Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1394
3
1
gregorian
2015
6
1
22
132
online
1
fulltext
fa
بررسی فراوانی کبد چرب با استفاده از سونوگرافی در دانش آموزان پسر بدون تاریخچه بیماریهای کبدی و ارتباط آن با آنزیم های کبدی، شاخص توده بدنی و چربی دور کمر
Prevalence of fatty liver using ultrasound in male high-school pupils without history of liver disease and its relationship with liver enzymes, body mass index and waist - hip ratio
بیماریهای داخلی
Internal Medicine
پژوهشي
Research
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">زمینه و هدف</span></b><span lang="AR-SA" style="font-size: 10pt font-family: 'B Mitra'">:
</span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">بیماری کبد چرب غیر الکلی شایعترین شکل بیماری
مزمن کبدی است که دامنه گستردهای از علائم بالینی (از کبد چرب بدون علامت تا
التهاب شدید کبد به همراه فیبروز و حتی سیروز) را در بر میگیرد. دیابت نوع 2،
چاقی و سندرم متابولیک از جمله مهمترین علل بروز بیماری کبد چرب غیرالکلی هستند.
از آنجا که سبک زندگی شهری و بیتحرکی و عدم رژیم غذایی مناسب موجب افزایش وزن و
چاقی در افراد گردیده، بروز این بیماری در سنین پایین گسترش یافته است. با توجه به
قابل برگشت بودن این بیماری، تشخیص و پیشگیری آن میتواند در کاهش بروز این بیماری
مفید باشد. لذا، این مطالعه به بررسی فراوانی بیماری کبد چرب غیرالکلی با استفاده
از سونوگرافی در پسران با دامنه سنی 15 تا 18 سال بدون تاریخچه بیماریهای کبد چرب
و ارتباط آن با آنزیمهای کبدی، شاخص توده بدنی و نسبت دور کمر به با سن پرداخت تا
ضمن برآورد شیوع این بیماری در این رده سنی بتوان پیشگیری لازم جهت بروز این
بیماری را به انجام رساند.</span><span lang="AR-SA" style="font-size: 12pt font-family: 'B Nazanin'"><o:p /></span></p>
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">روش کار</span></b><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">: در این مطالعه مقطعی به صورت تصادفی </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">BMI</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
<span lang="FA">2028 نفر از دانش آموزان مقطع متوسطه با دستگاه دیجیتال قد و وزن
مدل </span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">BSM 230 Ultrasound Stadiometer)</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>)
ساخت کشور کره اندازه گیری شد. به همین منظور </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">BMI</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
<span lang="FA">(شاخص توده بدنی</span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">Body Mass Index-</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
) و </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">WHR</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> <span lang="FA">(نسبت
دور کمر به دور باسن</span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">Waist to hip ratio-</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>)
تعداد 2028 نفر از دانش آموزان مقطع متوسطه شهرستان شاهرود اندازه گیری شد. تعداد
107 نفر </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">BMI</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> <span lang="FA">بالای
30 و </span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">WHR</span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">بیش از 9/0 داشتند
که از این تعداد 44 نفر حاضر به همکاری و وارد مطالعه جهت بررسی احتمال داشتن کبد
چرب با استفاده از سونوگرافی و اندازه گیری آزمایشهای خونی و آنزیم های کبدی (</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">ALT</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
<span lang="FA">و </span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">AST</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>) شدند.
