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通过质子磁共振波谱技术研究体重指数及其对超重和肥胖青年成人肝脏脂肪含量的影响。

Body mass index and its effects on liver fat content in overweight and obese young adults by proton magnetic resonance spectroscopy technique.

作者信息

Pasanta Duanghathai, Tungjai Montree, Chancharunee Sirirat, Sajomsang Warayuth, Kothan Suchart

机构信息

Department of Radiologic Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand.

Department of Chemistry, Faculty of Science, Chiang Mai University, Chiang Mai 50200, Thailand.

出版信息

World J Hepatol. 2018 Dec 27;10(12):924-933. doi: 10.4254/wjh.v10.i12.924.

Abstract

AIM

To assess the association between liver fat content (LFC) and weight status in young adults using proton magnetic resonance spectroscopy (H MRS) technique.

METHODS

Seventy-eight healthy young adults, between 19-30 years of age participated in this study. This group was then separated into a control of 39 subjects and an overweight/obese group (OW/OB group) consisting of 39 subjects. Blood biochemical quantity and H MRS was performed for LFC assessment.

RESULTS

LFC was found to be almost three times higher in OW/OB group when compared to the control group. A 48.7% incidence of non-alcoholic fatty liver disease in the OW/OB group was found. Blood biochemical measurements showed statistically higher low-density lipoproteins and triglyceride, lower high-density lipoproteins, and increased glycosylated hemoglobin and fasting glucose in the OW/OB group. Body mass index was a significant independent predictor for LFC after adjusting for age and sex (multiple linear regression; β 0.459, 0.001).

CONCLUSION

Due to the prevalence of high LFC in the OW/OB group, it can be proposed that weight gain and obesity are sensitive indicators of high hepatic fat content.

摘要

目的

采用质子磁共振波谱(¹H MRS)技术评估年轻成年人肝脏脂肪含量(LFC)与体重状况之间的关联。

方法

78名年龄在19至30岁之间的健康年轻成年人参与了本研究。该组随后被分为39名受试者的对照组和由39名受试者组成的超重/肥胖组(OW/OB组)。进行血液生化检测和¹H MRS以评估LFC。

结果

发现OW/OB组的LFC几乎是对照组的三倍。在OW/OB组中发现非酒精性脂肪性肝病的发病率为48.7%。血液生化检测显示,OW/OB组的低密度脂蛋白和甘油三酯在统计学上更高,高密度脂蛋白更低,糖化血红蛋白和空腹血糖升高。在调整年龄和性别后,体重指数是LFC的显著独立预测因素(多元线性回归;β = 0.459,P = 0.001)。

结论

由于OW/OB组中高LFC的普遍性,可以提出体重增加和肥胖是肝脏脂肪含量高的敏感指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c1f/6323521/aed4eebeb039/WJH-10-924-g001.jpg

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