某医院职工人体成分与脂肪肝检出情况研究

目的了解医院职工健康状况,研究体成分与脂肪肝的相关性,更好地预防慢性疾病的发生。方法 2014年2~5月职工体检期间有322名在职及离退休人员参加了体成分测试,结合同期体检腹部彩超结果,分为脂肪肝组与非脂肪肝组,对两组人员的体成分参数进行分析。结果参检者体质量指数(BMI)、体脂百分比、腹围、腰臀比等均值高于正常范围,不同性别参检者BMI、矿物质含量、骨骼肌肉量、蛋白质、身体水分、体脂百分比等有性别差异,P0.01;年龄、内脏脂肪面积、肥胖程度、健康评分等无性别差异,P0.05;男性脂肪肝检出率高于女性,P0.05;脂肪肝组与非脂肪肝组的BMI、矿物质含量、骨骼肌肉量、蛋白质、体脂肪、体脂百分比、内脏脂肪面积、腹围、臀围、腰臀比、健康评分有高度统计学差异,P0.01,内脏脂肪面积分段与脂肪肝检出率有统计学意义,P0.01。结论本组职工超重肥胖率较高,脂肪肝检出率高于近年事业单位体检报道[1-3],慢性疾病潜在危险性较高,脂肪肝组与非脂肪肝组体成分有高度统计学差异,对BMI、腰臀比超标及内脏脂肪面积80cm2的职工进行个体化饮食及运动方式指导,跟踪效果,利于脂肪肝等慢性疾病的预防。

The Fatty liver and Body composition Investigation of workers in Hospital

Objective To investigate the Fatty liver and Body composition of the workers in hospital, we performed this survey. According to the survery results, we could Prevention of chronic diseases. Methods During the medical examination of workers at February to May 2014, there are 322 employees serving and retired officers took part in the body composition tests and abdominal ultrasound examination. According to these results, we separated these workers into fatty liver group and non-fatty liver group and analyzed Body composition of the two groups. Results In this study, we found that the mean of Body Mass Index（BMI）, Body fat percentage, Abdominal circumference and waist-hip ratiowe was higher than normal. We also found that the mean of BMI, Percentage of body fat, abdominal circumference and waist-hip ratio was different in men and women（P0.01）. On the other hand, there was no gender different in the age, visceral fat area, the degree of obesity and health score. We also showed that the detection rate of fatty liver in men was obvious higher than in women（P0.05）. There was significant difference at the BMI, Mineral content, bone, muscle mass, protein, body fat, body fat percentage, visceral fat area, abdominal circumference, hip circumference, waist-hip ratio and health score in the fatty liver group and non-fatty liver group（P0.01）. Visceral fat area segmentation and detection rate of fatty liver has significant difference（P0.01）. Conclusion According to the results, we found that the obesity of workers was higher. The Incidence of fatty liver was higher than medical examination of Institution workers at these years. There was significant difference between fatty liver group and non-fatty liver group The mode of exercise, exercise intensity Dietary nutrition and health behavior should be educated in elderly people. According to the survery results, we could give an suggestion on Dietary guidance and exercise methods.