ASSOCIATION BETWEEN METABOLIC SYNDROME AND HEPATITIS B VIRUS INFECTION IN THE ROMA POPULATION IN EASTERN SLOVAKIA: A POPULATION-BASED STUDY

作者：Janicko Martin; Senajova Gabriela; Drazilova Sylvia; Veseliny Eduard; Fedacko Jan; Siegfried Leonard; Kristian Pavol; Virag Ladislav; Pella Daniel; Marekova Maria; Geckova Andrea Madarasova; Kalanin Peter; Jarcuska Peter^*; Halanova Monika

来源：Central European Journal of Public Health, 2014, 22(Supplement): S37-S42.

DOI：10.21101/cejph.a3900

• metabolic syndrome
• chronic hepatitis B
• cholesterol
• apolipoprotein B100
• HBV DNA

Background: The simultaneous presence of chronic hepatitis B (CHB) and metabolic syndrome (MS) in the high-risk Roma community constitutes a high risk for liver cirrhosis and potentially hepatocellular carcinoma. This study aims to explore the relationship between MS and CHB.
Methods: Data from the cross-sectional HepaMeta Study conducted in Slovakia in 2011 among Roma living in rural communities were used. Participants were tested for the presence of MS, and lipid levels total cholesterol, high density lipoproteins (HDL), low density lipoproteins (LDL), triglycerides (TG), apolipoprotein B100, and CHB HBsAg and anti-HBc IgG were also monitored. Viral load was measured in HBsAg-positive patients.
Results: A total of 452 patients were screened; MS was diagnosed in 29.6% of patients, and 12.5% had CHB. Anti-HBc IgG antibodies were present in 52.8% of patients. CHB patients had lower levels of total cholesterol (5.45 +/- 1.21 vs. 4.71 +/- 1.23 mmol/l; p = 0.035), LDL cholesterol (median 2.2 mmol/l, interquartile range 0.88 mmol/l vs. 2.5 mmol/l, interquartile range 0.9 mmol/l; p = 0.01) and apolipoprotein B100 (median 0.66 mmol/l, interquartile range 0.26 mmol/l vs. 0.74 mmol/l, interquartile range 0.29 mmol/l; p = 0.025). Patients diagnosed with MS had a higher HBV DNA load than patients without MS (1,728.2 +/- 14.33 IU/ml vs. 12,779.1 +/- 20.9 IU/ml; p = 0.037). CHB patients with TC and apolipoprotein B100 within the reference range had a lower hepatitis B DNA (HBV DNA) load than patients with high or low values of TC or apolipoprotein B100.
Conclusion: The prevalence of chronic hepatitis B and simultaneous presence of MS was high among Roma. HBsAg-positive patients had lower levels of total and LDL cholesterol along with decreased apolipoprotein B100. The viral load of chronic hepatitis B patients with MS was higher than in patients without MS.

• 出版日期2014-3