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目的了解上海市金山区张堰镇企业从业人员代谢综合征(MS)和脂肪肝在不同性别、年龄等的患病率,以及探讨代谢综合征与脂肪肝的相关性。方法通过分析10 437例从业人员体检数据,用χ2检验比较MS与脂肪肝患病率的差异。采用多因素逐步logistic回归分析对脂肪肝的危险因素进行分析,比较脂肪肝组和非脂肪肝组不同指标患病率的优势比(Odds ratio,OR)。结果代谢综合征与脂肪肝的患病率随年龄增加而增加,男性代谢综合征和脂肪肝的患病率高于女性(P<0.001);除血脂紊乱外,其他各项的患病率在>20年工龄组中高于≤10年组和11～20年组。结论从上海市金山区张堰镇企业从业人员的体检数据可以看出,MS与脂肪肝的患病率较高,MS与脂肪肝有密切的关系。脂肪肝可作为MS的组分进行观察,进行早期的脂肪肝筛检,有助于提早发现MS。本研究为脂肪肝与MS的相关性研究提供理论依据。
Objective To understand the prevalence of metabolic syndrome (MS) and fatty liver in different gender, age, etc. in Zhangyan town, Jinshan district, Shanghai, and to explore the correlation between metabolic syndrome and fatty liver. Methods By analyzing the physical examination data of 10 437 employees, the difference between MS and fatty liver was compared by χ2 test. The risk factors of fatty liver were analyzed by multivariate stepwise logistic regression analysis. Odds ratio (OR) was compared between different indicators of fatty liver group and non-fatty liver group. Results The prevalence of metabolic syndrome and fatty liver increased with age, and the prevalence of metabolic syndrome and fatty liver in males was higher than that in females (P <0.001). The prevalences of other diseases except dyslipidemia were > 20-year service group was higher than ≤ 10-year group and 11-20-year group. Conclusion From the medical examination data of enterprises in Zhangyan Town, Jinshan District, Shanghai, it can be seen that the prevalence of MS and fatty liver is high, and MS is closely related to fatty liver. Fatty liver can be used as a component of MS for observation. Early detection of fatty liver can help to detect MS earlier. This study provides a theoretical basis for the study of the correlation between fatty liver and MS.