سونوگرافی توسط متخصص رادیولوژیست انجام و در صورت وجود نمای کبد چرب درجه بندی (</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">GRADING</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>)</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">آن ها طبق تعاریف بین المللی و استاندارد
صورت گرفت. پس از آن افراد جهت اندازه گیری آزمایشهای خونی (</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">AST/ALT/HDL/LDL/CHOL/TG/FBS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>) به آزمایشگاه فرستاده شدند. نتایج این مطالعه با نرم افزار </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">SPSS</span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">نسخه 19 مورد تجزیه و تحلیل قرار گرفت و از روش های آماری
توصیفی، آزمون همبستگی پیرسون استفاده و سطح معنی داری 05/0> </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">p</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
در نظر گرفته شد.<o:p /></span></p>
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">یافتهها</span></b><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">: میانگین سنی افراد 97/0 </span><span lang="FA" style="font-size: 10pt font-family: Cambria, serif">±</span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"> 79/15 سال بود. از این تعداد همگی دارای کبد چرب بودند. در
این مطالعه ارتباط معناداری بین وزن </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">BMI</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> <span lang="FA">و
</span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">WHR</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> با آنزیم های
کبدی </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">AST/ALT</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> <span lang="FA">مشاهده
شد و بین آنزیمهای کبدی و فاکتورهای اندازه گیری خون شامل</span></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">FBS CHOL, LDL, HDL, TG</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> ارتباط معنی داری مشاهده نشد. همچنین بین درجه بندی کبد چرب (</span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">GRADING</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>) با وزن (001/0</span><span dir="ltr"></span><span dir="ltr"></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> (p=</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span> شاخص توده بدنی
(001/0</span><span dir="ltr"></span><span dir="ltr"></span><span lang="FA" dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">p=</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>، نسبت دور کمر به
دور باسن (009/0</span><span dir="ltr"></span><span dir="ltr"></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> (p=</span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">و </span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif">HDL</span><span dir="rtl"></span><span dir="rtl"></span><span style="font-size: 10pt font-family: 'B Mitra'"><span dir="rtl"></span><span dir="rtl"></span>
<span lang="FA">(021/0</span></span><span dir="ltr"></span><span dir="ltr"></span><span dir="ltr" style="font-size: 9pt font-family: 'Times New Roman', serif"><span dir="ltr"></span><span dir="ltr"></span> (p=</span><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">ارتباط معنی داری مشاهده و با سایر
فاکتورهای اندازه گیری شده ارتباطی دیده نشد.<o:p /></span></p>
<p class="MsoNormal" dir="rtl" style="margin-bottom: 0.0001pt line-height: normal direction: rtl unicode-bidi: embed"><b><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">نتیجه گیری</span></b><span lang="FA" style="font-size: 10pt font-family: 'B Mitra'">: درصد فراوانی کبد چرب در این گروه سنی به طور نسبی بالا است
و به نظر میرسد پسرهای دوره دبیرستان که دارای اضافه وزن و شاخص توده بدنی بیش از
30 میباشند به احتمال قوی دارای کبد چرب بوده که به منظور پیشگیری از مشکلات
متابولیکی در بزرگسالی میبایست ضمن شناسایی این افراد در این دوره نسبت به تغییر
سبک زندگی و تغذیه صحیح آنها اقدام شود. با توجه به این نتایج پیشنهاد میشود ضمن
مطالعات بیشتر اقدامات لازم جهت پیشگیری از چاقی و ابتلا از این بیماری با فعالیت
بدنی و کاهش وزن (رژیم غذایی مناسب) در این سنین صورت پذیرد. <o:p /></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif">Background</span></b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif">: </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">None Alcoholic
</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">Fatty </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">Liver
Disease (NAFLD)</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">is</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">the most common</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">form of</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">chronic
liver disease and includes a wide range of clinical symptoms (from asymptomatic</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> fatty </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">liver to</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">severe liver</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">inflammation</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">with</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">fibrosis</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> even </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">cirrhosis).</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">Metabolic</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">syndrome,</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">obesity</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">type 2
diabetes, are</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">major causes</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">of NAFLD.</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">As</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">urban</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and sedentary</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">lifestyle</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and
poor</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">diet</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">lead
to</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">weight
gain</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">obesity
in</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> individuals, this disease appears in an
early age.</span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> Due</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">to the</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">reversible</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">nature of this</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">disease, detection</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">prevention
of it could be useful for decreasing the onset of the diseases.</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">This study investigated the</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">prevalence
of</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">None
Alcoholic Fatty</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">Liver disease using</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">ultrasound
in male students without history of</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">liver disease and its relationship with</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">liver enzymes, Body Mass Index (BMI) and waist-hip ratio
(WHR) in boys</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">aged</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">15 to</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">18</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">years</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">to</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">estimate</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">the</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">prevalence</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">of</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">disease</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">in</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">this</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">age
