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不同生活方式与脂肪肝的相关性调查

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目的 了解不同生活方式与脂肪肝形成之间的关系,为预防脂肪肝提供生活方式干预的科学依据。方法 选取2018年在该院建档无脂肪肝病史的15 858名体检者作为研究对象,采用回顾性队列研究方法,通过问卷调查和提取体检数据,经过2年随访,采用x2及logistics回归分析统计分析不同生活方式对脂肪肝形成的影响。结果 脂肪肝的累计发病率为8。1%,男性发病率高于女性,差异有统计学意义(P<0。05),且脂肪肝发病率随年龄的增长而提高。单因素分析结果显示,男性、经常食用高油脂类、不经常食用奶豆制品、摄入过量含糖饮料、睡眠时间过短或过长、吸烟及饮酒者均易患脂肪肝(P<0。05)。多因素二分类logistics回归分析显示,高油脂饮食、摄入过量含糖饮料是脂肪肝的危险因素(P<0。05),运动锻炼是脂肪肝的保护因素(P<0。05)。结论 日常生活中保持清淡饮食、减少含糖饮料摄入及加强运动锻炼可以减少脂肪肝的发生。
Investigation on the correlation between different lifestyles and fatty liver
Objective To understand the relationship between different lifestyles and the formation of fatty liver,and to provide a scientific basis for the prevention of fatty liver.Methods A total of 15 858 physi-cal examination subjects who had no history of fatty liver in the hospital in 2018 were selected as the study ob-jects.A retrospective cohort study was adopted,questionnaire survey and physical examination data were ex-tracted,and Chi-square and logistics regression analysis were used to statistically analyze the influence of dif-ferent lifestyles on the formation of fatty liver after two years of follow-up.Results The cumulative incidence of fatty liver was 8.1%,the incidence of male was higher than that of female,the difference was statistically significant(P<0.05),and the incidence of fatty liver increased with the increase of age.The results of univari-ate analysis showed that men,frequent consumption of high fat,infrequent consumption of milk and soy prod-ucts,excessive intake of sugar-sweetened beverages,short or long sleep time,smoking and drinking were prone to fatty liver disease(P<0.05).logistics regression analysis shows that high-fat diet and excessive in-take of sugary drinks were risk factors for fatty liver(P<0.05),and exercise was a protective factor for fatty liver(P<0.05).Conclusion Keeping a light diet,reducing the intake of sugary drinks and strengthening ex-ercise in daily life can reduce the occurrence of fatty liver.

LifestyleFatty liverCorrelationPhysical examination populationRetrospective cohort

曾洪利、张伟铮、杨硕

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广州市干部健康管理中心/广州市第十一人民医院,广东广州 510530

生活方式 脂肪肝 相关性 体检人群 回顾性队列

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(7)
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