Prevalence of Ultrasound Diagnosed Nonalcoholic Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and Anthropometric Measures
Although the association between non-alcoholic fatty liver disease (NAFLD) and metabolic syndrome has been previously firmly established, the prevalence of NAFLD and its risk factors in rural communities remains incompletely defined. This study aimed to determine the prevalence and factors associ...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Southeast Asian Ministers of Education Organisation.
2013
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/11118/ http://ir.unimas.my/id/eprint/11118/1/IR22.pdf |
| _version_ | 1848836940201197568 |
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| author | Cheah, W.L Lee, Ping Yein Chang, C.T Hamid Jan, Mohamed Wong, Siong Long |
| author_facet | Cheah, W.L Lee, Ping Yein Chang, C.T Hamid Jan, Mohamed Wong, Siong Long |
| author_sort | Cheah, W.L |
| building | UNIMAS Institutional Repository |
| collection | Online Access |
| description | Although the association between non-alcoholic fatty liver disease
(NAFLD) and metabolic syndrome has been previously firmly established, the
prevalence of NAFLD and its risk factors in rural communities remains incompletely
defined. This study aimed to determine the prevalence and factors associated
with ultrasound-diagnosed NAFLD amongst a rural community in Sarawak. An
indigenous village was randomly selected where all adults aged 21 years and above
underwent an abdominal ultrasound, biochemical tests and an anthropometric assessment.
Respondents with a score ≥ 8 on an alcohol-use disorders-identification
test (AUDIT) indicating harmful or hazardous drinking were excluded. Seventyseven
respondents (46.8% male, mean age 48.4 SD 16.64), met inclusion criteria.
The prevalence of ultrasound diagnosed NAFLD was 44.2% (n=34), among them
52.9% had moderate NAFLD. There were no significant age or gender differences
between respondents with and without NAFLD, although those with NAFLD
were older. Respondents with NAFLD had a significantly higher BMI than those
without NAFLD (p<0.001). Both male and female respondents with NAFLD had
a significantly higher waist circumference than those without NAFLD (p<0.001).
Prevalence of diabetes, hypertension, hyperglycemia and hypertriglyceridemia
were significantly higher among those with NAFLD. However, there were no significant
differences in terms of percentage of unhealthy body fat and muscle, and
serum HDL levels. Risk factors independently associated with NAFLD included
male gender (odd ratio 0.06; 95% CI 0.008-0.523) and waist circumference (odd ratio
1.2; 95% CI 1.036-1.421). There was a high prevalence of NAFLD and the presence
of more severe stages of disease in this indigenous population. Life-style related
diseases, such as fatty liver disease, can occur in rural as well as urban populations. |
| first_indexed | 2025-11-15T06:31:45Z |
| format | Article |
| id | unimas-11118 |
| institution | Universiti Malaysia Sarawak |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T06:31:45Z |
| publishDate | 2013 |
| publisher | Southeast Asian Ministers of Education Organisation. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | unimas-111182016-03-29T00:47:04Z http://ir.unimas.my/id/eprint/11118/ Prevalence of Ultrasound Diagnosed Nonalcoholic Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and Anthropometric Measures Cheah, W.L Lee, Ping Yein Chang, C.T Hamid Jan, Mohamed Wong, Siong Long RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine Although the association between non-alcoholic fatty liver disease (NAFLD) and metabolic syndrome has been previously firmly established, the prevalence of NAFLD and its risk factors in rural communities remains incompletely defined. This study aimed to determine the prevalence and factors associated with ultrasound-diagnosed NAFLD amongst a rural community in Sarawak. An indigenous village was randomly selected where all adults aged 21 years and above underwent an abdominal ultrasound, biochemical tests and an anthropometric assessment. Respondents with a score ≥ 8 on an alcohol-use disorders-identification test (AUDIT) indicating harmful or hazardous drinking were excluded. Seventyseven respondents (46.8% male, mean age 48.4 SD 16.64), met inclusion criteria. The prevalence of ultrasound diagnosed NAFLD was 44.2% (n=34), among them 52.9% had moderate NAFLD. There were no significant age or gender differences between respondents with and without NAFLD, although those with NAFLD were older. Respondents with NAFLD had a significantly higher BMI than those without NAFLD (p<0.001). Both male and female respondents with NAFLD had a significantly higher waist circumference than those without NAFLD (p<0.001). Prevalence of diabetes, hypertension, hyperglycemia and hypertriglyceridemia were significantly higher among those with NAFLD. However, there were no significant differences in terms of percentage of unhealthy body fat and muscle, and serum HDL levels. Risk factors independently associated with NAFLD included male gender (odd ratio 0.06; 95% CI 0.008-0.523) and waist circumference (odd ratio 1.2; 95% CI 1.036-1.421). There was a high prevalence of NAFLD and the presence of more severe stages of disease in this indigenous population. Life-style related diseases, such as fatty liver disease, can occur in rural as well as urban populations. Southeast Asian Ministers of Education Organisation. 2013-03 Article PeerReviewed text en http://ir.unimas.my/id/eprint/11118/1/IR22.pdf Cheah, W.L and Lee, Ping Yein and Chang, C.T and Hamid Jan, Mohamed and Wong, Siong Long (2013) Prevalence of Ultrasound Diagnosed Nonalcoholic Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and Anthropometric Measures. Southeast Asian Journal of Tropical Medicine and Public Health, 44 (2). pp. 309-317. ISSN 01251562 http://www.tm.mahidol.ac.th/seameo/publication.htm |
| spellingShingle | RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine Cheah, W.L Lee, Ping Yein Chang, C.T Hamid Jan, Mohamed Wong, Siong Long Prevalence of Ultrasound Diagnosed Nonalcoholic Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and Anthropometric Measures |
| title | Prevalence of Ultrasound Diagnosed Nonalcoholic
Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and
Anthropometric Measures |
| title_full | Prevalence of Ultrasound Diagnosed Nonalcoholic
Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and
Anthropometric Measures |
| title_fullStr | Prevalence of Ultrasound Diagnosed Nonalcoholic
Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and
Anthropometric Measures |
| title_full_unstemmed | Prevalence of Ultrasound Diagnosed Nonalcoholic
Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and
Anthropometric Measures |
| title_short | Prevalence of Ultrasound Diagnosed Nonalcoholic
Fatty Liver Disease Among Rural Indigenous Community of Sarawak And Its Association With Biochemical and
Anthropometric Measures |
| title_sort | prevalence of ultrasound diagnosed nonalcoholic
fatty liver disease among rural indigenous community of sarawak and its association with biochemical and
anthropometric measures |
| topic | RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine |
| url | http://ir.unimas.my/id/eprint/11118/ http://ir.unimas.my/id/eprint/11118/ http://ir.unimas.my/id/eprint/11118/1/IR22.pdf |