与代谢功能障碍相关的脂肪性肝病中的长期痴呆风险:基于人口的研究
Andreas Bartholdy1, Kristine Frøsig Moseholm2, Pernille Yde Nielsen3
1Department of Public Health, University of Copenhagen, Copenhagen, Denmark. Andreas.bartholdy@sund.ku.dk.
Metabolic brain disease
|February 2, 2026
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 与痴呆症没有独立的联系. 反向因果关系,即认知能力下降可能先于并影响MASLD诊断,可能解释了早期的关联.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 神经学 神经学
- 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) 与通过代谢和血管途径的认知衰退有关.
- 关于MASLD和痴呆症之间的关联现有的证据是不一致的.
研究的目的:
- 调查MASLD与痴呆症之间的关联,考虑选择偏差,混和反向因果关系.
- 为了澄清MASLD对痴呆症发展的独立风险.
主要方法:
- 在丹麦 (2000-2020年) 进行了全国范围的基于注册表的匹配队列研究.
- 包括8,398名患有MASLD的个人和5名没有肝病的匹配参考.
- 痴呆症诊断通过多个注册表确定; 考克斯回归用于分析,用于反向因果关系和混的敏感性分析.
主要成果:
- 未经调整的分析显示,MASLD患者的痴呆风险较高 (HR 1.40).
- 在调整了并发症和社会经济地位 (HR 1.12) 后,这种关联减弱了.
- 敏感性分析表明潜在的反向因果关系,并且没有增加对负控制结果 (COPD) 的风险.
结论:
- 不过,MASLD并没有独立地与痴呆的风险增加有关.
- 研究结果表明可能存在反向因果关系,认知能力下降可能会影响减肥和MASLD诊断,可能低估了真正的关联.
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