摘要
目的调查特勤人员非酒精性肝功能异常的发生情况及其影响因素。方法选取2018年7月至2021年1月在某疗养院疗养与体检的4007名特勤人员作为研究对象,采用自制健康行为生活方式问卷调查表进行调查,收集其入院体检时的各项体检指标数据确定非酒精性肝功能异常的发生情况,采用Logistic回归分析非酒精性肝功能异常的影响因素。结果共回收有效问卷3360份,有效率为83.9%,其中488人(14.52%)存在非酒精性肝功能异常情况。体重指数≥24组中非酒精性肝功能异常构成比(18.98%)明显高于体重指数<24组(10.57%),差异有统计学意义(χ^(2)=47.664,P<0.01);不同性别、年龄段、婚姻状况和学历分组中非酒精性肝功能异常构成比差异无统计学意义(P>0.05)。体重指数、饮食喜好油腻、饮食喜好硬、饮食喜好烟熏、吃饭过快、三酰甘油水平和低密度脂蛋白胆固醇水平增高与非酒精性肝功能异常的风险增加有关(P<0.01);轻、中度运动和饮食喜好辣与非酒精性肝功能异常的风险降低有关(P<0.05或P<0.01)。结论特勤人员的非酒精性肝功能异常发生率较高,与体重指数、血脂水平、不良饮食喜好习惯密切相关。加强特勤人员的健康生活方式指导,促进其良好生活方式的养成,有助于降低非酒精性肝功能异常的发生率。
Objective To investigate the occurrence of non-alcoholic liver function abnormalities and their influencing factors in special duty servicemen.Methods A total of 4007 special duty servicemen who underwent rehabilitation and physical examination at a rehabilitation center from July 2018 to January 2021 were selected as the research subjects.A self-made questionnaire on health behavior and lifestyle was used for the investigation.The data of physical examination indicators on the day of medical examination were collected to determine the occurrence of non-alcoholic liver function abnormalities.Logistic regression analysis was used to analyze the influencing factors of non-alcoholic liver function abnormalities.Results A total of 3360 valid questionnaires were collected,with an effective rate of 83.9%.Among them,488 individuals(14.52%)had non-alcoholic liver function abnormalities.The proportion of non-alcoholic liver function abnormalities in people with the body mass index(BMI)≥24 group(18.98%)was significantly higher than that in people with BMI<24 group(10.57%),and the difference was statistically significant(χ^(2)=47.664,P<0.01).There was no significant difference in the proportion of non-alcoholic liver function abnormalities among different genders,age groups,marital status,and educational backgrounds(P>0.05).The BMI,diet preference for greasy food,preference for hard food,preference for smoked food,fast eating,increased triglyceride level,and increased low-density lipoprotein(LDL)cholesterol level were related to an increased risk of non-alcoholic liver function abnormalities(P<0.01).Light or moderate exercise and preference for spicy food were related to a decreased risk of non-alcoholic liver function abnormalities(P<0.05,P<0.01).Conclusion Special duty servicemen have a high incidence of non-alcoholic liver function abnormalities,which are closely related to BMI,blood lipid level,and unhealthy dietary habits.Enhancing guidance on maintaining a healthy lifestyle and promoting the cultivation of good habits among special duty servicemen can effectively decrease the occurrence of non-alcoholic liver function abnormalities.
作者
骆芝英
应英
邬悦晨
肖韵悦
蔡文杰
巩艳秋
邹杰
Luo Zhiying;Ying Ying;Wu Yuechen;Xiao Yunyue;Cai Wenjie;Gong Yanqiu;Zou Jie(Third Rehabilitation Zone,Hangzhou Rehabilitation Center for Special Duty Servicemen of the PLA Air Force,Hangzhou 310002,China;Hangzhou Normal University,Hangzhou 311121,China;Department of Pharmacy,No.903 Hospital of PLA,Hangzhou 310013,China)
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
2024年第1期73-76,共4页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
关键词
特勤人员
非酒精性肝功能异常
体重指数
Special duty serviceman
Non-alcoholic liver function abnormalities
Body mass index
