应用1小时后载荷血葡萄糖诊断标准显示高 潜在的MASLD的渐进性风险
Long Teng1, Ling Luo1, Yanhong Sun2
1Department of Gastroenterology, The First Affiliated Hospital, Sun Yat-sen University, No. 58 Zhongshan II Road, Yuexiu District, Guangzhou, China.
一小时后葡萄糖负荷值 (PG) ≥8.6 mmol/L与严重的脂肪肝疾病和心血管问题有关. 这种标志物对于识别代谢功能障碍至关重要,特别是在没有代谢功能障碍的非酒精性脂肪性肝病 (NAFLD-non-MASLD) 患者中.
科学领域:
- 内分泌学 在内分泌学.
- 肝病学 肝病学是一种肝病学.
- 心血管医学 心血管医学
背景情况:
- 1小时后的葡萄糖负荷 (1小时PG) ≥8.6 mmol/L是一个敏感的糖尿病预测指标.
- 它在与代谢功能障碍相关的脂肪性肝病 (MASLD) 中的实用性需要进一步研究.
研究的目的:
- 评估1小时PG≥8.6mmol/L与MASLD和没有MASLD的非酒精性脂肪肝疾病 (NAFLD-非MASLD) 的临床结果之间的关联.
主要方法:
- 对1154名MASLD,161名非MASLD的NAFLD和1026名非脂肪肝参与者的回顾性分析.
- 使用成像来评估脂肪肝和75克口服葡萄糖耐受性测试.
主要成果:
- 与对照组相比,在MASLD和NAFLD-non-MASLD组中观察到更高的1-hPG水平.
- 一小时PG≥8.6mmol/L与严重脂肪酸,ALT升高,晚期纤维化和心血管疾病相关.
- 一小时PG≥8.6mmol/L的NAFLD非MASLD患者患有较高的晚期纤维化.
结论:
- 一小时PG≥8.6mmol/L识别了高风险的NAFLD-非MASLD患者.
- 这些发现支持将1小时PG≥8.6 mmol/L纳入代谢功能障碍标准.
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