中国的高度和代谢功能障碍相关的脂肪肝疾病 (MAFLD):一个基于人口的研究
Yufei Wang1, Qiong Meng2, Jin Zhang1
1West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
High altitude medicine & biology
|October 17, 2024
概括
更高的高度与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 的风险增加有关. 身体活动和蔬菜摄入量部分解释了这种关联,突出了在高海拔地区需要公共卫生干预的必要性.
科学领域:
- 环境健康 环境健康
- 肝病学 肝病学是一种肝病学.
- 流行病学 流行病学
背景情况:
- 与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 是一个日益严重的全球健康问题.
- 有限的流行病学数据存在于地理高度和MAFLD流行率之间的关系.
- 了解这种关系对于有针对性的公共卫生战略至关重要.
研究的目的:
- 调查不同高度与中国人口中MAFLD患病率之间的关联.
- 确定潜在的调解因素,如生活方式选择,这可能解释高度-MAFLD关系.
主要方法:
- 一项基于人口的研究,利用来自中国多民族队列的数据.
- MAFLD诊断基于放射性肝硬化和超重/肥胖,糖尿病或代谢失调的标准.
- 使用多变量逻辑回归和调解分析来评估关联和调解比例.
主要成果:
- 较高的海拔与较低的海拔相比,与MAFLD的几率增加显著相关.
- 身体活动占高空和低空之间的关系的15.7%,高空和中高空之间的关系为31.4%.
- 蔬菜摄入量占高空和低空之间的关系的3.8%,高空和中空之间的关系为2.3%,中空和低空之间的关系为11.8%.
结论:
- 高海拔是发展MAFLD的一个危险因素.
- 生活方式因素,特别是体力活动和蔬菜消费,在高度与MAFLD关系中起着调解作用.
- 推推健康生活方式的公共卫生倡议,适用于高海拔地区的居民.
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