精准健康管理模式对非酒精性脂肪肝患者肝纤维化、脂肪细胞因子及代谢指标的影响

Impacts of precision health management model on liver fibrosis, adipocytokines and metabolic indicators in patients with non-alcoholic fatty liver disease

  • 摘要:
    目的 探讨精准健康管理模式对非酒精性脂肪肝(NAFLD)患者肝纤维化、脂肪细胞因子及代谢指标的影响。
    方法 选取600例NAFLD患者作为研究对象,按照干预方法的不同将其分为常规组和精准组,每组300例。常规组实施常规健康管理,精准组实施精准健管模式干预。比较2组患者的肥胖指标腰臀比(WHR)、体质量指数(BMI)、体脂率(BFR)、肥胖度、脂肪肝分级、肝脏硬度值(LSM)和肝纤维化指标层粘连蛋白(LN)、Ⅳ型胶原(CⅣ)、透明质酸(HA)、Ⅲ型前胶原(PCⅢ)、肝脏脂肪细胞因子核因子-κB(NF-κB)、脂联素(APN)、鸢尾素(Irisin)、肿瘤坏死因子-α(TNF-α)、脂代谢指标甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)水平。
    结果 干预后, 2组WHR、BFR、BMI、肥胖度、LSM以及LN、CⅣ、HA、PCⅢ、NF-κB、TNF-α、TG、LDL-C、TC水平均低于干预前,且精准组低于常规组,差异有统计学意义(P<0.05); 干预后, 2组脂肪肝分级情况均优于干预前,且精准组优于常规组,差异有统计学意义(P<0.05); 干预后, 2组APN、Irisin、HDL-C水平均高于干预前,且精准组高于常规组,差异有统计学意义(P<0.05)。
    结论 精准健管模式可有效改善NAFLD患者的肥胖程度、脂肪肝分级及肝纤维化状况,降低LSM,调节脂肪细胞因子及脂代谢指标水平,效果显著。

     

    Abstract:
    Objective To investigate the impact of the precision health management model on liver fibrosis, adipocytokines, and metabolic indicators in patients with non-alcoholic fatty liver disease (NAFLD).
    Methods A total of 600 NAFLD patients were selected as study subjects and divided into conventional group and precision group according to different intervention methods, with 300 patients in each group. The conventional group received routine health management, while the precision group received intervention through the precision health management model. Comparisons were made between the two groups in terms of obesity indicatorswaist-to-hip ratio (WHR), body mass index (BMI), body fat rate (BFR), degree of obesity, fatty liver grading, liver stiffness measurement (LSM), and liver fibrosis indicators laminin (LN), type Ⅳ collagen (CⅣ), hyaluronic acid (HA), type Ⅲ procollagen (PCⅢ), hepatic adipocytokinesnuclear factor-κB (NF-κB), adiponectin (APN), irisin, tumor necrosis factor-α (TNF-α), and lipid metabolism indicatorstriglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC)levels.
    Results After the intervention, the levels of WHR, BFR, BMI, degree of obesity, LSM, as well as LN, CⅣ, HA, PCⅢ, NF-κB, TNF-α, TG, LDL-C, and TC in both groups were lower than those before the intervention, and the precision group showed lower levels than the conventional group, with statistically significant differences (P < 0.05). After the intervention, the fatty liver grading in both groups was better than before intervention, and the precision group showed better fatty liver grading than the conventional group, with statistically significant differences (P < 0.05). After the intervention, the levels of APN, irisin, and HDL-C in both groups were higher than those before the intervention, and the precision group showed higher levels than the conventional group, with statistically significant differences (P < 0.05).
    Conclusion The precision health management model can effectively improve the degree of obesity, fatty liver grading, and liver fibrosis status in NAFLD patients, reduce LSM, and regulate the levels of adipocytokines and lipid metabolism indicators, yielding significant effects.

     

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