Analysis of risk factors for polypoid lesions of gallbladder among health examinees
AIM： To investigate the prevalence and risk factors of polypoid lesions of gallbladder （PLG） among the health examinees in the Shanghai region, China. METHODS： A total of 11 816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospecti...
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| Published in | World journal of gastroenterology : WJG Vol. 18; no. 23; pp. 3015 - 3019 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
United States
Baishideng Publishing Group Co., Limited
21.06.2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1007-9327 2219-2840 2219-2840 |
| DOI | 10.3748/wjg.v18.i23.3015 |
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| Abstract | AIM： To investigate the prevalence and risk factors of polypoid lesions of gallbladder （PLG） among the health examinees in the Shanghai region, China. METHODS： A total of 11 816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospectively. Among them, there were 7174 men and 4642 women. PLG was diagnosed by the real-time ultrasonography. Those with the body mass index （BMI） ≥ 28 were considered to be obese. Blood biochemical indices were detected with the fully automatic biochemical analyzer and hepatitis B surface antigen （HBsAg） was tested by the automated enzyme immunoassay. The correlations between the prevalence of PLG and age, sex, BMI, serum cholesterol （T-Cho）, triglycerides （TG）,blood sugar, HBsAg, high-density lipoprotein （HDL-C）, low-density lipoprotein （LDL-C）, gallstone and fatty liver were investigated. After univariate analysis of 11 variables, stepwise logistic regression analysis was performed to explore the risk factors of PLG. RESULTS： There was a significant difference in sex, T-Cho, HBsAg, HDL-C, LDL-C and fatty liver between the PLG-positive group and the PLG-negative group （332/163 vs 6842/4479, P = 0.003; 22/473 vs 295/11 026, P =0.013; 92/403 vs 993/10 328, P = 0.001; 47/448 vs 332/10 989, P = 0.001; 32/463 vs 381/10 940, P = 0.001; 83/412 vs 3260/8061, P = 0.001）. No significant difference was found in the age, BMI, TG, blood sugar and gallstone between the two groups （47.3 ± 26 vs 45.1 ± 33, P = 0.173; 59/436 vs 1097/10 224, P = 0.102; 52/443 vs 982/10 339, P = 0.158; 17/478 vs 295/11 026, P = 0.26; 24/471 vs 395/10 926, P = 0.109）. Logistic regression analysis showed that the sex, HBsAg and HDL-C were independent risk factors for the development of PLG in a descending order of HDL-C 〉 HBsAg 〉 sex. CONCLUSION： In healthy people, the male gender, positive HBsAg, and low HDL-C confer higher risks of PLG development. |
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| AbstractList | To investigate the prevalence and risk factors of polypoid lesions of gallbladder (PLG) among the health examinees in the Shanghai region, China.AIMTo investigate the prevalence and risk factors of polypoid lesions of gallbladder (PLG) among the health examinees in the Shanghai region, China.A total of 11,816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospectively. Among them, there were 7174 men and 4642 women. PLG was diagnosed by the real-time ultrasonography. Those with the body mass index (BMI) ≥ 28 were considered to be obese. Blood biochemical indices were detected with the fully automatic biochemical analyzer and hepatitis B surface antigen (HBsAg) was tested by the automated enzyme immunoassay. The correlations between the prevalence of PLG and age, sex, BMI, serum cholesterol (T-Cho), triglycerides (TG), blood sugar, HBsAg, high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C), gallstone and fatty liver were investigated. After univariate analysis of 11 variables, stepwise logistic regression analysis was performed to explore the risk factors of PLG.METHODSA total of 11,816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospectively. Among them, there were 7174 men and 4642 women. PLG was diagnosed by the real-time ultrasonography. Those with the body mass index (BMI) ≥ 28 were considered to be obese. Blood biochemical indices were detected with the fully automatic biochemical analyzer and hepatitis B surface antigen (HBsAg) was tested by the automated enzyme immunoassay. The correlations between the