与特定部位和多部位亚临床动脉样硬化相关的代谢相关脂肪肝疾病
Xinyu Wang1, Ruosu Zhang1, Sailimai Man1,2,3
1Department of Epidemiology & Biostatistics, School of Public Health, Peking University, Beijing, China.
概括
与代谢相关的脂肪肝疾病 (MAFLD) 显著增加亚临床动脉样硬化,特别是多部位疾病的风险. 与糖尿病相关的代谢性脂肪肝病具有最高的风险,这表明MAFLD是比非酒精性脂肪肝病更强的预测因素.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
背景情况:
- 非酒精性脂肪肝疾病 (NAFLD) 和代谢相关的脂肪肝疾病 (MAFLD) 与亚临床动脉样硬化有关.
- 有限的数据存在于满足只有一个条件的标准的个体的动脉样硬化风险.
研究的目的:
- 调查MAFLD或NAFLD状态与特定部位和多部位动脉样硬化的关联.
- 为了比较MAFLD与NAFLD在动脉样硬化疾病的预测值.
主要方法:
- 对4524名成年人的前性队列研究.
- 后勤回归用于估计亚临床动脉样硬化 (高CIMT,CP,CAC,RA) 的几率比率.
- 分析包括MAFLD/NAFLD状态,MAFLD亚型和纤维化状态.
主要成果:
- 与NAFLD相比,MAFLD显示出高CIMT,CP,CAC和RA的风险较高.
- 患有MAFLD (但不是NAFLD) 或两种疾病的个体有增加动脉样硬化风险.
- 患有糖尿病的MAFLD风险最高;关联因纤维化状态而异.
结论:
- MAFLD与中国成年人的亚临床动脉样硬化有关,特别是多部位疾病.
- 特别是在糖尿病中,MAFLD需要更多的临床关注,因为它是动脉样硬化的预测因素.
- MAFLD可能比NAFLD更强有力的动脉样硬化预测剂.
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