马开莉, 王慧, 黄建军, 孙晨明, 乔楠, 张海霞, 王彤. 大同煤矿集团职工脂肪肝患病情况与膳食模式关系研究[J]. 环境与职业医学, 2019, 36(3): 210-216. DOI: 10.13213/j.cnki.jeom.2019.18502
引用本文: 马开莉, 王慧, 黄建军, 孙晨明, 乔楠, 张海霞, 王彤. 大同煤矿集团职工脂肪肝患病情况与膳食模式关系研究[J]. 环境与职业医学, 2019, 36(3): 210-216. DOI: 10.13213/j.cnki.jeom.2019.18502
MA Kai-li, WANG Hui, HUANG Jian-jun, SUN Chen-ming, QIAO Nan, ZHANG Hai-xia, WANG Tong. Relationships between prevalence of fatty liver and dietary patterns among workers in Datong Coal Mine Group[J]. Journal of Environmental and Occupational Medicine, 2019, 36(3): 210-216. DOI: 10.13213/j.cnki.jeom.2019.18502
Citation: MA Kai-li, WANG Hui, HUANG Jian-jun, SUN Chen-ming, QIAO Nan, ZHANG Hai-xia, WANG Tong. Relationships between prevalence of fatty liver and dietary patterns among workers in Datong Coal Mine Group[J]. Journal of Environmental and Occupational Medicine, 2019, 36(3): 210-216. DOI: 10.13213/j.cnki.jeom.2019.18502

大同煤矿集团职工脂肪肝患病情况与膳食模式关系研究

Relationships between prevalence of fatty liver and dietary patterns among workers in Datong Coal Mine Group

  • 摘要: 目的 脂肪肝现已成为第二大肝病,并且与多种慢性病有关。因此本研究的目的是调查大同煤矿集团职工脂肪肝患病情况,并探讨其与膳食模式之间的关系。

    方法 采用两阶段分层随机抽样方法,调查大同煤矿集团职工3 548人。对职工进行一般情况调查、膳食状况调查、脂肪肝诊断、人体测量及评价。采用探索性因子分析方差最大旋转法提取并命名膳食模式,采用logistic回归分析脂肪肝患病率与膳食模式的关系。

    结果 调查对象中男性3 039人,女性509人。脂肪肝检出1 170人,检出率为32.98%;其中男性检出率34.52%(1 049/3 039),女性检出率23.77%(121/509),检出率差异有统计学意义(P < 0.001)。男性和女性煤矿职工均提取出4种膳食模式,男性膳食模式分别为"畜肉内脏型""传统型""高盐型"和"水果大米型",女性膳食模式分别为"禽畜肉型""高盐高能量型""高蛋白水果型"和"主食蔬菜型",累积方差贡献率分别为35.00%和37.56%。logistic回归分析显示,校正年龄、体重指数、体力活动、婚姻状况等变量后,相对于"水果大米型"膳食模式,男性职工"畜肉内脏型"膳食模式的调整OR及其95% CI为1.33(1.02~1.74),"高盐型"膳食模式为1.32(1.01~1.71),均具有统计学意义;而在女性煤矿职工中,相对于"主食蔬菜型"膳食模式,另外三种膳食模式的OR值均无统计学意义。

    结论 不同膳食模式对脂肪肝患病率的影响可能存在性别差异。男性煤矿职工的膳食模式与脂肪肝有密切关系,改善膳食结构,合理膳食是防治脂肪肝的重要措施之一。

     

    Abstract: Objective Fatty liver has become the second largest liver disease, and is related to a variety of chronic diseases. The aim of this study is to estimate the prevalence of fatty liver among workers in Datong Coal Mine Group and assess the associations between fatty liver and dietary patterns.

    Methods A total of 3 548 workers in Datong Coal Mine Group were selected by two-stage stratified random sampling method. General information survey, dietary investigation, fatty liver diagnosis, and anthropometric evaluation were conducted. Dietary patterns were extracted and named by varimax rotation of exploratory factor analysis, and the relationships between fatty liver prevalence and dietary patterns were analyzed by logistic regression.

    Results There were 3 039 male and 509 female workers enrolled in the study. The prevalence rate of fatty liver in the selected workers was 32.98% (n=1 170); the prevalence rates in male workers (34.52%, 1 049/3 039) and female workers (23.77%, 121/509) were significantly different (P < 0.001). Both male and female coal mine workers showed four dietary patterns:"red meat and viscera", "traditional", "high salt", and "fruit and rice" for males; "poultry and red meat", "high salt and high energy", "high protein and fruit", and "staple and vegetable" for females. The cumulative variance contribution rates of males and females were 35.00% and 37.56%, respectively. The results of logistic regression analysis showed that after adjusting for the covariates such as age, body mass index, physical activity level, and marital status, the dietary patterns of "red meat and viscera" (adjusted OR=1.33, 95% CI:1.02-1.74) and "high salt" (adjusted OR=1.32, 95% CI:1.01-1.71) versus "fruit and rice" still had statistical significance in male workers; in female workers, the OR values of the other three dietary patterns were not statistically significant versus "staple and vegetable".

    Conclusion The influence of different dietary patterns on the prevalence of fatty liver may have gender differences. The dietary patterns of male coal mine workers are closely related to fatty liver; therefore, improving dietary structure is one of the important measures to prevent fatty liver.

     

/

返回文章
返回