prevalence of PLG and age, sex, BMI, serum cholesterol (T-Cho), triglycerides (TG), blood sugar, HBsAg, high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C), gallstone and fatty liver were investigated. After univariate analysis of 11 variables, stepwise logistic regression analysis was performed to explore the risk factors of PLG.There was a significant difference in sex, T-Cho, HBsAg, HDL-C, LDL-C and fatty liver between the PLG-positive group and the PLG-negative group (332/163 vs 6842/4479, P = 0.003; 22/473 vs 295/11,026, P =0.013; 92/403 vs 993/10,328, P = 0.001; 47/448 vs 332/10,989, P = 0.001; 32/463 vs 381/10,940, P = 0.001; 83/412 vs 3260/8061, P = 0.001). No significant difference was found in the age, BMI, TG, blood sugar and gallstone between the two groups (47.3 ± 26 vs 45.1 ± 33, P = 0.173; 59/436 vs 1097/10,224, P = 0.102; 52/443 vs 982/10,339, P = 0.158; 17/478 vs 295/11,026, P = 0.26; 24/471 vs 395/10,926, P = 0.109). Logistic regression analysis showed that the sex, HBsAg and HDL-C were independent risk factors for the development of PLG in a descending order of HDL-C > HBsAg > sex.RESULTSThere was a significant difference in sex, T-Cho, HBsAg, HDL-C, LDL-C and fatty liver between the PLG-positive group and the PLG-negative group (332/163 vs 6842/4479, P = 0.003; 22/473 vs 295/11,026, P =0.013; 92/403 vs 993/10,328, P = 0.001; 47/448 vs 332/10,989, P = 0.001; 32/463 vs 381/10,940, P = 0.001; 83/412 vs 3260/8061, P = 0.001). No significant difference was found in the age, BMI, TG, blood sugar and gallstone between the two groups (47.3 ± 26 vs 45.1 ± 33, P = 0.173; 59/436 vs 1097/10,224, P = 0.102; 52/443 vs 982/10,339, P = 0.158; 17/478 vs 295/11,026, P = 0.26; 24/471 vs 395/10,926, P = 0.109). Logistic regression analysis showed that the sex, HBsAg and HDL-C were independent risk factors for the development of PLG in a descending order of HDL-C > HBsAg > sex.In healthy people, the male gender, positive HBsAg, and low HDL-C confer higher risks of PLG development.CONCLUSIONIn healthy people, the male gender, positive HBsAg, and low HDL-C confer higher risks of PLG development. AIM: To investigate the prevalence and risk factors of polypoid lesions of gallbladder (PLG) among the health examinees in the Shanghai region, China. METHODS: A total of 11 816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospectively. Among them, there were 7174 men and 4642 women. PLG was diagnosed by the real-time ultrasonography. Those with the body mass index (BMI) ≥ 28 were considered to be obese. Blood biochemical indices were detected with the fully automatic biochemical analyzer and hepatitis B surface antigen (HBsAg) was tested by the automated enzyme immunoassay. The correlations between the prevalence of PLG and age, sex, BMI, serum cholesterol (T-Cho), triglycerides (TG), blood sugar, HBsAg, high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C), gallstone and fatty liver were investigated. After univariate analysis of 11 variables, stepwise logistic regression analysis was performed to explore the risk factors of PLG. RESULTS: There was a significant difference in sex, T-Cho, HBsAg, HDL-C, LDL-C and fatty liver between the PLG-positive group and the PLG-negative group (332/163 vs 6842/4479, P = 0.003; 22/473 vs 295/11 026, P =0.013; 92/403 vs 993/10 328, P = 0.001; 47/448 vs 332/10 989, P = 0.001; 32/463 vs 381/10 940, P = 0.001; 83/412 vs 3260/8061, P = 0.001). No significant difference was found in the age, BMI, TG, blood sugar and gallstone between the two groups (47.3 ± 26 vs 45.1 ± 33, P = 0.173; 59/436 vs 1097/10 224, P = 0.102; 52/443 vs 982/10 339, P = 0.158; 17/478 vs 295/11 026, P = 0.26; 24/471 vs 395/10 926, P = 0.109). Logistic regression analysis showed that the sex, HBsAg and HDL-C were independent risk factors for the development of PLG in a descending order of HDL-C > HBsAg > sex. CONCLUSION: In healthy people, the male gender, positive HBsAg, and low HDL-C confer higher risks of PLG development. AIM： To investigate the prevalence and risk factors of polypoid lesions of gallbladder （PLG） among the health examinees in the Shanghai region, China. METHODS： A total of 11 816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospectively. Among them, there were 7174 