Non-alcoholic Fatty Liver Disease with Type 2 DM in Rural and Urban Areas in Bangladesh

TAJ: Journal of Teachers Association Pub Date : 2023-01-04 DOI:10.3329/taj.v35i2.63764

A. Jamil, Rahnuma Shirin, Md Azizul Haque, K. Rahman, Mohammad Mahbubur Rahman Khan, Mostafizur Rahman

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Abstract

Introduction: Non-alcoholic fatty liver disease (NAFLD) is a chronic liver condition that affects up to one-third of adults in developed nations. NAFLD refers to a group of non-alcoholic diseases that are histologically and clinically distinct. Fatty liver (NAFL, steatosis hepatitis) and steatohepatitis can lead to cirrhosis and rare cases of hepatocellular carcinoma. Materials and Methods: This was a cross-sectional descriptive study conducted in the medicine department, Rajshahi medical college, Rajshahi, among ninety-one T2DM patients. The study population included outdoor patients as well as hospitalized consecutive 91 patients (50 Urban and 41 Rural) in the medicine department with type 2 DM diagnosed according to the American Diabetes Association (ADA) 2011 criteria. NAFLD was detected and graded using abdominal ultrasonography and blood pressure, BMI, waist circumference, HbA1c, lipid profile, and liver function tests. All data were analyzed by SPSS 16, and p-value <0.05 was assumed as statistically significant in this study. Results: A total of 91 patients were enrolled during the study. NAFLD prevalence was higher in urban patients (54.54%) than in rural patients (45.45%). Males were affected more than female patients in both groups. Patients in the urban population had higher weight, waist circumference, hip circumference, and BMI and were diagnosed with NAFLD at a younger age than those in the rural group. Metabolic syndrome was shown to be prevalent in both groups. Conclusion: The prevalence of NAFLD was shown to be greater in the urban population compared to the rural population, with male patients being more impacted than female patients. Although the risk factors for NAFLD were similar in both the study groups, better anthropometric parameters (lower weight), waist circumference, hip circumference, and BMI had a role in reduced prevalence of NAFLD in rural as compared to urban population patients. TAJ 2022; 35: No-2: 151-158

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孟加拉国农村和城市地区非酒精性脂肪性肝病伴2型糖尿病

简介:非酒精性脂肪性肝病(NAFLD)是一种慢性肝病，在发达国家影响多达三分之一的成年人。NAFLD是指一组在组织学和临床上有明显区别的非酒精性疾病。脂肪肝(NAFL，脂肪性肝炎)和脂肪性肝炎可导致肝硬化和罕见的肝细胞癌。材料与方法:本研究是在Rajshahi医学院医学系进行的一项横断面描述性研究，共纳入91例T2DM患者。研究人群包括根据美国糖尿病协会(ADA) 2011年标准诊断为2型糖尿病的室外患者和内科连续住院的91例患者(城市50例，农村41例)。通过腹部超声检查、血压、BMI、腰围、HbA1c、血脂和肝功能检查检测NAFLD并对其进行分级。所有数据均采用SPSS 16进行分析，以p值<0.05为本研究的统计学意义。结果:研究期间共纳入91例患者。城市患者NAFLD患病率(54.54%)高于农村患者(45.45%)。在两组患者中，男性患者比女性患者受影响更大。城市人群患者的体重、腰围、臀围和BMI均高于农村人群，且确诊为NAFLD的年龄较农村人群小。代谢综合征在两组中都很普遍。结论:NAFLD在城市人群中的患病率高于农村人群，且男性患者比女性患者受影响更大。尽管两个研究组中NAFLD的危险因素相似，但与城市人群患者相比，较好的人体测量参数(较低的体重)、腰围、臀围和BMI在降低农村NAFLD患病率方面发挥了作用。泰姬酒店2022;35: No-2: 151-158

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TAJ: Journal of Teachers Association

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