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肝时代谢紊乱更严重,说明脂肪肝独立于中心性肥胖与代谢综合征密切相关。在两组均无中心性肥胖时,在年龄、BMI无差别的情况下,脂肪肝组其代谢紊乱均 高于非脂肪肝组,且差异有统计学意义(P0.05),说明即使没有中心性肥胖,只 要存在脂肪肝,其代谢紊乱的情况依然严重。结论:因此,相对于中心性肥胖,非酒精性脂肪肝才是代谢综合征更好的标志,更 应重视非酒精性脂肪肝的预防及治疗。 关键词:非酒精性脂肪肝;中心性肥胖;代谢综合征English abstractObjectiveBoth central obesity and non-alcoholic fatty liver disease are important risk factors associated with the metabolic syndrome. We can observe that many people in absence of central obesity, but presence of non-alcoholic fatty liver disease have metabolic syndrome. Thus, relative to the central obesity, non-alcoholic fatty liver may be a better marker of metabolic syndrome. Through comparing the relationship between central obesity, fatty liver and metabolic syndrome, this study analyze which one is the better marker of metabolic syndrome.MethodWe analyzed the clinical data of 806 people in our hospital for medical examination from March, 2011 to April, 2011. According to whether is in the presence or absence of central obesity and whether is in the presence or absence of non-alcoholic fatty liver, we divided the people into four groups: not central obesity and fatty liver group, not central obesity and not fatty liver group, central obesity and not fatty liver group, central obesity and fatty liver group. We compared the difference of metabolic indicators such as systolic blood pressure (SBP), diastolic blood pressure (DBP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), triglyceride (TG), total cholesterol (TC), fasting plasma glucose (FPG) between the groups.ResultWhen the two groups do not have fatty liver disease, in the case of age and BMI undifferentiated, there is no difference of metabolic disorders between central obesity group and not central obesity group. It states that if in absence of fatty liver, even though in presence of central obesity, people do not have obvious metabolic disorders. When the two groups have fatty liver, in the case of age and BMI undifferentiated, there is no difference of metabolic
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