P.J. Tárraga Marcos , Á.A. López-González , E. Martínez-Almoyna Rifá , H. Paublini Oliveira , C. Martorell Sánchez , P.J. Tárraga López , J.I. Ramírez-Manent
{"title":"44 939名西班牙卫生工作者患与代谢功能障碍有关的脂肪肝风险:相关变量","authors":"P.J. Tárraga Marcos , Á.A. López-González , E. Martínez-Almoyna Rifá , H. Paublini Oliveira , C. Martorell Sánchez , P.J. Tárraga López , J.I. Ramírez-Manent","doi":"10.1016/j.semerg.2025.102514","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To assess the association between sociodemographic variables and lifestyle habits with the risk of metabolic dysfunction-associated fatty liver disease (MASLD) in Spanish healthcare workers.</div></div><div><h3>Methods</h3><div>A cross-sectional study including 44,939 healthcare workers. Sociodemographic variables (age, sex, occupation) and lifestyle habits (smoking, physical activity, adherence to the Mediterranean diet) were analyzed in relation to MASLD risk scores (FLI, HSI, LAP, ZJU, and FLD). Multinomial logistic regression models were used to identify significant associations.</div></div><div><h3>Results</h3><div>Higher risk score values were more prevalent in men and increased with age. Nursing assistants and orderlies had a higher risk compared to physicians. Physical inactivity (OR<!--> <!-->=<!--> <!-->2.65; 95% CI: 2.47-2.84) and low adherence to the Mediterranean diet (OR<!--> <!-->=<!--> <!-->1.89; 95% CI: 1.69-2.10) were associated with an increased risk of MASLD. Smoking was significantly related to higher risk scores (OR<!--> <!-->=<!--> <!-->1.17; 95% CI: 1.13-1.21).</div></div><div><h3>Conclusions</h3><div>Age, sex, occupation, smoking, physical activity, and adherence to the Mediterranean diet influence MASLD risk. Preventive strategies should focus on promoting physical activity, improving dietary habits, and reducing smoking among healthcare workers.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 7","pages":"Article 102514"},"PeriodicalIF":0.9000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Riesgo de enfermedad del hígado graso asociada a la disfunción metabólica en 44.939 trabajadores sanitarios españoles: variables asociadas\",\"authors\":\"P.J. Tárraga Marcos , Á.A. López-González , E. Martínez-Almoyna Rifá , H. Paublini Oliveira , C. Martorell Sánchez , P.J. Tárraga López , J.I. Ramírez-Manent\",\"doi\":\"10.1016/j.semerg.2025.102514\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To assess the association between sociodemographic variables and lifestyle habits with the risk of metabolic dysfunction-associated fatty liver disease (MASLD) in Spanish healthcare workers.</div></div><div><h3>Methods</h3><div>A cross-sectional study including 44,939 healthcare workers. Sociodemographic variables (age, sex, occupation) and lifestyle habits (smoking, physical activity, adherence to the Mediterranean diet) were analyzed in relation to MASLD risk scores (FLI, HSI, LAP, ZJU, and FLD). Multinomial logistic regression models were used to identify significant associations.</div></div><div><h3>Results</h3><div>Higher risk score values were more prevalent in men and increased with age. Nursing assistants and orderlies had a higher risk compared to physicians. Physical inactivity (OR<!--> <!-->=<!--> <!-->2.65; 95% CI: 2.47-2.84) and low adherence to the Mediterranean diet (OR<!--> <!-->=<!--> <!-->1.89; 95% CI: 1.69-2.10) were associated with an increased risk of MASLD. Smoking was significantly related to higher risk scores (OR<!--> <!-->=<!--> <!-->1.17; 95% CI: 1.13-1.21).</div></div><div><h3>Conclusions</h3><div>Age, sex, occupation, smoking, physical activity, and adherence to the Mediterranean diet influence MASLD risk. Preventive strategies should focus on promoting physical activity, improving dietary habits, and reducing smoking among healthcare workers.</div></div>\",\"PeriodicalId\":53212,\"journal\":{\"name\":\"Medicina de Familia-SEMERGEN\",\"volume\":\"51 7\",\"pages\":\"Article 102514\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2025-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicina de Familia-SEMERGEN\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S113835932500067X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina de Familia-SEMERGEN","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S113835932500067X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
Riesgo de enfermedad del hígado graso asociada a la disfunción metabólica en 44.939 trabajadores sanitarios españoles: variables asociadas
Objective
To assess the association between sociodemographic variables and lifestyle habits with the risk of metabolic dysfunction-associated fatty liver disease (MASLD) in Spanish healthcare workers.
Methods
A cross-sectional study including 44,939 healthcare workers. Sociodemographic variables (age, sex, occupation) and lifestyle habits (smoking, physical activity, adherence to the Mediterranean diet) were analyzed in relation to MASLD risk scores (FLI, HSI, LAP, ZJU, and FLD). Multinomial logistic regression models were used to identify significant associations.
Results
Higher risk score values were more prevalent in men and increased with age. Nursing assistants and orderlies had a higher risk compared to physicians. Physical inactivity (OR = 2.65; 95% CI: 2.47-2.84) and low adherence to the Mediterranean diet (OR = 1.89; 95% CI: 1.69-2.10) were associated with an increased risk of MASLD. Smoking was significantly related to higher risk scores (OR = 1.17; 95% CI: 1.13-1.21).
Conclusions
Age, sex, occupation, smoking, physical activity, and adherence to the Mediterranean diet influence MASLD risk. Preventive strategies should focus on promoting physical activity, improving dietary habits, and reducing smoking among healthcare workers.