上海男性非体力劳动者脂肪肝的检出率及易感因素分析  

Detection rate and susceptibility factors of fatty liver in male non-manual workers in Shanghai

作　　者：徐国厚 钱晓兰 钱波 黄海峡 田建广 瞿明月 XU Guohou;QIAN Xiaolan;QIAN Bo;HUANG Haixia;TIAN Jianguang;QU Mingyue(Department of Radiology,Huadong Sanatorium,Wuxi 214065,China;Department of Nursing,Huadong Sanatorium,Wuxi 214065,China;Department of Geriatrics,Huadong Sanatorium,Wuxi 214065,China;Department of Science and Education,Huadong Sanatorium,Wuxi 214065,China)

机构地区：[1]华东疗养院放射科,江苏无锡214065 [2]华东疗养院护理部,江苏无锡214065 [3]华东疗养院老年病科,江苏无锡214065 [4]华东疗养院科教科,江苏无锡214065

出　　处：《国际消化病杂志》2024年第3期154-159,共6页International Journal of Digestive Diseases

基　　金：上海市加强公共卫生体系建设三年行动计划(2023-2025)(GWVI-11.1-28、GWVI-8);华东疗养院第十一届院级课题青年项目(2024013)。

摘　　要：目的 分析上海男性非体力劳动者的脂肪肝患病情况及其易感因素,为该人群的脂肪肝防治提供参考依据。方法 选择2023年1月至2023年12月华东疗养院健康管理中心体检者中的16 959名男性非体力劳动者作为研究对象,收集其基本资料,以及实验室和影像学检查结果。采用单因素和多因素分析探讨脂肪肝的易感因素。采用ROC曲线分析相关指标对男性非体力劳动者患脂肪肝的预测价值。结果 上海男性非体力劳动者的脂肪肝检出率为55.97%,并且其随着年龄增长呈升高趋势,60岁以上者稍有下降。体育运动是脂肪肝的保护因素,年龄、肥胖症、吸烟、饮酒、饮食不均衡、高血压、糖尿病、高三酰甘油(TG)血症、高尿酸血症(HUA)和空腹血糖受损(IFG)均是上海男性非体力劳动者患脂肪肝的易感因素。饮食不均衡、糖尿病对上海男性非体力劳动者患脂肪肝的预测价值均较高,而IFG的预测价值最高。结论 上海男性非体力劳动者的脂肪肝检出率较高,并随着年龄增长而升高,体育运动是其患脂肪肝的保护因素,年龄、肥胖症、吸烟、饮酒、饮食不均衡、高血压、糖尿病、高TG血症、HUA和IFG均是其患脂肪肝的易感因素,其中饮食不均衡、糖尿病和IFG对该人群患脂肪肝的预测价值均较高。Objective This paper aims to analyze the prevalence and susceptibility factors of fatty liver among male non-manual workers in Shanghai,and provide reference for the prevention and treatment of fatty liver in this population.Methods A total of 16959 male non-manual workers who underwent physical examinations at the Health Management Center of Huadong Sanatorium from January 2023 to December 2023 were selected as the research subjects,and their basic data,laboratory indicators,and imaging examination results were collected.Single factor and multivariate analysis were conducted to explore the susceptibility factors of fatty liver.The ROC curve was used to analyze the predictive value of various indicators for fatty liver disease.Results The detection rate of fatty liver in male non-manual workers in Shanghai is 55.97%,and it shows an increasing trend with age,with a slight decrease in those over 60 years old.Physical exercise is a protective factor for fatty liver.Age,obesity,smoking,drinking,unbalanced diet, hypertension, diabetes, hypertriglyceridemia, hyperuricemia (HUA), and impaired fasting glucose (IFG) aresusceptible factors for male non-manual workers in Shanghai to suffer from fatty liver. Unbalanced diet anddiabetes have a high predictive value for male non-manual workers in Shanghai to suffer from fatty liver,and IFG has the highest predictive value. Conclusions The detection rate of fatty liver in male non-manualworkers in Shanghai is high, and increases with age. Physical exercise is the protective factor while age,obesity, smoking, drinking, unbalanced diet, hypertension, diabetes, hypertriglyceridemia, HUA, and IFG aresusceptible factors, among which, unbalanced diet, diabetes, and IFG have a high predictive value for theirfatty liver.

关 键 词：脂肪肝 非体力劳动者 患病率 肥胖症 易感因素 

分 类 号：R575.5[医药卫生—消化系统]