更年期和代谢功能障碍相关的脂肪性肝病
Stergios A Polyzos1, Dimitrios G Goulis2
1First Laboratory of Pharmacology, Medical School, Aristotle University of Thessaloniki, Campus of Aristotle University, 54124 Thessaloniki, Greece.
Maturitas
|May 17, 2024
概括
更年期加剧非酒精性脂肪性肝病 (NAFLD),现在是代谢功能障碍相关的脂肪性肝病 (MASLD). 更年期激素治疗对MASLD有潜在的益处,但临床证据有限且相互矛盾.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
- 妇女健康 妇女健康
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 影响全球人口的25-30%,在绝经后患病率和严重程度增加.
- 更年期与增加的腹部脂肪和代谢失调有关,可能会恶化MASLD和心血管风险.
- 更年期荷尔蒙疗法 (MHT) 正在探索逆转肝病,因为它在其他组织中已证明有好处.
研究的目的:
- 审查更年期和MASLD之间的关联.
- 总结关于更年期期激素治疗对MASLD的影响的临床证据.
- 为了突出进一步研究MHT基于配方和管理的独特效果的需要.
主要方法:
- 文献综述专注于临床研究.
- 对更年期和MASLD患病率和严重程度的数据分析.
- 对调查MHT对MASLD的影响的研究进行审查.
主要成果:
- 动物研究表明雌激素有益于MASLD.
- 关于MHT对MASLD的临床数据很少,并产生相互矛盾的结果.
- 根据雌激素/孕激素组合,孕激素类型和施用途径,MHT的疗效可能会有所不同.
结论:
- 更年期是MASLD发展和进展的一个关键因素.
- 对于患有MASLD的绝经后妇女来说,MHT是一个潜在的治疗途径.
- 进一步的精心设计的临床试验对于建立MHT最佳策略至关重要.
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