21歲男從小不吃菜肝指數破表 醫示警恐肝硬化

有些人對青菜不太感興趣，但長期挑食可能會對身體健康造成潛在的威脅。肝膽腸胃科醫師蕭敦仁分享了一個案例，一名 21 歲男子從小就非常挑食，尤其不喜欽蔬菜類食物，連貢丸湯裡的蔥花都會刻意剔除。這個習慣導致他在兵役體檢時被發現肝功能指數（GPT）高達 210 U/L，遠超正常值 40 U/L 以下的範圍。經過 3 個月的努力，男子成功減重 10 公斤，BMI 從 28 降至 25，且肝功能指數回到了正常的 30 U/L。

蕭敦仁醫師在《健康好生活》節目中指出，該名男子的病例顯示了挑食對健康的潛在危害。挑食尤其是蔬菜攝取不足，長期下來會導致體重增加和脂肪肝，而脂肪肝若不加以控制，可能進展為肝纖維化或肝硬化。他強調，改善飲食習慣和適當減重是避免這些嚴重問題的關鍵。

醫師進一步說明，過去國人肝癌患者中約有 90%與 B 型、C 型肝炎有關，但近年來因肝病及肝癌住院的患者中，約 20%是因為脂肪肝引起的。脂肪肝主要是由於體重過重和飲酒所造成，而肥胖是其中最常見的原因之一。

研究顯示，彩椒中的「椒紅素」對於保護肝臟有一定的幫助，可以降低三酸甘油酯水平和發炎情況。然而，蕭敦仁醫師強調，控制體重才是改善脂肪肝最重要的關鍵措施。

總之，這個案例提醒我們，良好的飲食習慣和適度的運動不僅對維持正常體重有益，還能保護肝臟免受損傷。挑食 Habitual picky eating, especially avoiding vegetables, can lead to serious health issues such as fatty liver disease. As illustrated by a 21-year-old man whose case was shared by hepatobiliary and gastrointestinal specialist Dr. Xiao Dunren, long-term poor dietary habits can result in high liver function test results, which may progress to more severe conditions like cirrhosis if not addressed.

Dr. Xiao explained that this young man had an extremely unhealthy diet from a very young age, avoiding vegetables altogether, even removing chives from his wonton soup. His GPT level during military service examination was alarming at 210 U/L, significantly higher than the normal range of under 40 U/L. After three months of dietary adjustment and weight loss, he managed to drop from 90 kg to 80 kg and brought his liver function tests back within the normal range.

This case highlights the importance of a balanced diet and maintaining an appropriate body mass index in preventing liver diseases such as fatty liver disease, which is becoming increasingly common due to rising obesity rates. Dr. Xiao also mentioned that studies show capsanthin found in bell peppers can help protect the liver by reducing triglyceride levels and inflammation; however, controlling weight remains the most effective way to address this issue.

In conclusion, this example serves as a reminder of the importance of healthy eating habits and regular physical activity not only for maintaining an ideal body weight but also for protecting one's liver from potential damage.