代谢功能障碍相关的脂肪性肝病的心脏代谢风险因素的重叠患病率和相互作用效应
Dongying Zhao1, Xiaoyan Zheng1, Liwei Wang1
1Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kong Jiang Road, Shanghai, 200092, China.
Nutrition & metabolism
|February 11, 2025
概括
重叠的心脏代谢风险因素 (CMRF) 在代谢功能障碍相关的脂肪性肝病 (MASLD) 中很常见. 重叠的CMRF的数量,而不是它们的特定组合,显著影响肝纤维化发展.
科学领域:
- 心脏病学 心脏病学
- 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.
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 与心脏代谢风险因素 (CMRFs) 有关,包括肥胖,葡萄糖受损,高血压,高三糖血症和低HDL.
- 了解这些CMRFs在MASLD中的患病率和相互作用对于患者管理至关重要.
研究的目的:
- 确定MASLD患者中重叠CMRFs的患病率.
- 研究这些CMRFs在MASLD和肝纤维化发展上的协同作用.
主要方法:
- 来自2017-2020年国家健康和营养检查调查数据的分析.
- 包括20岁以上的非怀孕成年人,具有VCTE和代谢状态数据.
- 逻辑和通用线性回归模型用于评估协同相互作用和对肝纤维化的贡献.
主要成果:
- 患MASLD的患病率为33.1%,超过80%的患者有三种或更多的CMRF.
- 超重/肥胖症与其他CMRF对MASLD (40-50% AP) 的协同作用更高.
- 重叠的CMRFs,特别是与三个或更多的因素,与肝硬度升高显著相关,表明纤维化.
结论:
- 在MASLD中,CMRF重叠非常普遍,并表现出添加性相互作用.
- 在驱动肝纤维化进展方面,重叠的CMRF的数量似乎比特定的组合更为关键.
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