| 健康管理对非酒精性脂肪性肝病人体成分的影响 |
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| 引用本文： | 冯钰婷,于晓,茹清静.健康管理对非酒精性脂肪性肝病人体成分的影响[J].中华全科医学,2020,18(3):454. |
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| 作者姓名： | 冯钰婷 于晓 茹清静 |
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| 作者单位： | 1. 浙江中医药大学第二临床医学院营养科, 浙江 杭州 310053; |
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| 基金项目： | 浙江省教育厅一般科研项目(Y201636857)浙江中医药大学校级科研基金项目(2017ZY16) |
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| 摘 要： | 目的 健康管理是非酒精性脂肪性肝病(NAFLD)治疗的首选方案。仅用体质量的变化判断健康管理的效果有其局限性,因此本研究通过生物电阻抗法,更详细地观察健康管理对NAFLD患者人体成分的改变,为NAFLD的治疗提供依据。 方法 选取2017年1—12月在浙江中医药大学附属第二医院脂肪肝联合门诊就诊的50例NAFLD患者为研究对象,其中男性38例,女性12例,平均年龄(39.70±13.59)岁,进行6个月的健康管理(饮食干预和运动干预)。在健康管理前后均使用人体成分分析仪测量人体成分。测定患者体质量、体质指数(BMI)、肌肉质量、无机盐质量、体脂肪质量、体脂肪百分比、内脏脂肪指数、内脏脂肪面积、腰臀比。计算肌肉百分比、无机盐百分比、体重下降百分比。干预前后数据采用配对t检验进行统计分析。 结果 健康管理干预6个月后与干预前比较,NAFLD患者的体质量、BMI、体脂肪质量、体脂肪百分比、内脏脂肪指数、内脏脂肪面积下降,肌肉百分比上升,差异有统计学意义(均P<0.05)。其中男性体质量、BMI、体脂肪质量、内脏脂肪指数、内脏脂肪面积下降,差异有统计学意义(均P<0.05)。女性体质量、BMI、体脂肪质量、体脂肪百分比,内脏脂肪指数、内脏脂肪面积下降,肌肉百分比上升,差异有统计学意义(均P<0.05)。 结论 健康管理会改变NAFLD患者的人体成分,男女性的变化不完全一致。
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| 关 键 词： | 健康管理 非酒精性脂肪性肝病 人体成分 |
| 收稿时间： | 2019-05-06 |
The effects of health management on the body composition of patients with nonalcoholic fatty liver disease |
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| Affiliation: | 1. The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China |
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| Abstract: | Objective Health management is the preferred therapy for nonalcoholic fatty liver disease(NAFLD). There are limitations in judging the effect of health management only by changes in body weight. Therefore, this study used bioelectrical impedance analysis to observe the changes of body composition in patients with NAFLD by health management in more detail, and to provide basis for the treatment of NAFLD. Methods A total of 50 patients with NAFLD were visited the fatty liver disease clinic. There were 38 male and 12 female, with the mean age of(39.70±13.59) years. They all received 6 months' health management(diet and exercise intervention). Before and after the health management, using the body composition analyzer to measure body composition. Body weight, body mass index(BMI), body muscle, inorganic salt, body fat, body fat percentage, visceral fat index, visceral fat area and waist-hip ratio were measured. The percentage of body muscle, inorganic salt and weight loss were calculated. Data before and after intervention were analyzed by paired t-test. Results After 6 month's health management, NAFLD patients' body weight, BMI, body fat, body fat percentage, visceral fat index, visceral fat area were decreased,body muscle percentage were increased(all P<0.05). The male patients' body weight, BMI, body fat, visceral fat index, visceral fat area were decreased(all P<0.05). The female patients' body weight, BMI, body fat, body fat percentage, visceral fat index, visceral fat area were decreased, body muscle percentage were increased(all P<0.05). Conclusion Health management changes the body composition of patients with NAFLD. There are some differences between men and women. |
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