晚期代谢功能障碍相关的脂肪性肝病及其与身体残疾和痴呆症的关联
Daniel Clayton-Chubb1,2, William W Kemp1,2, Ammar Majeed1,2
1Department of Gastroenterology, Alfred Health, Melbourne, Victoria, Australia.
概括
在老年人中,与代谢功能障碍相关的脂肪性肝病 (MASLD) 与痴呆的风险较低,但身体残疾的风险较高有关. 需要进一步的研究来理解这些对比的效应.
科学领域:
- 老年学是一门学科.
- 肝病学 肝病学是一种肝病学.
- 流行病学 流行病学
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 的患病率正在增加,特别是在老年人群中.
- 衰老与身体和认知能力下降的速度上升有关.
- 关于MASLD对老年人身体和认知功能影响的数据有限.
研究的目的:
- 调查流行MASLD与老年人发展身体残疾或痴呆的风险之间的关联.
- 在最初健康的老年人中分析发生的身体残疾和痴呆风险,无论是有或没有MASLD.
主要方法:
- 对ASPREE-XT队列研究的后期分析,涉及社区居住的老年人.
- 使用脂肪肝指数识别了MASLD.
- 考克斯的比例风险模型被用来评估痴呆症和持续性身体残疾的风险.
主要成果:
- 在平均6.4年的随访期间,3.7%的患者患有持续性身体残疾,4.1%患有痴呆症.
- MASLD与持续性身体残疾风险增加41%有关 (HR 1.41).
- 马斯尔德与37%降低发病痴呆的风险相关 (HR 0.63).
结论:
- 老年人患MASLD的流行与持续身体残疾的风险更高有关.
- 在老年人中流行的MASLD与发病痴呆症的发病率降低有关.
- 了解这些不同结果背后的机制对于风险分层和患者咨询至关重要.
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