The prevalence and risk factors of metabolic syndrome among hepatitis C patients in Chinese Han population
10.3760/cma.j.issn.1000-6680.2018.10.005
- VernacularTitle:中国汉族丙型肝炎患者代谢综合征患病率及危险因素分析
- Author:
Yinghui GAO
1
;
Huiying RAO
;
Ruifeng YANG
;
Jia SHANG
;
Hong CHEN
;
Jun LI
;
Qing XIE
;
Zhiliang GAO
;
Lei WANG
;
Jia WEI
;
Jianning JIANG
;
Yongtao SUN
;
Ran FEI
;
Haiying ZHANG
;
Xiangsha KONG
;
Qian JIN
;
Jian WANG
;
Lai WEI
Author Information
1. 100044,北京大学人民医院 北京大学肝病研究所 丙型肝炎和肝病免疫治疗北京市重点实验室
- Keywords:
Hepatitis C chronic;
Genotype;
Metabolic syndrome
- From:
Chinese Journal of Infectious Diseases
2018;36(10):599-604
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the prevalence and risk factors of metabolic syndrome among hepatitis C patients in Chinese Han population .Methods This was a multicenter ,cross-sectional study . A total of 997 Chinese Han patients with hepatitis C virus (HCV) infection were enrolled .Demographic data ,anthropometric data and clinical parameters related to metabolic syndrome were collected .Statistical analysis was performed by t-test (normal distribution) or Mann-Whitney U two-sample test (non-normal distribution) and χ test .Binary logistic regression analyses were used to determine the parameters significantly related to metabolic syndrome .Results Among the 997 patients ,170 (17 .1%) patients were diagnosed with metabolic syndrome .Binary logistic regression showed that genotype 2 (OR＝1 .594 ;95% CI :1 .045－2 .431 , P＝ 0 .030) ,older age (OR＝ 1 .040 ;95% CI :1 .022 －1 .058 , P＜ 0 .01) , overweight (OR＝3 .876 ;95% CI :2 .593－5 .792 ,P＜0 .01) ,fatty liver history (OR＝2 .106 ;95% CI : 1 .384－3 .204 ,P＝0 .001) ,homeostasis model assessment insulin (HOMA-IR) (OR＝1 .263 ;95% CI :1 .118－1 .427 , P＜0 .01) ,fasting insulin (OR＝0 .949 ;95% CI :0 .915 －0 .985 , P＝0 .006) ,lower serum albumin level (OR＝0 .957 ;95% CI :0 .915 －1 .000 , P＝0 .049) and higher γ-GT level (OR＝1 .004 ;95% CI :1 .000 －1 .008 , P＝ 0 .0041 ) were all significantly associated with the presence of metabolic syndrome .Conclusions Hepatitis C patients with genotype 2 ,older age ,overweight ,fatty liver history ,higher HOMA-IR ,lower fasting insulin level ,lower serum albumin level or higher γ-GT level should be screened for metabolic syndrome .
