2012—2020年三亚市老年人非酒精性脂肪肝患病趋势及影响因素分析  

Prevalence trend and influencing factors of non-alcoholic fatty liver disease among the elderly in Sanya City,2012—2020

作　　者：朱明胜[1] 郑家耿 陈莲芬[1] 黄炯媚 潘超[1] 魏家佳 ZHU Ming-sheng;ZHENG Jia-geng;CHEN Lian-fen;HUANG Jiong-mei;PAN Chao;WEI Jia-jia(Department of Prevention and Cure of Endemic and Chronic Diseases,Sanya Center for Disease Control and Prevention,Sanya,Hainan 572000,China)

机构地区：[1]三亚市疾病预防控制中心地方病与慢性病防治科,海南三亚572000

出　　处：《现代预防医学》2022年第23期4322-4326,4357,共6页Modern Preventive Medicine

基　　金：海南省卫生健康行业科研项目(20A200100)。

摘　　要：目的了解三亚市纳入基本公共卫生服务均等化健康管理的老年人非酒精性脂肪肝患病趋势及其影响因素,为防治提供依据。方法对2012—2020年在三亚市基层医疗机构参加健康管理并进行B超检测的老年人信息进行分析。采用多因素logistic回归分析影响脂肪肝患病的相关因素。结果2012—2020年三亚市纳入健康管理的老年人脂肪肝患病率从14.31%上升至23.78%,呈线性上升趋势(P<0.001),年均增长率为6.55%。2012—2020年,城市与农村老年人脂肪肝患病率均呈线性增长趋势(P<0.001),年均增长率分别为10.37%与3.67%,城市患病率均高于农村(P<0.01)。男性与女性脂肪肝患病率均呈线性增长趋势(P<0.001),年均增长率分别为5.46%与7.14%,除2012年外,女性患病率均高于男性(P<0.01)。除85岁及以上老年人外,65~69岁、70~74岁、75~79岁、80~84岁老年人脂肪肝患病率均呈线性增长趋势(P<0.001),年均增长率分别为6.56%、6.50%、7.30%和7.24%。多因素logistic回归分析显示,超重/肥胖(OR=2.918)、TG升高(OR=2.410)、城市居住(OR=2.033)、腹型肥胖(OR=1.832)、空腹血糖受损(OR=1.291)、糖尿病(OR=1.793)、女性(OR=1.467)与脂肪肝患病有关。结论2012—2020年三亚市健康管理老年人脂肪肝增长较快,防控形势严峻。需对女性、城市、低年龄组等脂肪肝高发人群进行重点干预,加强健康教育与健康促进,对与脂肪肝患病升高有关的因素进行针对性干预,以降低脂肪肝患病率,降低脂肪肝危害。Objective To understand the prevalence trend and influencing factors of non-alcoholic fatty liver disease among the elderly included in the equalization health management of basic public health services in Sanya City in order to provide basis for intervention and control.Methods The elderly who participated in health management and conducted b-ultrasound test in primary medical institutions in Sanya from 2012 to 2020 was analyzed.Multivariate logistic regression analysis was adopted to analyze the relative risk factors of fatty liver disease.Results The prevalence of fatty liver disease in the elderly among the health management in Sanya city increased from 14.31%to 23.78%from 2012 to 2020,the trend was linear upward(P<0.001),and the annual growth rate was 6.55%.The prevalence of fatty liver disease in urban area and rural area was both linear upward(P<0.001),and the annual growth rate was respectively 10.37%and 3.67%,and the prevalence in urban area was higher than in rural area(P<0.01).The prevalence of fatty liver disease of females and males was both linear upward(P<0.001),and the annual growth rate was respectively 5.46%and 7.14%,and the prevalence of females was higher than males(P<0.01)except the year of 2012.The prevalence of fatty liver disease of the people that aged 65-69 year,70-74 year,75-79 year,80-84 year was all linear upward except≥85 year(P<0.001),and the annual growth rate was respectively 6.56%,6.50%,7.30%and 7.24%.Multivariate logistic regression analysis showed that overweight/obesity(OR=2.918),TG rise(OR=2.410),urban residence(OR=2.033),abdominal obesity(OR=1.832),IFG(OR=1.291),diabetes(OR=1.793),female(OR=1.467)was associated with fatty liver disease among the elderly.Conclusion Fatty liver disease in the elderly increased rapidly from 2012 to 2020,and the prevention and control situation was severe.Health education and health promotion should be strengthened to the people with high incidence of fatty liver disease,such as women,urban area and low age groups,and the factors related to th

关 键 词：老年人 非酒精性脂肪肝 趋势 影响因素 

分 类 号：R575.5[医药卫生—消化系统]