Department of General Surgery, Tokat Gaziosmanpaşa University, Medical Faculty, Tokat-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2023 Aug;29(8):850-857. doi: 10.14744/tjtes.2023.94034.
We aimed to compare bioelectrical impedance analysis (BIA) body composition and to reveal predictive factors that may help prevent gallstone formation.
Patients with gallstones by ultrasonography were selected as the case group, while participants without stones were selected as the control group. The body composition of the participants in both groups was measured by BIA. Demographic charac-teristics, mean water intake daily of the participants (MWID) and body mass index (BMI), total body fat mass (TBFM), total body fat percentage (BFP), total body water (TBW), body fat mass of trunk (BFM of trunk), and visceral fat level (VFL) measured by BIA were recorded. Predictive risk factors for gallstone formation were revealed by statistical analysis.
The data of a total of 191 participants, including 83 participants in the group with gallstones and 108 participants in the group without gallstones, were analyzed. Both groups were statistically similar in terms of age and sex (P>0.05). In univariate analysis, BMI, TBFM, BFP, BFM of trunk, and VFL were statistically significantly higher (P = 0.007, P=0.004, P=0.003, P=0.003, and P=0.005, respectively) while MWID was lower (P<0.001) in the group with gallstone. In multivariate analysis, MWID (ref: ≥1.5 odds ratio [OR]: 7.786 95% confidence interval [CI]: 3.612-16.781) and BFP (ref: ≥0.24 OR: 3.102 95%CI: 1.207-7.972) were independent factors in gallstone formation.
The MWID and BFP level measured by the BIA technique, which is an easily applicable, noninvasive method, are independent risk factors for gallstone formation.
本研究旨在比较生物电阻抗分析（BIA）人体成分，并揭示有助于预防胆石形成的预测因素。
选择经超声检查诊断为胆结石的患者作为病例组，选择无结石的参与者作为对照组。使用 BIA 测量两组参与者的人体成分。记录参与者的人口统计学特征、每日平均饮水量（MWID）和体重指数（BMI）、总体脂肪量（TBFM）、体脂肪百分比（BFP）、总体水量（TBW）、躯干脂肪量（躯干 BFM）和内脏脂肪水平（VFL）。通过统计分析揭示胆结石形成的预测风险因素。
共分析了 191 名参与者的数据，其中 83 名参与者患有胆结石，108 名参与者无胆结石。两组在年龄和性别方面无统计学差异（P>0.05）。在单因素分析中，胆结石组的 BMI、TBFM、BFP、躯干 BFM 和 VFL 均显著升高（P=0.007、P=0.004、P=0.003、P=0.003 和 P=0.005），而 MWID 则显著降低（P<0.001）。多因素分析显示，MWID（参考值：≥1.5，比值比[OR]：7.786，95%置信区间[CI]：3.612-16.781）和 BFP（参考值：≥0.24，OR：3.102，95%CI：1.207-7.972）是胆结石形成的独立因素。
BIA 技术测量的 MWID 和 BFP 水平是一种易于应用的非侵入性方法，是胆结石形成的独立危险因素。
