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探索印度一所学术医疗保健机构中健康科学专业学生代谢功能障碍相关脂肪性肝病(MASLD)的流行病学及认知情况。

Exploring the epidemiology and awareness of metabolic dysfunction-associated steatotic liver disease (MASLD) among health sciences students in an academic health care institute in India.

作者信息

S Umasankari, Aishwarya S, Aishwarya S K, Bhardwaj Shivangi, Pavithra R B, Ray Soumili, Vinodhini V M

机构信息

Department of Biochemistry, SRM Medical College Hospital and Research Center, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu Dt, 603203, Tamil Nadu, India.

出版信息

Metabol Open. 2024 Oct 18;24:100325. doi: 10.1016/j.metop.2024.100325. eCollection 2024 Dec.

Abstract

BACKGROUND

Metabolic dysfunction-associated steatotic liver disease (MASLD) affects over 25 % of the global population, presenting a significant health challenge. It is often asymptomatic but linked to severe conditions like cirrhosis and liver cancer. Previous research indicates that people often underestimate MASLD risks. This study examines MASLD prevalence and awareness among medical students in an academic health care institute in India.

MATERIAL AND METHODS

This cross-sectional study at SRM Medical College Hospital, Chennai, involved 80 medical and paramedical students aged 18-25. Exclusion criteria included history of alcohol use, neurological disorders, thyroid issues, diabetes, and hypertension. After obtaining informed consent, anthropometric data and blood samples were collected. Biochemical parameters including fasting plasma glucose, triglycerides, HDL-C, and GGT were measured. The Fatty Liver Index (FLI) was used to assess liver steatosis, with an FLI ≥60 indicating NAFLD. Data were analysed using SPSS Version 22.0, with statistical significance set at p < 0.05.

RESULTS

Among 80 participants, the mean age and BMI were 20.2 ± 1.03 years and 23.16 ± 4.55 kg/m. The mean Fatty Liver Index (FLI) score was 15.11 ± 19.68. MASLD prevalence was 7.5 % (n = 6). Significant positive correlations were found between FLI and BMI, waist circumference, fasting plasma glucose, triglycerides, and GGT, while HDL-C showed a non-significant negative correlation. Most participants were aware of MASLD and its risk factors but showed varied adherence to preventive measures.

CONCLUSION

Health Sciences undergraduates had a 7.5 % MASLD prevalence, highlighting a gap in understanding and testing. Addressing this requires better guidelines, awareness, and healthcare system enhancements.

摘要

背景

代谢功能障碍相关脂肪性肝病(MASLD)影响着全球超过25%的人口,是一项重大的健康挑战。它通常无症状,但与肝硬化和肝癌等严重疾病相关。先前的研究表明,人们常常低估MASLD的风险。本研究调查了印度一所学术医疗保健机构中医学生对MASLD的知晓率和患病率。

材料与方法

这项横断面研究在金奈的SRM医学院医院进行,纳入了80名年龄在18 - 25岁之间的医学和准医学专业学生。排除标准包括饮酒史、神经系统疾病、甲状腺问题、糖尿病和高血压。在获得知情同意后,收集了人体测量数据和血液样本。测量了包括空腹血糖、甘油三酯、高密度脂蛋白胆固醇(HDL-C)和γ-谷氨酰转移酶(GGT)在内的生化参数。使用脂肪肝指数(FLI)评估肝脏脂肪变性,FLI≥60表明为非酒精性脂肪性肝病(NAFLD)。数据使用SPSS 22.0版本进行分析,统计学显著性设定为p < 0.05。

结果

在80名参与者中,平均年龄和体重指数分别为20.2±1.03岁和23.16±4.55kg/m²。平均脂肪肝指数(FLI)得分为15.11±19.68。MASLD患病率为7.5%(n = 6)。FLI与体重指数、腰围、空腹血糖、甘油三酯和GGT之间存在显著正相关,而HDL-C显示出不显著的负相关。大多数参与者知晓MASLD及其危险因素,但在采取预防措施方面表现各异。

结论

健康科学专业本科生的MASLD患病率为7.5%,凸显了在理解和检测方面的差距。解决这一问题需要更好的指导方针、提高认识以及加强医疗保健系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acb4/11539341/5907dff8fea5/gr1.jpg

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