Prevalence of and risk factors for gallstones in Uighur and Han Chinese
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Published on: November 1, 2024
Li Zhu1, Aikebaier Aili1, Cheng Zhang1
1Li Zhu, Aikebaier Aili, Aili Saiding, Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China.
Insights
Gallstone prevalence is higher in Uighur Chinese compared to Han Chinese. Risk factors like age, triglycerides, BMI, and HDL differ significantly between these ethnic groups.
Area of Science:
- Gastroenterology
- Epidemiology
- Genetics
Background:
- Gallstones (cholelithiasis) represent a significant public health concern.
- Understanding ethnic variations in prevalence and risk factors is crucial for targeted prevention strategies.
Purpose of the Study:
- To investigate the prevalence of gallstones in Uighur and Han Chinese populations.
- To identify and compare risk factors associated with gallstones in these distinct ethnic groups.
Main Methods:
- A single-centre survey analyzed medical data from 9455 patients.
- Prevalence was compared between Uighur and Han Chinese individuals.
- Univariate and unconditional multiple logistic regression analyses identified risk factors.
Main Results:
- Gallstone prevalence was significantly higher in Uighurs (22.87%) than Han Chinese (11.64%).
- Age was a common risk factor; triglycerides, BMI, and HDL were significant for Han Chinese.
- Total cholesterol (TC), gender, and fatty liver were key risk factors for Uighur Chinese.
Conclusions:
- Significant differences exist in gallstone prevalence and associated risk factors between Uighur and Han Chinese populations.
- These findings highlight the need for ethnicity-specific approaches to gallstone management and prevention.
Aim:
To perform a single-centre survey of the prevalence of and possible risk factors for gallstones in Uighur and Han Chinese.
Methods:
Complete medical data for 9455 patients were collected from the medical centre of our hospital, and the overall prevalence of gallstones as well as the prevalence in different ethnic groups was studied. The risk factors for gallstones in different ethnic groups were identified in a univariate analysis, and variables with statistical significance were analysed by unconditional multiple logistic regression, to primarily explore the similarities and differences in gallstone risk factors between different ethnic groups.
Results:
The prevalence of gallstones was significantly higher in the Uighur population than in the Han population (22.87% vs 11.64%, P < 0.05). Further analysis of risk factors for gallstones based on the different ethnic areas revealed that age was a risk factor for gallstones in both groups; triglycerides, body-mass index (BMI) and high-density lipoprotein were risk factors for gallstones in the Han population, while total cholesterol (TC), gender and fatty liver were risk factors in the Uighur population. The Uighur patients were older than the Han patients, and had higher BMI, TC, low-density lipoprotein, female rate and fatty liver rate, while the incidence of hypertension was lower than that in the Han patients.
Conclusion:
The prevalence of and risk factors for gallstones differ between the Uighur and Han populations.
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