非酒精性脂肪肝病患者体脂成分及膳食营养素摄入分析

发布时间：2018-11-06 19:42

【摘要】：目的探讨膳食营养因素、人体成分分析与非酒精性脂肪性肝病(NAFLD)发生的相关性。方法选取NAFLD患者82例(NAFLD组),正常对照者82例(对照组),对被选人群进行问卷调查、体格测量、人体成分分析及肝脏超声检查。收集其体检报告,利用自行设计的健康状况调查表对个人一般状况进行调查,采用食物频率调查表调查其膳食种类和摄入量。结果与对照组比较,NAFLD组总能量、脂肪的摄入量、体质指数(BMI)、内脏脂肪面积(VFA)、体脂百分比(PBF)、腰臀百分比(WHR)均明显升高,血生化指标空腹血糖(FBG)、三酰甘油(TG)、丙氨酸转移酶(ALT)、天冬氨酸转移酶(AST)、极低密度脂蛋白(VLDL)及血尿酸(UA)均较对照组明显上升,碳水化合物、蛋白质、膳食纤维、总胆固醇(TC)、尿素氮(BUN)、肌酐(Cr)两组间差异无统计学意义。结论通过NAFLD患者体脂成分测定及其膳食营养素摄入调查,NAFLD组人群膳食结构不够合理,人体成分分析与饮食因素相关性很大,高能量、高脂肪是NAFLD的膳食危险因素,肥胖、高血糖、高血脂、内脏脂肪面积高是NAFLD的患病危险因素。
[Abstract]:Objective to investigate the relationship between dietary nutritional factors, body composition analysis and (NAFLD) occurrence of non-alcoholic fatty liver disease. Methods 82 patients with NAFLD (NAFLD group) and 82 normal controls (control group) were investigated by questionnaire, physical measurement, body composition analysis and liver ultrasound examination. The health status questionnaire designed by ourselves was used to investigate the general status of the individual, and the food frequency questionnaire was used to investigate the dietary type and intake. Results compared with the control group, the total energy, fat intake, body mass index (BMI), visceral fat area (VFA), body fat percentage (PBF), waist hip percentage (WHR) in NAFLD group were significantly higher than those in control group, and fasting blood glucose (FBG), (FBG) was significantly increased in NAFLD group. Triacylglycerol (TG), alanine transferase (ALT), aspartate transferase (AST), very low density lipoprotein (VLDL) and serum uric acid (UA) were significantly increased compared with the control group. There was no significant difference in total cholesterol (TC), urea nitrogen (BUN), creatinine (Cr) between the two groups. Conclusion through the measurement of body fat composition and dietary nutrient intake in NAFLD patients, the dietary structure of NAFLD group is not reasonable, and the correlation between body composition analysis and dietary factors is very large. High energy and high fat are the dietary risk factors of NAFLD, obesity. Hyperglycemia, hyperlipidemia and high visceral fat area were risk factors for NAFLD.
【作者单位】：安徽医科大学第一附属医院临床营养科;
【基金】：安徽省年度科研项目(编号:1301043019)
【分类号】：R575.5

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