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目的:了解青年人脂肪肝患病情况及其影响因素,为及早控制和预防脂肪肝及其相关疾病的发生提供健康指导和科学参考。方法:采用整群抽样方法,通过健康体检和开展问卷调查对乌鲁木齐市某社区自愿参加健康体检的18-44岁常住城镇青年居民进行调查。结果:1828例青年中男性占80.85%,女性占19.15%;年龄(31.77±7.13)岁,其中以35岁~者居多,占42.16%;民族分布以汉族居多,占80.36%,其次是维吾尔族占11.05%。检出脂肪肝者309例,患病率为16.90%。其中轻度脂肪肝126人,占6.89%;中度脂肪肝179人,占9.79%;重度脂肪肝4人,占0.22%。不同性别、不同年龄和不同民族脂肪肝检出率差异均有统计学意义(P<0.05),表现为男性检出率高于女性,不同年龄段中随着年龄增长脂肪肝检出率呈现逐渐上升趋势,以35岁~者患病率最高为42.72%。BMI的高低和是否选择膳食饮食导致的脂肪肝检出率差异有统计学意义(P<0.05),表现在BMI≥24脂肪肝检出率明显高于BMI<24的青年;膳食饮食青年脂肪肝检出率低。多因素Logistic回归分析结果显示未选择膳食饮食是脂肪肝发生的危险因素。结论:青年中脂肪肝患病率较高,合理膳食,加强体育锻炼,提高体质质量可有效控制和预防脂肪肝的发生。
Objective: To understand the prevalence and influencing factors of fatty liver in young people and provide health guidance and scientific reference for the early control and prevention of fatty liver and its related diseases. Methods: A cluster sampling method was used to investigate the aged 18-44-year-old urban residents who voluntarily participated in a health examination in a community in Urumqi through a physical examination and questionnaire survey. Results: Among the 1828 youths, 80.85% were male and 19.15% were female. The age was (31.77 ± 7.13) years old, of which, the majority was 35.16 years old, accounting for 42.16% of the total. Han ethnicity was the majority, accounting for 80.36% of the total, followed by Uyghur Accounting for 11.05%. 309 cases of fatty liver were detected, the prevalence was 16.90%. Among them, 126 were mild fatty liver, accounting for 6.89%; 179 were moderate fatty liver, accounting for 9.79%; 4 were severe fatty liver, accounting for 0.22%. The detection rates of fatty liver in different sexes, different ages and different nationalities were significantly different (P <0.05). The detection rate of male fatty liver was higher than that of females, and the detection rate of fatty liver gradually increased with age in different age groups The upward trend to 35-year-old ~ the highest prevalence of 42.72%. There was significant difference in the detection rate of fatty liver between BMI and dietary diet (P <0.05), the detection rate of BMI≥24 fatty liver was significantly higher than that of BMI <24; dietary fatty liver The detection rate is low. Multivariate Logistic regression analysis showed that the unselected diet was a risk factor for fatty liver. Conclusion: The prevalence of fatty liver in young people is high, reasonable diet, physical exercise, improve the quality of body can effectively control and prevent the occurrence of fatty liver.