与代谢功能障碍相关的脂肪性肝病中的性别差异:叙述性审查
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine , Seoul, Korea.
Ewha medical journal
|July 24, 2025
概括
性差异显著影响肝脏健康,特别是在与代谢功能障碍相关的脂肪性肝病 (MASLD) 中. 虽然男性患病率较高,但更年期后的女性面临纤维化风险增加,这凸显了针对性别的MASLD研究和护理的需要.
科学领域:
- 肝病学和胃肠病学 肝病学和胃肠学
- 内分泌学 在内分泌学.
- 基于性别的医学
背景情况:
- 性别和性别差异是肝脏健康和疾病的关键因素.
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 的患病率和进展在性别之间存在显著差异.
- 荷尔蒙的影响,肥胖和肠道微生物组有助于性别特定的MASLD病原体.
研究的目的:
- 审查目前对MASLD性别差异的理解.
- 强调需要针对MASLD进行性别特定的研究和个性化的管理策略.
- 为了强调性对肝病病因和进展的不同影响.
主要方法:
- 对MASLD中性别差异现有研究的文献综述.
- 对有关MASLD患病率的流行病学数据的分析.
- 对影响性别特异性MASLD发展的荷尔蒙,代谢和微生物因素的机制研究的审查.
主要成果:
- 与女性相比,男性的MASLD患病率更高.
- 绝经后的女性由于荷尔蒙变化而面临更高的晚期肝纤维化风险.
- 在与MASLD相关的肝细胞癌的发展中存在与性别相关的差异.
结论:
- MASLD表现出明显的性别特异性特征,这些特征影响了其病变发生和临床结果.
- 针对MASLD的个性化管理方法是必不可少的,基于性别特定的科学证据.
- 进一步的研究对于解决目前关于MASLD性别差异的知识差距至关重要.
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