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Chronic hepatitis B, nonalcoholic steatohepatitis and physical fitness of military males: CHIEF study

World Journal of Gastroenterology 2017年第25期23卷 4587-4594页

作者： Yu-Jung Chen Kai-Wen Chen Yu-Leung Shih Fang-Ying Su Yen-Po Lin Fan-Chun Meng Felicia Lin Yun-Shun Yu Chih-Lu Han Chih-Hung Wang Jia-Wei Lin Tsai-Yuan Hsieh Yi-Hwei Li Gen-Min Lin Department of Medicine Hualien-Armed Forces General Hospital Institute of Medical Sciences and Department of Public Health Tzu-Chi University Departments of Medicine Tri-Service General HospitalNational Defense Medical Center Department of Critical Care Medicine Yonghe Cardinal Tien Hospital Department of Medicine Taipei Veterans General Hospital Department of Dentistry National Yang-Ming University Department of Electrical Engineering National Dong Hwa University

AIM To investigate the association of chronic hepatitis B and nonalcoholic steatohepatitis with physical fitness in a Taiwan Residents military male cohort.METHODS We made a cross-sectional examination of this association using 3669 young adult military males according to cardiorespiratory fitness and hospitalization events recorded in the Taiwan Armed Forces study. Cases of chronic hepatitis B(n = 121) were defined by personal history and positive detection of hepatitis B surface antigen. Cases of nonalcoholic steatohepatitis(n = 129) were defined by alanine transaminase level > 60 U/L, liver ultrasound finding of steatosis, and absence of viral hepatitis A, B or C infection. All other study participants were defined as unaffected(n = 3419). Physical fitness was evaluated by performance in 3000-m run, 2-min sit-ups, and 2-min push-ups exercises, with all the procedures standardized by a computerized scoring system. Multiple linear regression analysis was used to determine the relationship.RESULTS Chronic hepatitis B negatively correlated with 2-min push-up numbers(β =-2.49, P = 0.019) after adjusting for age, service specialty, body mass index, systolic and diastolic blood pressures, current cigarette smoking, alcohol intake status, serum hemoglobin, and average weekly exercise times. Nonalcoholic steatohepatitis was borderline positively correlated with 3000-m running time(β = 11.96, P = 0.084) and negatively correlated with 2-min sit-up numbers(β =-1.47, P = 0.040). CONCLUSION Chronic hepatitis B viral infection and nonalcoholic steatohepatitis affects different physical performances in young adult military males, and future study should determine the underlying mechanism.

关键词： Chronic hepatitis B military cohort Physical fitness Nonalcoholic steatohepatitis

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