与代谢功能障碍相关的稳态肝病和心脏代谢风险因子在美国青少年中的患病率
Xiaoyan Zheng1, Dongying Zhao1, Liwei Wang2
1Department of Pediatrics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.
The Journal of clinical endocrinology and metabolism
|August 13, 2024
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 影响了近四分之一的美国青少年,超重/肥胖是关键的危险因素. 超重/肥胖与失脂血症或血糖升高的结合显著加重肝脏肥胖症.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 肝病学 肝病学是一种肝病学.
- 心血管健康 心血管健康
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是一个日益严重的全球健康问题.
- MASLD与心脏代谢风险因素 (CMRF) 密切相关.
研究的目的:
- 为了确定美国青少年中MASLD的患病率.
- 为了调查CMRF在青少年与MASLD的同时发生.
主要方法:
- 使用12至19岁美国青少年数据进行的横截面研究 (2017-2020 NHANES).
- 通过控制衰减参数 (CAP) 评估肝脏肥胖症,并分析了与CMRFs的关系.
主要成果:
- 在青少年中,MASLD的患病率为23.77%.
- 超重/肥胖是最常见的CMRF (35%).
- 超重/肥胖,脂质不良和葡萄糖升高显示出显著的添加性相互作用,增加肝脏肥胖症 (CAP值).
结论:
- 在青少年中,MASLD的流行率很高.
- 超重/肥胖是与MASLD相关的主要CMRF.
- 超重/肥胖与失脂血症或高葡萄糖的协同效应加剧了青少年肝硬化症.
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