group</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">in
order</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">to</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">carry
out</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">the
necessary</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">preventive
tasks. <o:p /></span></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif">Methods</span></b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif">: </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">For this
purpose, BMI and WHR of 2028 male students were measured. 107 of these had BMI
over 30 and WHR over 0.9 and of these</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">44 patients</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">, who </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">were</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">willing
to</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">cooperate</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> voluntary </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">in</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">this</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">study, were</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">evaluated in regard to the risk</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">of
having</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">fatty
liver</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">using</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">ultrasound</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">, </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">blood
tests</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and
liver enzymes (AST, ALT). Ultrasound</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> was </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">performed</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">by the</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">same</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">radiologist and</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">presence of</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">fatty
liver</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">was</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">graded</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">according
to the</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">standard</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">international</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">definitions</span></span><span dir="rtl"></span><span dir="rtl"></span><span class="hps"><span lang="AR-SA" dir="rtl" style="font-size: 11.5pt font-family: Arial, sans-serif color: rgb(34, 34, 34)"><span dir="rtl"></span><span dir="rtl"></span>.</span></span><span dir="ltr"></span><span dir="ltr"></span><span class="shorttext"><span lang="AR-SA" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"><span dir="ltr"></span><span dir="ltr"></span> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">Then</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">the students</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">were sent</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">for</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">blood</span></span><span style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">testing</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> (FBS, TG, CHOL, LDL, HDL, ALT, and AST) </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">to same laboratory. <o:p /></span></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif">Results</span></b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> <span class="hps"><span lang="EN">Mean age of subjects was
15.7 years. All of them had fatty liver. In this study there was a significant
relationship between WHR, BMI and weight with liver enzymes, while significant relationship
was not observed between liver enzymes and </span></span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">FBS, TG, CHOL, LDL and HDL. Also there was significant
relation between grading of fatty liver with BMI, WHR, body weight and HDL and
not any significant relationship with other factors.<o:p /></span></p>
<p class="MsoNormal" style="margin-bottom: 0.0001pt line-height: normal"><b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif">Conclusion</span></b><span style="font-size: 11.5pt font-family: 'Times New Roman', serif">: </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">Relatively</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">high</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">frequency
of</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">liver
disease</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">in</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">this
age group</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">was</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">seen
and</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">it
seems</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">the</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">high
school</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">boys</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">who</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">are</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">overweight</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">and
have a</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">BMI</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">over</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">30</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">are</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">more
likely to</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">have</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">fatty
liver.</span></span><span class="shorttext"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span></span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">For prevention of the metabolic</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">problems
in elderly </span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">one </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">must</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">identify</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">these</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">individuals
early for</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> taking </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">actions</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">regarding their</span></span><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)"> </span><span class="hps"><span lang="EN" style="font-size: 11.5pt font-family: 'Times New Roman', serif color: rgb(34, 34, 34)">lifestyle
and proper nutrition. The results of this research suggest the conduction of
further studies for prevention of obesity in this group with the aim of
decreasing the risk of NAFLD with suitable physical activity and good diet.</span></span><span style="font-size: 11.5pt font-family: 'Times New Roman', serif"><o:p /></span></p>
آنزیمهای کبدی, کبد چرب, شاخص توده بدنی BMI) ), نسبت دور کمر به دور باسن (WHR), وزن بدن, سن
Liver enzymes, Fatty liver, Body mass index (BMI), Waist hip ratio (WHR), Body weight, Age
79
86
http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1672&slc_lang=fa&sid=1
علی
یونسیان
ayounesian@yahoo.co.uk
3900319475328460029670
3900319475328460029670
Yes
حسین
مرادی
h.moradi52@gmail.com
3900319475328460029671
3900319475328460029671
No
آموزش و پرورش شاهرود
نسرین
رضویان زاده
nasrinrazavianzadeh@gmail.com
3900319475328460029672
3900319475328460029672
No
الهام
زاهدی
zahedi_elham@yahoo.com
3900319475328460029673
3900319475328460029673
No
بیمارستان امام حسین (ع)