men and 4642 women. PLG was diagnosed by the real-time ultrasonography. Those with the body mass index （BMI） ≥ 28 were considered to be obese. Blood biochemical indices were detected with the fully automatic biochemical analyzer and hepatitis B surface antigen （HBsAg） was tested by the automated enzyme immunoassay. The correlations between the prevalence of PLG and age, sex, BMI, serum cholesterol （T-Cho）, triglycerides （TG）,blood sugar, HBsAg, high-density lipoprotein （HDL-C）, low-density lipoprotein （LDL-C）, gallstone and fatty liver were investigated. After univariate analysis of 11 variables, stepwise logistic regression analysis was performed to explore the risk factors of PLG. RESULTS： There was a significant difference in sex, T-Cho, HBsAg, HDL-C, LDL-C and fatty liver between the PLG-positive group and the PLG-negative group （332/163 vs 6842/4479, P = 0.003; 22/473 vs 295/11 026, P =0.013; 92/403 vs 993/10 328, P = 0.001; 47/448 vs 332/10 989, P = 0.001; 32/463 vs 381/10 940, P = 0.001; 83/412 vs 3260/8061, P = 0.001）. No significant difference was found in the age, BMI, TG, blood sugar and gallstone between the two groups （47.3 ± 26 vs 45.1 ± 33, P = 0.173; 59/436 vs 1097/10 224, P = 0.102; 52/443 vs 982/10 339, P = 0.158; 17/478 vs 295/11 026, P = 0.26; 24/471 vs 395/10 926, P = 0.109）. Logistic regression analysis showed that the sex, HBsAg and HDL-C were independent risk factors for the development of PLG in a descending order of HDL-C 〉 HBsAg 〉 sex. CONCLUSION： In healthy people, the male gender, positive HBsAg, and low HDL-C confer higher risks of PLG development. To investigate the prevalence and risk factors of polypoid lesions of gallbladder (PLG) among the health examinees in the Shanghai region, China. A total of 11,816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospectively. Among them, there were 7174 men and 4642 women. PLG was diagnosed by the real-time ultrasonography. Those with the body mass index (BMI) ≥ 28 were considered to be obese. Blood biochemical indices were detected with the fully automatic biochemical analyzer and hepatitis B surface antigen (HBsAg) was tested by the automated enzyme immunoassay. The correlations between the prevalence of PLG and age, sex, BMI, serum cholesterol (T-Cho), triglycerides (TG), blood sugar, HBsAg, high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C), gallstone and fatty liver were investigated. After univariate analysis of 11 variables, stepwise logistic regression analysis was performed to explore the risk factors of PLG. There was a significant difference in sex, T-Cho, HBsAg, HDL-C, LDL-C and fatty liver between the PLG-positive group and the PLG-negative group (332/163 vs 6842/4479, P = 0.003; 22/473 vs 295/11,026, P =0.013; 92/403 vs 993/10,328, P = 0.001; 47/448 vs 332/10,989, P = 0.001; 32/463 vs 381/10,940, P = 0.001; 83/412 vs 3260/8061, P = 0.001). No significant difference was found in the age, BMI, TG, blood sugar and gallstone between the two groups (47.3 ± 26 vs 45.1 ± 33, P = 0.173; 59/436 vs 1097/10,224, P = 0.102; 52/443 vs 982/10,339, P = 0.158; 17/478 vs 295/11,026, P = 0.26; 24/471 vs 395/10,926, P = 0.109). Logistic regression analysis showed that the sex, HBsAg and HDL-C were independent risk factors for the development of PLG in a descending order of HDL-C > HBsAg > sex. In healthy people, the male gender, positive HBsAg, and low HDL-C confer higher risks of PLG development. |
| Author | Hua-Li Yang Hui-Fang Shen Yu Wang Xin-Gang Gu Jian-Min Qin Pei-Hao Yin Qi Li Lei Kong Li-Li Hou |
| AuthorAffiliation | Department of Ultrasonography, Putuo Hospital, Shanghai Univer- sity of Traditional Chinese Medicine, Shanghai 200062, China Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China Department of Oncology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China |
| Author_xml | – sequence: 1 givenname: Hua-Li surname: Yang fullname: Yang, Hua-Li |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22736927$$D View this record in MEDLINE/PubMed |
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| Keywords | Gallbladder Health examination Polypoid Risk factors Ultrasonography |
