Ostrowska Lucyna, Czapska Danuta, Stefańska Ewa, Karczewski Jan, Wyszyńska Urszula
Zakład Higieny i Epidemiologii, Akademia Medyczna w Białymstoku, 15-089 Bialystok.
Rocz Panstw Zakl Hig. 2005;56(1):67-76.
Obesity is a known risk factor of cholecystolithiasis. The potential causes of increased incidence of cholecystolithiasis in people with obesity (overweight) and in those with normal body mass are considered. The study involved 100 patients with diagnosed cholecystolithiasis hospitalized in one of the randomly selected hospitals in Bialystok and its vicinity. The questionnaire technique was used to evaluate risk factors of cholecystolithiasis. It was found that women, irrespective of body mass, were 2.7 times more often hospitalized due to this ailment than men. Of the patients examined, 71% had overweight or obesity. Women with normal body mass suffered from cholecystolithiasis at the younger age than the obese or overweight ones. The comparison of risk factors of cholecystolithiasis between the obese (overweight) patients and those with normal body mass revealed a significantly more frequent familial incidence of type 2 diabetes and cholecystolithiasis. Patients with cholecystolithiasis, irrespective of body mass, were characterized by low intake of dark bread and wholemeal products, raw fruit and vegetables, and pulses. Obese women with cholecystolithiasis significantly more frequently consumed milk and yoghurt, meat and its products, lard, bacon and sweets than women with normal body mass. Obese men (with overweight) significantly more frequently consumed high-fat foods than the slim ones.
肥胖是已知的胆囊结石风险因素。本文探讨了肥胖（超重）人群和正常体重人群胆囊结石发病率增加的潜在原因。该研究纳入了100例确诊为胆囊结石的患者，这些患者均在比亚韦斯托克及其周边地区随机选择的一家医院住院。采用问卷调查技术评估胆囊结石的风险因素。研究发现，无论体重如何，女性因该病住院的频率是男性的2.7倍。在接受检查的患者中，71%超重或肥胖。体重正常的女性患胆囊结石的年龄比肥胖或超重女性更小。对肥胖（超重）患者和正常体重患者的胆囊结石风险因素进行比较后发现，2型糖尿病和胆囊结石的家族发病率在肥胖患者中显著更高。无论体重如何，胆囊结石患者的黑面包、全麦食品、生水果和蔬菜以及豆类的摄入量都较低。患有胆囊结石的肥胖女性比体重正常的女性更频繁地食用牛奶和酸奶、肉类及其制品、猪油、培根和甜食。肥胖男性（超重）比苗条男性更频繁地食用高脂肪食物。
