基础医学与临床 ›› 2014, Vol. 34 ›› Issue (4): 509-513.

• 研究论文 • 上一篇    下一篇

桂林市6 660名体检人群非酒精性脂肪肝与代谢综合征的相关性分析

叶瑶1,于健2,汪琳姣3,陆桂荣2,江仁美2,欧阳清2   

  1. 1. 桂林医学院
    2. 桂林医学院附属医院
    3. 桂林医学院研究生院
  • 收稿日期:2013-09-09 修回日期:2013-11-20 出版日期:2014-04-05 发布日期:2014-03-31
  • 通讯作者: 于健 E-mail:duduyu1623@qq.com
  • 基金资助:
    广西壮族自治区卫生厅科研课题

Association between Metabolic Syndrome and Nonalcoholic Fatty Liver Disease in 6 660 physical examination population of Guilin

  • Received:2013-09-09 Revised:2013-11-20 Online:2014-04-05 Published:2014-03-31

摘要: 目的 探讨桂林市体检人群非酒精性脂肪肝(NAFLD)与代谢综合征(MS)的相关性。方法 采用整群抽样方法,对6 660名体检者进行问卷调查,体格检查,并生化指标检测及肝脏超声检查,计算体质量指数(BMI)。结果 1)6 660例体检人群中,共检出NAFLD 1 273例,患病率为19.1%;共检出MS 757例,患病率为11.4%;共检出同时患(NAFLD+MS)414例,患病率为6.2%。年龄、性别分层后,NAFLD、MS及(NAFLD+MS)的患病率均随年龄增加而增加,不同年龄段、性别各患病率间差异显著(P<0.01)。2)NAFLD组的MS、超重和(或)肥胖、高血糖、血脂紊乱、高血压患病率均显著高于对照组(P<0.01)。3)NAFLD组BMI、收缩压(SBP)、舒张压(DBP)、空腹血糖(FPG)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)和尿酸(UA)水平均高于对照组(P<0.01),高密度脂蛋白胆固醇(HDL-C)低于对照组(P<0.01)。4)Logistic回归分析显示:性别(男)、BMI、高血压、FPG、TG、LDL-C、ALT、UA均为NAFLD危险因素,HDL-C为NAFLD保护因素。结论 NAFLD与MS密切相关,NAFLD人群具有MS各组分聚集的特征。

关键词: 非酒精性脂肪肝, 代谢综合征, 相关性

Abstract: Objective To investigate association between metabolic syndrome(MS) and nonalcoholic fatty liver disease(NAFLD) in physical examination population of Guilin. Methods 6 660 persons were selected from medical center for health examination by cluster sampling method. The survey included questionnaire investigation, physical examination, metabolic characteristics and liver color doppler ultrasound examination, and body mass index(BMI) calculated. Results 1) Among the 6 660 participants, the prevalence of NAFLD、MS and (NAFLD+MS)were 19.1%、11.4% and 6.2%. The prevalence of NAFLD、MS and (NAFLD+MS) increased with age, the prevalence of age-stratified and gender-stratified were significant differences (P<0.01). 2) There were all significant differences of each component of MS in comparison of NAFLD and control group (P<0.01). 3) BMI、systolic blood pressure (SBP)、diastolic blood pressure (DBP)、fasting blood glucose(FPG)、triglyceride(TG)、total cholesterol(TC)、Low-density lipoprotein cholesterol(LDL-C)、alanine aminotransferase(ALT)、aspartate aminotransferase(AST) and uric acid(UA) in NAFLD group were significantly higher than in normal control group (P<0.01), high-density lipoprotein cholesterol(HDL-C) level was lower in NAFLD group than in normal control group (P<0.01). 4) Logistic regression anaIysis demonstrated that sex(male)、BMI、blood pressure、FPG、TG、LDL-C、ALT and UA were the risk factors of NAFLD, and HDL-C was the protective factor of NAFLD. Conclusions NAFLD was positively correlated with MS, and had the characteristics of each component of MS.

Key words: Nonalcoholic fatty liver disease, Metabolic syndrome, Relevance