OU Weili, WANG Meng, REN Zhi, XUE Yongju, WANG Chun, XU Linxia, LI Yan, XU Shanshan
Objective: To explore the prevalence and possible risk factors of fatty liver in railway workers, and to provide data support for the prevention and treatment of occupational diseases. Methods: From January 2024 to June 2024, 2 658 railway workers who underwent physical examination in the physical examination center of the Second Affiliated Hospital of Bengbu Medical University were divided into fatty liver group and non-fatty liver group according to the results of abdominal color Doppler ultrasound. The differences of gender, age, systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting plasma glucose (FPG), triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and body mass index (BMI) between the two groups were analyzed retrospectively. Logistic multivariate regression model was used to explore the possible risk factors of fatty liver in railway workers. Results: The proportion of males, age, SBP, DBP, BMI, TG, TC, LDL-C and FPG in the fatty liver group were higher than those in the non-fatty liver group, the level of HDL-C was lower than that of non-fatty liver group, and the difference were statistically significant (P<0.05). Logistic multivariate analysis showed that age, BMI, TG, FPG, obesity (BMI≥28), hypertriglyceridemia, hyperglycemia and hypertension were risk factors for fatty liver (P<0.05). Conclusion: Fatty liver has a high detection rate in railway workers. Advanced age, obesity, dyslipidemia, elevated blood glucose, and elevated blood pressure are all risk factors for fatty liver.