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非酒精性脂肪性肝病患者 CT 腹部人体测量学指标与肝密度的相关性。

Correlation between CT Abdominal Anthropometric Measurements and Liver Density in Individuals with Non-Alcoholic Fatty Liver Disease.

机构信息

Department of Radiology, Mures County Emergency Hospital, 540136 Targu Mures, Romania.

ME1 Department, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania.

出版信息

Medicina (Kaunas). 2023 Mar 3;59(3):500. doi: 10.3390/medicina59030500.

Abstract

: With a growing frequency, nonalcoholic fatty liver disease (NAFLD) is the most prevalent chronic liver disease worldwide. NAFLD has a strong correlation with other metabolic disorders, such as obesity, particularly abdominal obesity, even though the underlying causes or risk factors are not entirely understood. This study aims to investigate correlations between abdominal anthropometric measurements and the presence and intensity of liver steatosis as assessed by unenhanced computed tomography (CT). : One hundred and nineteen patients (male/female, 66/53; mean age 54.54 +/- 12.90 years) underwent abdominal non-contrast-enhanced CT. CT images were examined to determine the attenuation of liver parenchyma, subcutaneous fat depth, and waist circumference (WC). : Among all patients, WC (r = -0.78, < 0.0001), infraumbilical subcutaneous fat thicknesses (r = -0.51, < 0.0001), right paraumbilical subcutaneous fat thicknesses (r = -0.62, < 0.0001), and left paraumbilical subcutaneous fat thicknesses (r = -0.53, < 0.0001) had a high inverse correlation with the liver attenuation values. The presence of T2D (OR: 2.40, = 0.04), WC (OR: 11.45, < 0.001), right paraumbilical (OR: 10.09, < 0.001), left paraumbilical (OR: 2.81, = 0.01), and infraumbilical (OR: 3.06, = 0.007) were strongly independent predictors of NAFLD risk. Moreover, regarding the laboratory parameters, only the higher value of GGT (OR: 2.84, = 0.009) is a predictor of NAFLD risk. : Our data show that higher baseline values of all abdominal anthropometric measurements are correlated with liver attenuation and act as predictors of NAFLD risk.

摘要

非酒精性脂肪性肝病(NAFLD)是全球最常见的慢性肝病,其发病率越来越高。NAFLD 与其他代谢紊乱密切相关,如肥胖症,尤其是腹部肥胖症,尽管其根本原因或危险因素尚未完全清楚。本研究旨在探讨腹部人体测量学指标与未增强 CT 评估的肝脏脂肪变性的存在和严重程度之间的相关性。

119 名患者(男/女,66/53;平均年龄 54.54 ± 12.90 岁)接受了腹部非增强 CT 检查。检查 CT 图像以确定肝脏实质的衰减、皮下脂肪厚度和腰围(WC)。

在所有患者中,WC(r = -0.78,<0.0001)、脐下皮下脂肪厚度(r = -0.51,<0.0001)、右脐旁皮下脂肪厚度(r = -0.62,<0.0001)和左脐旁皮下脂肪厚度(r = -0.53,<0.0001)与肝脏衰减值呈高度负相关。T2D(OR:2.40,<0.0001)、WC(OR:11.45,<0.001)、右脐旁(OR:10.09,<0.001)、左脐旁(OR:2.81,<0.01)和脐下(OR:3.06,<0.007)的存在是 NAFLD 风险的独立强预测因子。此外,就实验室参数而言,只有更高的 GGT 值(OR:2.84,<0.009)是 NAFLD 风险的预测因子。

我们的数据表明,所有腹部人体测量学指标的基线值较高与肝脏衰减值相关,并可作为 NAFLD 风险的预测因子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1e/10053809/efa29f648c35/medicina-59-00500-g001.jpg

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