There were significant differences in the body shape,blood pressure,grip strength and total cholesterol between the FLD group and non-FLD group(P<0.05).With the in⁃crease of age,the grip strength showed a trend of decreasing.When age,blood pressure,cardiorespi⁃ratory endurance and other biochemical indicators were under control,the prevalence of FLD of the lower grip strength was 59%[OR=0.41,95%CI(0.26-0.64)]higher than that of the high-level group.Conclusion High grip strength adult males have a lower prevalence of FLD.

关 键 词：成年男性 握力 脂肪肝 心肺耐力 

分 类 号：R575.5[医药卫生—消化系统]