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| Notes | AIM： To investigate the prevalence and risk factors of polypoid lesions of gallbladder （PLG） among the health examinees in the Shanghai region, China. METHODS： A total of 11 816 subjects who underwent health examinations in our hospital between August 2010 and February 2011 were analyzed retrospectively. Among them, there were 7174 men and 4642 women. PLG was diagnosed by the real-time ultrasonography. Those with the body mass index （BMI） ≥ 28 were considered to be obese. Blood biochemical indices were detected with the fully automatic biochemical analyzer and hepatitis B surface antigen （HBsAg） was tested by the automated enzyme immunoassay. The correlations between the prevalence of PLG and age, sex, BMI, serum cholesterol （T-Cho）, triglycerides （TG）,blood sugar, HBsAg, high-density lipoprotein （HDL-C）, low-density lipoprotein （LDL-C）, gallstone and fatty liver were investigated. After univariate analysis of 11 variables, stepwise logistic regression analysis was performed to explore the risk factors of PLG. RESULTS： There was a significant difference in sex, T-Cho, HBsAg, HDL-C, LDL-C and fatty liver between the PLG-positive group and the PLG-negative group （332/163 vs 6842/4479, P = 0.003; 22/473 vs 295/11 026, P =0.013; 92/403 vs 993/10 328, P = 0.001; 47/448 vs 332/10 989, P = 0.001; 32/463 vs 381/10 940, P = 0.001; 83/412 vs 3260/8061, P = 0.001）. No significant difference was found in the age, BMI, TG, blood sugar and gallstone between the two groups （47.3 ± 26 vs 45.1 ± 33, P = 0.173; 59/436 vs 1097/10 224, P = 0.102; 52/443 vs 982/10 339, P = 0.158; 17/478 vs 295/11 026, P = 0.26; 24/471 vs 395/10 926, P = 0.109）. Logistic regression analysis showed that the sex, HBsAg and HDL-C were independent risk factors for the development of PLG in a descending order of HDL-C 〉 HBsAg 〉 sex. CONCLUSION： In healthy people, the male gender, positive HBsAg, and low HDL-C confer higher risks of PLG development. Polypoid; Gallbladder; Risk factors; UItraso-nography; Health examination 14-1219/R ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Author contributions: Yang HL and Kong L contributed equally to this work; Yang HL, Kong L, Gu XG, Yin PH and Li Q designed and supervised the study; Kong L, Hou LL, Shen HF, Wang Y, Gu XG and Qin JM performed the experiments; Yang HL, Kong L and Yin PH wrote the manuscript; and all authors read and approved the final version to be published. Correspondence to: Dr. Pei-Hao Yin, MD, Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, No. 164, Lanxi Road, Shanghai 200062, China. yinpeihao1975@hotmail.com Telephone: +86-21-62572723 Fax: +86-21-52665957 |
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| References_xml | – reference: 10833886 - Klin Med (Mosk). 2000;78(4):27-31 – reference: 19476792 - J Am Coll Surg. 2009 Apr;208(4):570-5 – reference: 15058248 - Pol Merkur Lekarski. 2003 Dec;15(90):507-10 – reference: 20485630 - Gut Liver. 2007 Dec;1(2):138-44 – reference: 14672608 - J Hepatol. 2004 Jan;40(1):8-13 – reference: 19209165 - Am J Gastroenterol. 2009 Mar;104(3):624-9 – reference: 17310581 - Cas Lek Cesk. 2007;146(1):24-34 – reference: 11930198 - Can J Gastroenterol. 2002 Mar;16(3):187-94 – reference: 20939951 - G Chir. 2010 Oct;31(10):439-42 – reference: 20485616 - Gut Liver. 2008 Sep;2(2):88-94 – reference: 18793401 - BMC Gastroenterol. 2008;8:41 – reference: 21455328 - World J Gastroenterol. 2011 Mar 14;17(10):1292-303 – reference: 20414857 - Ultraschall Med. 2011 Jan;32 Suppl 1:S68-73 – reference: 17886428 - East Afr Med J. 2007 Jul;84(7):336-41 – reference: 15448771 - Saudi Med J. 2004 Sep;25(9):1226-8 – reference: 17725602 - J Gastroenterol Hepatol. 2008 Jun;23(6):965-9 – reference: 18339513 - Eur J Surg Oncol. 2009 Jan;35(1):48-51 – reference: 18326230 - Ter Arkh. 2008;80(1):57-61 – reference: 16484961 - Minerva Gastroenterol Dietol. 2003 Sep;49(3):217-24 |
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| SubjectTerms | Adolescent Adult Aged Aged, 80 and over Brief China - epidemiology Female Gallbladder Diseases - epidemiology Humans logistic回归分析 Male Middle Aged Polyps - epidemiology Risk Factors Young Adult 健康检查 危险因素 病变 考生 肉样 胆囊 |
| Title | Analysis of risk factors for polypoid lesions of gallbladder among health examinees |
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