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Prevalence and Risk Factors of Metabolic Associated Fatty Liver Disease in Xinxiang, China

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  • Hongbin Li

    (School of Public Health, Xinxiang Medical University, Xinxiang 453003, Henan, China)

  • Meihao Guo

    (School of Public Health, Xinxiang Medical University, Xinxiang 453003, Henan, China)

  • Zhen An

    (School of Public Health, Xinxiang Medical University, Xinxiang 453003, Henan, China)

  • Jun Meng

    (School of Management, Xinxiang Medical University, Xinxiang 453003, Henan, China)

  • Jing Jiang

    (School of Public Health, Xinxiang Medical University, Xinxiang 453003, Henan, China)

  • Jie Song

    (School of Public Health, Xinxiang Medical University, Xinxiang 453003, Henan, China)

  • Weidong Wu

    (School of Public Health, Xinxiang Medical University, Xinxiang 453003, Henan, China)

Abstract

Metabolic associated fatty liver disease (MAFLD) is recognized as the liver disease component of metabolic syndrome, which is mainly related to insulin resistance and genetic susceptibility. It is the most prevalent chronic liver disease worldwide. With rapid lifestyle transitions, its prevalence worldwide is increasing, and tremendous challenges in controlling this pandemic are arising. The objective of this study was to investigate the prevalence and risk factors of MAFLD in rural areas of Xinxiang, Henan in 2017. We conducted a cross-sectional analysis of rural inhabitants aged 20–79 years in Xinxiang, Henan in 2017, using cluster random sampling ( N = 9140). Physical examinations were conducted at local clinics from April to June 2017. After overnight fasting, all participants underwent physical examinations, blood routine tests, biochemical examinations, and liver ultrasound and completed questionnaires. We investigated the crude and age-adjusted MAFLD prevalence and analyzed the characteristics of those with, and without, MAFLD, using logistic regression. Approximately 2868 (31.38%) participants were diagnosed with MAFLD. The overall age-adjusted MAFLD prevalence was 29.85% (men: 35.36%; women: 26.49%). The MAFLD prevalence increased with age, and peaked at the 50–59-year age group, and then began to decline. Higher body mass index, waist circumference, percentage of lymphocytes, levels of hemoglobin, platelet count, triglyceride, fasting plasma glucose, and serum uric acid were independently and positively correlated with MAFLD; In contrary, active physical activity and high-density lipoprotein cholesterol were negatively correlated with MAFLD. In summary, the MAFLD prevalence in the study population was 29.85%. Higher body mass index, waist circumference, percentage of lymphocytes, levels of hemoglobin, platelet count, triglyceride, fasting plasma glucose, and serum uric acid were risk factors for MAFLD.

Suggested Citation

  • Hongbin Li & Meihao Guo & Zhen An & Jun Meng & Jing Jiang & Jie Song & Weidong Wu, 2020. "Prevalence and Risk Factors of Metabolic Associated Fatty Liver Disease in Xinxiang, China," IJERPH, MDPI, vol. 17(6), pages 1-13, March.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:1818-:d:331251
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    References listed on IDEAS

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    1. Jiangsheng Chen & Hong Yang, 2016. "Geographical Mobility, Income, Life Satisfaction and Family Size Preferences: An Empirical Study on Rural Households in Shaanxi and Henan Provinces in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(1), pages 277-290, October.
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    Cited by:

    1. Chili Liu & Wannian Liu & Guofu Zhang & Yongbin Wang & Jing Jiang & Zhongzhi Yang & Weidong Wu, 2022. "Conjunctional Relationship between Serum Uric Acid and Serum Nickel with Non-Alcoholic Fatty Liver Disease in Men: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(11), pages 1-12, May.
    2. Qianli Yuan & Huai Wang & Pei Gao & Weixin Chen & Min Lv & Shuang Bai & Jiang Wu, 2022. "Prevalence and Risk Factors of Metabolic-Associated Fatty Liver Disease among 73,566 Individuals in Beijing, China," IJERPH, MDPI, vol. 19(4), pages 1-10, February.

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