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Gastroenterology Research and Practice
Volume 2014 (2014), Article ID 876918, 7 pages
http://dx.doi.org/10.1155/2014/876918
Research Article

Prevalence and Associated Metabolic Factors of Gallstone Disease in the Elderly Agricultural and Fishing Population of Taiwan

Hsi-Che Shen,1,2,3 Yi-Chun Hu,1,3,4 Yu-Fen Chen,5,6,7 and Tao-Hsin Tung8,9,10

1New Taipei City Hospital, Taipei 241, Taiwan
2Taipei Medical University, Taipei 110, Taiwan
3Department of Healthcare Management, Yuanpei University, Hsinchu 700, Taiwan
4Oriental Institute of Technology, Taipei 220, Taiwan
5Business Place Hygiene Management, Department of Health, Taipei City Government, Taipei 110, Taiwan
6Institute of Health and Welfare Policy, National Yang-Ming University, Taipei 112, Taiwan
7Department of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei 114, Taiwan
8Cheng Hsin General Hospital, Shih-Pai 112, Taipei, Taiwan
9Faculty of Public Health, School of Medicine, Fu-Jen Catholic University, Taipei 242, Taiwan
10Department of Crime Prevention and Correction, Central Police University, Taoyuan 333, Taiwan

Received 22 November 2013; Accepted 9 January 2014; Published 23 February 2014

Academic Editor: Eldon A. Shaffer

Copyright © 2014 Hsi-Che Shen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To evaluate sex-related differences in the prevalence of and cardiovascular risk factors related to gallstone disease (GSD) in an elderly agricultural and fishing population of Taipei, Taiwan. Methods. The study sample consisted of 6511 healthy elderly participants (3971 men and 2540 women) who were voluntarily admitted to a teaching hospital for a physical checkup in 2010. The participants’ blood samples and real-time ultrasound fatty liver results were collected. Results. The prevalence of GSD in the study population was 13.2%, which increased significantly with population age ( ). Women were associated with significantly higher GSD prevalence than men (14.8% versus 12.2%; for the chi-square test, ). In a multiple logistic regression analysis, female sex, older age, and metabolic syndrome (MetS) were significantly associated with GSD. Multiple logistic regression analysis also revealed that obesity (odds ratio , 95% confidence interval (CI): 1.09–1.44) and metabolic factors (one or 2 versus none, , 95% CI: 1.08–1.76) were significantly associated with GSD in women but not in men. Conclusion. In the study population, female sex, older age, and MetS were associated with higher GSD prevalence. The population exhibited other sex-related differences.