Association between metabolically healthy overweight/obesity and gallstones in Chinese adults.

Background: Metabolic syndrome and obesity are risk factors for gallstones. However, these two factors often occur together, and few studies have focused on the association between metabolically healthy overweight/obesity (MHOW/MHO) and gallstones. We hypothesized that MHO individuals would be assoc...

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Publicado en:Nutrition & Metabolism Vol. 20; no. 1; pp. 1 - 10
Autores principales: Zhang, Junlu, Chen, Liangli, Shen, Keqing, Zhang, Jia, Zhu, Yue, Qiao, Qiaohua, Chen, Liying
Formato: research tables/charts Journal Article
Publicado: BioMed Central 3/31/2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 3/31/2023
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      pub: BioMed Central
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        10.1186/s12986-023-00741-4
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        atl: Association between metabolically healthy overweight/obesity and gallstones in Chinese adults.
      aug:
        au:
          Zhang, Junlu
          Chen, Liangli
          Shen, Keqing
          Zhang, Jia
          Zhu, Yue
          Qiao, Qiaohua
          Chen, Liying
        affil: Department of General Practice, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
      sug:
        subj:
          Obesity Complications
          Obesity Metabolism
          Health Status
          Cholelithiasis Risk Factors
          Cholelithiasis Epidemiology
          Risk Assessment
          Human
          Chinese Persons
          Male
          Female
          Cross Sectional Studies
          Adolescence
          Young Adult
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Academic Medical Centers
          China
          Funding Source
          Cholelithiasis Ultrasonography
          Abdomen Ultrasonography
          Body Mass Index
          Body Weight
          Phenotype
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Sex Factors
          Premenopause
          Age Factors
          Comparative Studies
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Metabolic syndrome and obesity are risk factors for gallstones. However, these two factors often occur together, and few studies have focused on the association between metabolically healthy overweight/obesity (MHOW/MHO) and gallstones. We hypothesized that MHO individuals would be associated with the prevalence of gallstones. Methods: This cross-sectional study included 125,668 participants aged 18–80 years at the Health Promotion Center of Run Run Run Shaw Hospital, Zhejiang University School of Medicine during 2017–2019 years. Each participant underwent a comprehensive health checkup. Gallstones were diagnosed by abdominal ultrasonography. Metabolically health was defined as not meeting the diagnostic criteria for metabolic syndrome (MetS). Obesity was measured by BMI. MetS and weight stratification were combined to classify the metabolism-obesity phenotypes. Logistic regression models were used to estimate adjusted odds ratios (ORs) and 95% CIs. Results: Among 125,668 participants, 5486 (4.4%) had gallstones. 21407 (17.0%) were MHOW individuals, and 3322 (2.6%) were MHO individuals. MHOW (OR 1.40; 95%CI: 1.29–1.53) and MHO (OR 1.80; 95%CI: 1.53–2.12) participants were at higher risk of gallstones and had larger and more numerous gallstones than metabolically healthy normal weight participants. Obesity, MetS, premenopausal women and advanced age were significantly associated with the prevalence of gallstones. Conclusions: MHOW/MHO individuals exhibited a higher risk of gallstones. In metabolically healthy individuals, the risk of gallstones increased with increasing BMI. Thus, obesity was associated with the prevalence of gallstones, even in relatively metabolically healthy adults.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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