Clinical characteristics and risk factors of metabolic dysfunction-associated steatotic liver disease in lean patients: results of the Polish Gallstone Surgery Registry

被引:0
作者
Gorczyca-Glowacka, Iwona [1 ]
Nawacki, Lukasz [1 ]
Kolomanska, Magdalena [1 ]
Mazurkiewicz, Robert [1 ]
Niznik, Marcin [2 ]
Ratnicki, Krzysztof [2 ]
Czerniak, Malgorzata [2 ]
Myrcha, Piotr [3 ]
Bekarski, Maciej [3 ]
Rocha-Neves, Joao [4 ]
Pereira-Macedo, Juliana [5 ]
Mitura, Kryspin [6 ]
Kacprzak, Laura [7 ]
Pajer, Malgorzata [7 ]
Richter, Piotr [8 ]
Rapacz, Kamil [8 ]
Sroczynski, Maciej [9 ]
Szmit, Mateusz [9 ]
Gluszek, Stanislaw [10 ,11 ,12 ]
机构
[1] Jan Kochanowski Univ, Coll Med, Kielce, Poland
[2] Minist Internal & Adm, Independent Publ Hlth Care Ctr, Gdansk, Poland
[3] Med Univ Warsaw, Fac Med, Dept Gen & Vasc Surg, Warsaw, Poland
[4] Univ Porto, Fac Med, Dept Biomed, Unity Anat, Porto, Portugal
[5] Unidade Local Saude Medio Ave, Dept Surg, Vila Nova De Famalicao, Portugal
[6] Siedlce Univ Nat Sci & Humanities, Siedlce, Poland
[7] Siedlce Hosp, Siedlce, Poland
[8] Jagiellonian Univ Med Coll, Doctoral Sch Med & Hlth Sci, Dept Gen Surg 1, Krakow, Poland
[9] Wroclaw Med Univ, Dept Gen Minimally Invas & Endocrine Surg, Wroclaw, Poland
[10] Holy Cross Canc Ctr Kielce, Dept Surg Oncol, Kielce, Poland
[11] Hosp Minist Interior & Adm Kielce, Dept Surg, Kielce, Poland
[12] Polish Acad Sci, Inst Genet & Anim Biotechnol, Magdalenka, Poland
关键词
obesity; overweight; liver steatosis; FATTY; PREVALENCE; NONOBESE; MAFLD;
D O I
10.5114/ceh.2025.151805
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Aim of the study: Data concerning the clinical manifestation and outcomes of lean metabolic dysfunction-associated steatotic liver disease (MASLD) are scarce and inconsistent. The aim of the study was to evaluate the clinical characteristics of MASLD and predictors of its occurrence. Material and methods: The study included patients from the Polish Gallstone Surgery Registry diagnosed with MASLD according to the current criteria. Results: Among 3,419 patients, MASLD was diagnosed in 24.2%. Lean MASLD was diagnosed in 11.3% of patients with MASLD. Independent predictors of lean MASLD were atherogenic dyslipidaemia (OR = 94.16, CI: 45.54-197.71, p < 0.0001), diabetes mellitus or prediabetes conditions (OR = 9.26, CI: 4.42-19.38, p < 0.0001) and hypertension (OR = 2.97, CI: 1.38-6.41, p = 0.0054). Conclusions: Lean MASLD is not a rare form of the disease, and in the lean MASLD group there are patients with a high rate of metabolic abnormalities which may significantly increase cardiovascular risk and the risk of MASLD
引用
收藏
页码:160 / 168
页数:9
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