Prevalence and Risk Factors of Non-Alcoholic Fatty Liver Disease (NAFLD) in Non-Obese Patients with Schizophrenia : A Retrospective Study

© 2024 Yi et al..

Background: To assess the prevalence and risk factors of NAFLD in non-obese patients with schizophrenia in a public psychiatric hospital in China.

Methods: A total of 1,305 adult inpatients with schizophrenia in 2019 were included in this retrospective study. Body mass index (BMI) ≥ 25 kg/m2 was considered obese, and BMI < 25 kg/m2 was considered non-obese. We obtained the data from electronic records of the Affiliated Brain Hospital of Guangzhou Medical University.

Results: A total of 1,045 non-obese patients and 260 obese patients were included in this study. The prevalence of NAFLD in non-obese patients was 25.0%, and it was much lower that in the obese patients (25.0% vs 64.6%, p < 0.001). Among the non-obese patients, there were significant differences in age, BMI, alanine aminotransferase (ALT), metabolic indices, and the prevalence of diabetes and hypertension between patients with NAFLD and patients without NAFLD. According to the results of binary logistic regression analysis, age, BMI, ALT, triglyceride (TG) and diabetes were significantly related to NAFLD among non-obese patients with schizophrenia. In contrast, HDL-C was was negatively associated with NAFLD among non-obese patients.

Conclusion: This study suggested that NAFLD was common in patients with schizophrenia, even in non-obese patients with schizophrenia. In non-obese patients with schizophrenia, age, BMI, ALT, TG and diabetes are significantly associated with NAFLD. Moreover, HDL-C level was an independent protective factor against NAFLD. Given the adverse outcomes of NAFLD, it is necessary to increase awareness of NAFLD in patients with schizophrenia, especially in non-obese patients with schizophrenia.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Diabetes, metabolic syndrome and obesity : targets and therapy - 17(2024) vom: 12., Seite 841-849

Sprache:

Englisch

Beteiligte Personen:

Yi, Wenying [VerfasserIn]
Wu, Haibo [VerfasserIn]
Fu, Weibin [VerfasserIn]
Feng, Huimei [VerfasserIn]
Huang, Jie [VerfasserIn]
Li, Haijing [VerfasserIn]
Song, Zhen [VerfasserIn]
Chen, Yuwei [VerfasserIn]
Zheng, Yingjun [VerfasserIn]
She, Shenglin [VerfasserIn]

Links:

Volltext

Themen:

China
Journal Article
NAFLD
Non-obese
Obese
Risk factors
Schizophrenia

Anmerkungen:

Date Revised 27.02.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.2147/DMSO.S437811

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368962342