Title Health-related quality of life in Chinese population with non-alcoholic fatty liver disease: a national multicenter survey
Authors Huang, Rui
Fan, Jian-Gao
Shi, Jun-Ping
Mao, Yi-Min
Wang, Bing-Yuan
Zhao, Jing-Min
Lu, Lun-Gen
Zhong, Bi-Hui
Zou, Zheng-Sheng
Xu, You-Qing
Ye, Yi-Nong
Liu, Long-Gen
Lin, Lian-Jie
Li, Jian-Ping
Rao, Hui-Ying
Wei, Lai
Affiliation Peking Univ, Beijing Int Cooperat Base Sci & Technol NAFLD Dia, Beijing Key Lab Hepatitis C & Immunotherapy Liver, Peoples Hosp,Hepatol Inst, 11 Xizhimen South St, Beijing 100044, Peoples R China
Shanghai Jiao Tong Univ, Sch Med, Dept Digest, Xinhua Hosp, Shanghai, Peoples R China
Hangzhou Normal Univ, Affiliated Hosp, Dept Hepatol, Hangzhou, Peoples R China
Shanghai Jiao Tong Univ, Sch Med, Renji Hosp, Dept Digest, Shanghai, Peoples R China
China Med Univ, Hosp 1, Dept Digest, Shenyang, Peoples R China
Peoples Liberat Army Gen Hosp, Med Ctr 5, Dept Pathol, Beijing, Peoples R China
Shanghai Jiao Tong Univ, Peoples Hosp 1, Sch Med, Dept Digest, Shanghai, Peoples R China
Sun Yat Sen Univ, Affiliated Hosp 1, Dept Digest, Guangzhou, Peoples R China
Capital Med Univ, Beijing Tiantan Hosp, Dept Digest, Beijing, Peoples R China
First Hosp Fushan, Dept Infect Dis, Fushan, Peoples R China
Third Peoples Hosp, Dept Hepatol, Changzhou, Jiangsu, Peoples R China
China Med Univ, Shengjing Hosp, Dept Digest, Shenyang, Peoples R China
China Resources Sanjiu Med & Pharmaceut Co Ltd, Shenzhen, Peoples R China
Tsinghua Univ, Beijing Tsinghua Changgung Hosp, Hepatopancreatobiliary Ctr, 168 Litang Rd, Beijing 102218, Peoples R China
Keywords WEIGHT-LOSS
QUESTIONNAIRE
IMPROVEMENTS
IMPACT
NAFLD
CLDQ
Issue Date 7-May-2021
Publisher HEALTH AND QUALITY OF LIFE OUTCOMES
Abstract Background Health Related Quality of Life (HRQL) is a multi-dimensional construct that can comprehensively evaluate the patient's health status, including physical, emotional, mental and social well-being. In this study, we aimed to evaluate the impact of non-alcoholic fatty liver disease (NAFLD) on HRQL in a Chinese population. Methods In this national multicenter cross-sectional survey, patients with NAFLD were enrolled. Chronic Liver Disease Questionnaire (CLDQ)-NAFLD was used to qualify HRQL. Univariate and multivariate analysis were used to identify independent risk factors of HRQL. Results A total of 5181 patients with NAFLD from 90 centers were enrolled in this study (mean age, 43.8 +/- 13.3 years; male, 65.8%). The overall CLDQ score was 5.66 +/- 0.89. Multivariate logistic regression analysis showed that body mass index (BMI: HR, 1.642; 95% CI, 1.330-2.026), alanine transaminase (ALT: HR, 1.006; 95% CI, 1.001-1.011), triglyceride (HR, 1.184; 95% CI, 1.074-1.305), disease severity (HR, 3.203; 95% CI, 1.418-7.232) and cardiovascular disease (HR, 4.305; 95% CI, 2.074-8.939) were independent risk factors for overall CLDQ score. In the logistic analyses of individual domain, BMI and triglyceride were independent risk factors of all domains. ALT, disease severity, diabetes, depression and cardiovascular disease were influencing factors for the CLDQ score of several domains. Conclusions This national multicenter cross-sectional survey in China indicated that the HRQL in patients with NAFLD was impaired. HRQL was found to be significantly associated with sociodemographic and clinical factors. Attention should be paid to the optimally managing care of patients with NAFLD to improve their HRQL.
URI http://hdl.handle.net/20.500.11897/613143
DOI 10.1186/s12955-021-01778-w
Indexed SCI(E)
SSCI
Appears in Collections: 人民医院

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