Body Mass Index and Indicators of Lipid Exchange in Liver Steatosis of Alcoholic and Nonalcoholic Genesis in Residents of Rural Area: Similarities and Differences

Abstract

Non-alcoholic fatty liver disease (NAFLD) and alcoholic liver disease (ALD) are serious health problems. Features of liver steatosis (LS) due to NAFLD and ALD in rural areas, including lipid metabolism indicators, depending on body mass index (BMI), have not been thoroughly studied.Aim. To study the features of lipid metabolism in residents of rural area in LS due to NAFLD and ALD depending on the BMI.Materials and Methods: 1152 residents of a rural therapeutic site were surveyed. Lipidograms and BMI were analyzed in patients with LS at NAFLD and ALD.Results. There were no patients with a reduced BMI in the rural medical site. Persons with BMI ≥ 25 among patients with LS on the background of NAFLD (98.2 %) are significantly more frequent than on the background of ALD (55.1 %) (p < 0.001). Among subjects with normal BMI there were more patients with ALD (44.9 %) than with NAFLD (1.8 %) (p < 0.001). There were no significant differences in age in patients with in NAFLD depending on BMI (p > 0.05). Patients with LS of ALD with an increased BMI were older than those with a normal index (p < 0.05). Also, there were no differences in lipidograms with LS on the background of NAFLD and ALD depending on BMI (p > 0.05). Triglyceride levels (TG) and atherogenic coefficient (AC) were significantly higher (p < 0.05 in both cases) in LS with ALD than in patients with NAFLD. Findings. Disorders of lipid metabolism were found in patients with LS with both increased BMI and normal. At the rural therapeutic site, patients with LS due to ALD have more pronounced lipid metabolism disorders than those ones with NAFLD, regardless of BMI.