Objective To investigate the risk factors related to fatty liver in elderly patients and its community inter-vention. Methods The physical examination results of fatty liver and related risk factors among 663 community elderly people in 2012 were analyzed retrospectively, in order to understand the relationship between fatty liver and related risk factors. Results The morbidity of fatty liver in elderly people was 49.02%(325/663). Compared with non-fatty liver group, besides cholesterol, the risk factors such as overweight, obesity, hypertension, high blood sugar, hyperlipemia (triglycerides) in fatty liver group were statistically significant different (P<0.01). The morbidity of fatty liver in male was 60.1%(191/318), which was higher than female [38.8%(134/345)], with statistically significant difference (P<0.01). The morbidity of fatty liver increased with age. Conclusion The morbidity of fatty liver is high in community elderly people. Risk factors in fatty liver group are higher than non-fatty liver group and have difference in terms of gender and age. All these risk factors relate to life style, and they are changeable. Aim at its risk factor, general practitioners should play their advantages such as convenient location, efficient management methods and familiarity with patients, using low-cost and efficient method to conduct the community intervention.%目的：研究老年脂肪肝患者相关危险因素及社区干预。方法通过回顾性分析2012年某社区663名老年人脂肪肝及相关危险因素体检结果，了解社区老年人脂肪肝与相关危险因素的关系。结果社区老年人脂肪肝患病率为49.02%(325/663)，其相关危险因素为超重、肥胖、高血压、高血糖、高血脂，除胆固醇外与非脂肪肝组比较，差异均有高度统计学意义(P<0.01)。在性别上，男性脂肪肝患病率为60.1%(191/318)，高于女性[38.8%(134/345)]，差异有高度统计学意义(P<0.01)。在年龄方面，随着年龄增长，患病率降低。结论社区老年人脂肪肝患病率较高，脂肪肝组危险因素高于非脂肪肝组，且有性别、年龄差异。脂肪肝危险因素与行为生活方式有关，是可以改变的危险因素。全科医师针对危险因素发挥其在地理位置、管理方法及熟悉程度方面的优势，使用低成本高效的方法进行社区干预。
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