中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 2
Feb.  2010
Turn off MathJax
Article Contents

The relationship between nonalcoholic fatty liver disease and insulin resistance

  • Published Date: 2010-02-20
  • Objective o explore the relationship between nonalcoholic fatty liver disease (NAFLD) and insulin resistance.Methods A total of 102 liver disease patients (52 NAFLD and 50 non NAFLD) were included in the study.BMI, WHR, TC, TG, CRP, HDL-C, LDL-C, ALT, Cr, FBG, FINS and HOMA-IR were compared between the two groups were analyzed using logistic regression.Results In NAFLD group, the level of BMI (26.7±2.3 vs 22.4±2.5, P<0.01) , WHR (0.94±0.06 vs 0.83±0.05, P<0.01) , TG (2.4±0.6 vs 1.8±0.6, P<0.01) , ALT (37.3±8.3 vs 28.1±7.2, P<0.05) , FBG (6.2±1.4 vs 5.2±0.7, P<0.01) , FINS (23.6±13.6 vs 8.6±3.5, P<0.01) , HOMA-IR (6.7±4.7 vs 2.0±1.6, P<0.01) were higher than the non NAFLD group.In the logistic regression analysis BMI (P<0.01) , WHR (P<0.01) , TG (P<0.01) , ALT (P<0.05) and HOMA-IR (P<0.01) were independent factors.Conclusion BMI, WHR, TG, ALT and HOMA-IR were independent factors of NAFLD.

     

  • loading
  • [1]Angulo P.Obesity and nonalcoholic fatty liver disease[J].Nutr Rev, 2007, 65 (S1) :S57-63.
    [2]Grant LM, Lisker MM.Nonalcoholic fatty liver disease[J].Ann Hepatol, 2004, 3 (3) :93-99.
    [3] 中华医学会肝脏病学分会脂肪肝和酒精性肝病学组.非酒精性脂肪肝病诊疗指南[J].中华肝脏杂志, 2006, 14 (2) :161-163.
    [4]Bedogni G, Bellentani S.Fatty liver, howfrequent is it and why[J].Ann Hepatol, 2004, 3 (2) :63-65.
    [5]Fan JG, Zhu J, Li XJ, et al.Prevalence of and risk factors for fatty liver in a general population of Shanghai, China[J].J Hepatol, 2005, 43 (3) :508-514.
    [6]Gupte P, Amarapurkar D, Agal S, et al.Non-alcoholic steatohepa-titis in type2diabetes mellitus[J].Gastroenterol Hepatol, 2004, 19 (8) :854-858.
    [7]Methta K, van Thiel DH, Shah N, et al.Nonalcoholic fatty liver dis-ease:pathogenesis and the role of antioxidants[J].Nutr Rev, 2002, 60 (9) :289-293.
    [8]何淑梅, 孔俭, 牛俊奇.非酒精性脂肪性肝病研究现状及进展[J].中国老年学杂志, 2008, 28 (4) :725-727.
    [9]展玉涛.非酒精性脂肪肝与心血管疾病[J].中华内科杂志, 2007, 46 (10) :868-869.
    [10]Clark JM, Brancati FL, Diehl AM.The prevalence and etiology of elevated aminotransferase levels in the United States[J].Am J Gas-troenterol, 2003, 98 (5) :960-967.
    [11]Schindhelm RK, Diamant M, Jacqueline M, et al.Alanine amin-otransferase as a marker of non-alcoholic fatty liver disease in rela-tion to type2diabetes mellitus and cardiovascular disease[J].Dia-betes Metab Res Rev, 2006, 22 (6) :437-443.
    [12]Choudhury J, Sanyal AJ.Insulin resistance and the pathogenesis of nonalcoholic fatty liver disease[J].Clin Liver Dis, 2004, 8 (3) :575-594.
    [13]Newschwander-Tetri BA.Nonalcoholic steatohepatitis and the metabolic syndrome[J].Am J Med Sci, 2005, 330 (6) :326-335.
    [14]Bansilal S, Farkouh ME, Fuster V.Role of insulin resistance and hyperglycemia in the development of atherosclerosis[J].Am J Car-diol, 2007, 99 (4A) :6B-14B.
    [15]Bradbury MW.Lipid metabolism and liver inflammation.Hepatic fatty acid uptake:possible role in steatosis[J].Am J Physiol Gas-trointest Liver Physiol, 2006, 290 (2) :G194-G198.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (3216) PDF downloads(1252) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return