对代谢功能障碍相关的脂肪性肝病的心脏代谢风险因素对死亡率的影响
Jung-Hwan Kim1, Yaeji Lee2, Chung-Mo Nam3
1Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 增加了心血管疾病和全因死亡风险. 控制高甘油三血症,低HDL-C和高葡萄糖对于降低这些风险至关重要.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 流行病学 流行病学
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 与心血管疾病 (CVD) 有共同的风险因素.
- MASLD可能是心脏病相关和全因死亡率的独立风险因素.
研究的目的:
- 调查MASLD心脏代谢风险因素与死亡风险之间的关联.
- 分析中年和老年韩国成年人的死亡风险.
主要方法:
- 利用了来自韩国基因组和流行病学研究的数据,这是一个基于人口的潜在队列.
- 用脂肪肝指数 (FLI) ≥60和至少一个心脏代谢风险因素来定义MASLD.
- 采用Cox的比例危险模型来评估死亡风险.
主要成果:
- MASLD与心血管疾病相关和全因死亡率的增加有关.
- 三种或以上的心脏代谢风险因素显著增加了心血管疾病相关的死亡率.
- 一个或多个心脏代谢风险因素显著增加了全因死亡率.
- 结合的高甘油三血症,低的HDL-C和高的葡萄糖显著增加了与心血管疾病相关的死亡率和全因死亡率.
结论:
- 对于MASLD的心脏代谢风险因素与较高的死亡率密切相关.
- 有效管理高甘油三血症,低HDL-C和高葡萄糖是必不可少的.
- 建议在患有这些风险因素的MASLD患者进行早期干预.
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