中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2008年
5期
284-287
,共4页
张毅%王燕%马先福%王宏涛%王仁萍
張毅%王燕%馬先福%王宏濤%王仁萍
장의%왕연%마선복%왕굉도%왕인평
脂肪肝%体格检查%干预性研究
脂肪肝%體格檢查%榦預性研究
지방간%체격검사%간예성연구
Fatty liver%Physical examination%Intervention studies
目的 通过对健康体检中非酒精性脂肪性肝病(NAFLD)人群与行为因素进行调查,研究其生活行为和疾病因素可能与NAFLD发病的相关性,并提出干预性防治措施.方法 选择2038例健康体检者(包括1438例NAFLD患者)采用问卷调查的形式对其生活行为和疾病因素调查研究,并进行包括超声检查、肝功和血脂检测在内的常规体检,根据体检和问卷结果进行综合分析判断.结果 多因素非条件Logistic回归分析结果表明:NAFLD患者男性20～49岁居多(76.5%).工作压力大、睡眠过多、运动减少,高脂肪高蛋白饮食、喜好油煎炸、辛辣、甜食、冷饮、临睡前加餐等,体重指数和腰臀比值增加,伴随肥胖症、高血脂、高血压病、糖尿病、冠心病以及遗传和家族史等因素均与NAFLD的发病呈正相关(P＜0.05).结论 NAFLD的发病以男性青中年为主,且与多种生活行为和疾病因素密切相关,单纯性NAFLD是可逆性的,通过改变饮食结构、生活方式和控制原发基础疾病或伴随疾病等,可使NAFLD得到改善,甚至消失.
目的 通過對健康體檢中非酒精性脂肪性肝病(NAFLD)人群與行為因素進行調查,研究其生活行為和疾病因素可能與NAFLD髮病的相關性,併提齣榦預性防治措施.方法 選擇2038例健康體檢者(包括1438例NAFLD患者)採用問捲調查的形式對其生活行為和疾病因素調查研究,併進行包括超聲檢查、肝功和血脂檢測在內的常規體檢,根據體檢和問捲結果進行綜閤分析判斷.結果 多因素非條件Logistic迴歸分析結果錶明:NAFLD患者男性20～49歲居多(76.5%).工作壓力大、睡眠過多、運動減少,高脂肪高蛋白飲食、喜好油煎炸、辛辣、甜食、冷飲、臨睡前加餐等,體重指數和腰臀比值增加,伴隨肥胖癥、高血脂、高血壓病、糖尿病、冠心病以及遺傳和傢族史等因素均與NAFLD的髮病呈正相關(P＜0.05).結論 NAFLD的髮病以男性青中年為主,且與多種生活行為和疾病因素密切相關,單純性NAFLD是可逆性的,通過改變飲食結構、生活方式和控製原髮基礎疾病或伴隨疾病等,可使NAFLD得到改善,甚至消失.
목적 통과대건강체검중비주정성지방성간병(NAFLD)인군여행위인소진행조사,연구기생활행위화질병인소가능여NAFLD발병적상관성,병제출간예성방치조시.방법 선택2038례건강체검자(포괄1438례NAFLD환자)채용문권조사적형식대기생활행위화질병인소조사연구,병진행포괄초성검사、간공화혈지검측재내적상규체검,근거체검화문권결과진행종합분석판단.결과 다인소비조건Logistic회귀분석결과표명:NAFLD환자남성20～49세거다(76.5%).공작압력대、수면과다、운동감소,고지방고단백음식、희호유전작、신랄、첨식、랭음、림수전가찬등,체중지수화요둔비치증가,반수비반증、고혈지、고혈압병、당뇨병、관심병이급유전화가족사등인소균여NAFLD적발병정정상관(P＜0.05).결론 NAFLD적발병이남성청중년위주,차여다충생활행위화질병인소밀절상관,단순성NAFLD시가역성적,통과개변음식결구、생활방식화공제원발기출질병혹반수질병등,가사NAFLD득도개선,심지소실.
Objective To study the behavior factors associated with nonalcoholic fatty liver disease (NAFLD).Methods A total of 2038 subjects who underwent physical examination at the Department of Health check-up center,the Affiliated Hospital of Medical College,Qingdao University were included in this study(including 1438 cases of NAFLD).A questionnaire survey was conducted on their lifestyle and behaviors.Data of routine physical examination,ultrasound examination,liver function and blood lipid test were collected and analyzed.Results Multi-factors Logistic regression analysis showed that age (20 to 49 years) male sex,stress from work,sleep time, physical activity and diet axe among factors associated with NAFLD(all P＜0.05).Conclusion Lifestyle and behavior factor are associated with the incidence of NAFLD.
