老年人群膳食状况及生活习惯与代谢相关脂肪性肝病的相关性分析  

Analysis of the relationship between dietary status and metabolic associated fatty liver disease in the elderly population

作　　者：王泽军 官文清 戚赟捷 WANG Zejun;GUAN Wenqing;QI Yunjie(Department of Gastroenterology,Hangzhou City Linping District Hospital of Integrated Traditional Chinese and Western Medicine,Hangzhou 311100,China;Department of Public Health,Hangzhou City Linping District Hospital of Integrated Traditional Chinese and Western Medicine,Hangzhou 311100,China)

机构地区：[1]杭州市临平区中西医结合医院消化内科,浙江杭州311100 [2]杭州市临平区中西医结合医院公共卫生科,浙江杭州311100

出　　处：《健康研究》2023年第2期125-129,共5页Health Research

基　　金：浙江省医药卫生科技计划项目(2019KY153);余杭区医疗卫生科研重大项目(2018004)。

摘　　要：目的了解老年人群代谢相关脂肪性肝病(metabolic associated fatty liver disease,MAFLD)膳食状况及影响因素,为老年人群的健康饮食提供指导依据。方法抽取医共体体检发现的杭州市临平区60岁以上MAFLD患者230人,按照性别、年龄、文化程度进行同小区1∶1匹配,从体检系统匹配不患有MAFLD的老年人230人,采用半定量食物频率法,开展膳食状况及一般状况调查。结果共收集到完整数据445人,平均年龄(70.31±4.67)岁,其中老年MAFLD患者223人,非MAFLD患者的老年人222人;两类人群的BMI、患糖尿病、患高血脂、运动习惯、饮茶习惯、睡眠状况的比较,蔬菜类、畜禽类、大豆坚果类、油、糖的日均摄入量比较,差异均有统计学意义(均P<0.05);两类人群的全谷物和杂豆类、水果类、水产品类、奶及奶制品类每日摄入量均低于中国膳食指南推荐量,而盐的每日摄入量均高于膳食指南推荐量。多因素条件Logistic回归分析显示,糖尿病、高血脂、肥胖、睡眠不足是老年人群患MAFLD的独立危险因素,运动、饮茶是老年人群患MAFLD的独立保护因素。结论多吃蔬菜、减少畜禽类及油盐摄入量、控制体重、多运动、充足睡眠,是预防老年人患MAFLD的有效方法。Objective The purpose of this study was to investigate the dietary status and influencing factors of metabolic associated fatty liver disease(MAFLD)in the elderly population,and provide guidance for healthy eating habits in this age group.Methods A total of 230 MAFLD patients aged 60 or above were selected from a medical community health examination in Linping District,Hangzhou.A group of 230 elderly individuals without MAFLD were matched with MAFLD patients based on gender,age,education level,and neighborhood.A semi-quantitative food frequency questionnaire was used to investigate dietary and general status.Results A total of 445 participants were included in the study with an average age of 70.31±4.67 years,including 223 elderly MAFLD patients and 222 elderly individuals without MAFLD.The daily intake of vegetables,poultry and livestock,soy and nuts,oil,and sugar were significantly different between the two groups(all P<0.05).In both groups,the intake of whole grains and legumes,fruits,aquatic products,and dairy products were lower than the recommended amounts in the Chinese Dietary Guidelines,while the intake of salt was higher.Multiple factor logistic regression analysis showed that diabetes,hyperlipidemia,obesity,and insufficient sleep were independent risk factors for MAFLD in the elderly,while exercise and tea drinking were independent protective factors.Conclusions Eating more vegetables,reducing intake of poultry,oil,and salt,controlling body weight,increasing physical activity,and getting enough sleep are effective ways to prevent MAFLD in the elderly.

关 键 词：代谢相关脂肪性肝病 老年人群 膳食状况 生活习惯 

分 类 号：R575.5[医药卫生—消化系统]