代谢表型和酒精消费对代谢功能障碍相关脂肪肝疾病的死亡风险的影响:基于人口的队列研究
Phunchai Charatcharoenwitthaya1, Khemajira Karaketklang2, Wichai Aekplakorn3
1Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand. phunchai@yahoo.com.
Scientific reports
|June 3, 2024
概括
与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 患者患有糖尿病或瘦体表型面临更高的死亡风险. 酒精消费显著增加死亡风险,特别是在瘦肉MAFLD患者中.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢疾病 代谢疾病
- 公共卫生 公共卫生
背景情况:
- 与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 通常与代谢问题和酒精使用并存.
- 这些因素可能会影响患者的预后和临床结果.
- 了解这些相互作用是有效的MAFLD管理的关键.
研究的目的:
- 调查不同MAFLD表型对死亡风险的影响.
- 为了检查MAFLD患者的酒精消费和死亡率之间的关系.
- 探索代谢表型和酒精摄入量对死亡率的综合影响.
主要方法:
- 分析泰国国家健康检查调查中8043名MAFLD参与者的数据.
- MAFLD表型的分类:糖尿病,超重/肥胖,以及瘦肉代谢.
- 考克斯的比例危险模型用于评估死亡风险,对共变量进行调整.
主要成果:
- 糖尿病 (aHR 1.59) 和瘦代谢 (aHR 1.28) 现型显示出明显更高的死亡风险比超重/肥胖现型.
- 一个J形曲线表明,随着每日饮酒量增加,全因死亡率增加.
- 过度饮酒增加了瘦肉MAFLD患者的死亡风险 (aHR 3.39).
结论:
- MAFLD代谢表型和酒精消费相互作用,影响所有原因的死亡风险.
- 这两个因素对于评估MAFLD的预后和指导管理策略至关重要.
- 考虑到表型和酒精摄入量的个性化风险评估对于MAFLD患者至关重要.
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