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Metabolic Dysfunction-Associated Fatty Liver Disease and Mortality: A Population-Based Cohort Study
Kyung-Soo Kim1, Sangmo Hong2, Hong-Yup Ahn3
1Department of Internal Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
Diabetes & Metabolism Journal
|January 12, 2023
Summary
Metabolic dysfunction-associated fatty liver disease (MAFLD) is linked to increased all-cause and cardiovascular mortality. Identifying MAFLD can help pinpoint individuals at higher risk for these adverse outcomes.
Area of Science:
- Cardiology
- Hepatology
- Public Health
Background:
- Metabolic dysfunction-associated fatty liver disease (MAFLD) is a growing concern.
- The association between MAFLD and mortality risk requires further investigation.
Purpose of the Study:
- To investigate the association between MAFLD and all-cause and cardiovascular mortality.
- To identify high-risk groups for mortality based on MAFLD criteria.
Main Methods:
- A large-scale health examination cohort (394,835 subjects) was analyzed.
- Participants were categorized into normal, NAFLD only, MAFLD only, and combined NAFLD/MAFLD groups.
- Cox proportional hazards models were used to assess mortality risk.
Main Results:
- MAFLD was associated with higher all-cause and cardiovascular death rates.
- Patients with MAFLD only showed elevated mortality risk, though statistical significance varied with adjustments.
- More metabolic dysfunction components increased cardiovascular death risk, particularly in women for all-cause death.
Conclusions:
- MAFLD criteria effectively identify individuals at elevated risk for all-cause and cardiovascular death.
- The presence and severity of metabolic dysfunction are key factors in mortality risk stratification.
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