瘦型非酒精性脂肪性肝病的影响因素分析

doi:10.19485/j.cnki.issn2096-5087.2024.11.008

Preventive Medicine

2024, Vol. 36

Issue (11): 953-957 DOI: 10.19485/j.cnki.issn2096-5087.2024.11.008

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Influencing factors for lean non-alcoholic fatty liver disease

LU Feng, XU Bin, PANG Lili

Department of Infectious Diseases, Huzhou Central Hospital, Huzhou, Zhejiang 313000, China

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Abstract Objective To investigate the factors affecting lean non-alcoholic fatty liver disease (NAFLD), so as to provide the reference for the prevention and treatment of lean NAFLD. Methods Individuals who underwent physical examination at Huzhou Central Hospital from January 1, 2023 to March 31, 2024 and had a body mass index (BMI) <23 kg/m² was selected. Demographic information, lifestyle behaviors, dietary habits and physical examination data were collected through questionnaire surveys. Lean NAFLD was assessed using abdominal ultrasonography combined with BMI. Factors affecting lean NAFLD were analyzed by using a multivariable logistic regression model. Results A total of 627 individuals were surveyed, with a mean BMI of (20.83±2.01) kg/m². There were 349 males (55.66%) and 278 females (44.34%). Lean NAFLD was detected in 74 cases, with a detection rate of 11.80%. Multivariable logistic regression analysis identified BMI (OR=1.830, 95%CI: 1.165-2.869), gender (male, OR=2.615, 95%CI: 1.402-4.875), triglycerides (OR=3.062, 95%CI: 1.613-5.812), alanine aminotransferase (OR=1.587, 95%CI: 1.106-2.277), vegetable and fruit intake (150-300 g/d, OR=0.416, 95%CI: 0.230-0.752; >300 g/d, OR=0.303, 95%CI: 0.141-0.649), dairy product intake (≥300 mL/d, OR=0.369, 95%CI: 0.195-0.701) and sugared beverage intake (1-250 mL/d, OR=1.601, 95%CI: 1.071-2.393; >250 mL/d, OR=2.438, 95%CI: 1.363-4.354) as factors affecting lean NAFLD. Conclusion The risk of lean NAFLD is associated with BMI, gender, triglyceride, alanine aminotransferase, and the vegetable and fruit, dairy product and sugared beverage intake.

Key words： lean non-alcoholic fatty liver disease body mass index influencing factor

Received: 23 May 2024 Revised: 23 August 2024 Published: 14 November 2024

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LU Feng,XU Bin,PANG Lili. Influencing factors for lean non-alcoholic fatty liver disease[J]. Preventive Medicine, 2024, 36(11): 953-957.

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http://www.zjyfyxzz.com/EN/10.19485/j.cnki.issn2096-5087.2024.11.008 OR http://www.zjyfyxzz.com/EN/Y2024/V36/I11/953

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