基于种族/种族的身体脂肪分布与非酒精性脂肪性肝病/纤维化之间的关联
Donghee Kim1, George Cholankeril2, Aijaz Ahmed1
1Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA.
Journal of obesity & metabolic syndrome
|October 20, 2024
概括
在所有种族中,内脏脂肪显著增加了非酒精性脂肪性肝病 (NAFLD) 的风险. 根据种族/种族,身体脂肪分布对NAFLD和纤维化有不同的影响,观察到显著的差异.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 代谢综合征是代谢综合征的一种.
- 身体组成分析 身体成分分析
背景情况:
- 身体脂肪分布模式可能会对非酒精性脂肪性肝病 (NAFLD) 和晚期肝纤维化有不同的影响.
- 了解这些种族/种族特异性关联对于有针对性的预防和治疗策略至关重要.
研究的目的:
- 调查身体脂肪分布 (内脏和皮下脂肪) 与NAFLD和显著纤维化的流行率之间的关系.
- 检查这些关联在不同种族/种族群体之间如何变化.
主要方法:
- 这是一项对来自国家健康和营养检查调查 (2017-2018) 的2395名参与者的横截面分析.
- 通过过渡性弹性学评估NAFLD和显著纤维化 (≥F2) 使用控制减弱参数 (CAP) 评分和肝硬度测量 (LSM).
- 使用双能X射线吸收计 (DXA) 量化了内脏和皮下脂肪体积.
主要成果:
- 在一般人群中,增加的内脏脂肪体积与NAFLD (OR,2.05) 和显著纤维化 (OR,1.35) 的更高几率密切相关.
- 非西班牙裔黑人个人表现出与内脏脂肪相关的NAFLD的最高几率 (OR,2.86).
- 皮下脂肪体积也显示出与NAFLD (OR, 1.48) 和显著纤维化 (OR, 2.10) 的显著关联,特别是在与NAFLD相关纤维化 (OR, 2.74) 的西班牙裔中.
结论:
- 内脏脂肪是NAFLD和显著纤维化的主要驱动因素,独立于皮下脂肪.
- 在身体脂肪分布如何影响NAFLD和纤维化发育和进展方面存在显著的种族/民族差异.
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