Academic Journal
Different effects of low muscle mass on the risk of non‐alcoholic fatty liver disease and hepatic fibrosis in a prospective cohort
| العنوان: | Different effects of low muscle mass on the risk of non‐alcoholic fatty liver disease and hepatic fibrosis in a prospective cohort |
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| المؤلفون: | Choe, Hun Jee, Lee, Hyunsuk, Lee, DongHo, Kwak, Soo‐Heon, Koo, Bo Kyung |
| المساهمون: | Korea National Institute of Health |
| المصدر: | Journal of Cachexia, Sarcopenia and Muscle ; volume 14, issue 1, page 260-269 ; ISSN 2190-5991 2190-6009 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2022 |
| المجموعة: | Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: | Background Non‐alcoholic fatty liver disease (NAFLD) and sarcopenia share insulin resistance as a common pathophysiology and have overlapping clinical manifestation of metabolic derangement; hence, it is difficult to differentiate the independent effect of sarcopenia on the development of NAFLD from concomitant metabolic disorders. Using a community‐based prospective cohort study, the contributions of low muscle mass and genetic risk factors to the development of NAFLD and NAFLD‐related hepatic fibrosis were investigated in the Korean population. Methods This prospective community‐based cohort study included 40–70‐year‐old adults, followed up biennially from 2001–2002 to 2017–2018. NAFLD was defined as a hepatic steatosis index of ≥36, and hepatic fibrosis was defined based on the fibrosis‐4 index. Sex‐specific quartiles of body mass index (BMI)‐adjusted muscle mass were calculated (muscle mass/BMI), and low muscle mass was defined as the lowest quartile (Q1). Cox proportional hazard models for incident NAFLD or hepatic fibrosis incorporating age, sex, BMI of ≥25 kg/m 2 , metabolic syndrome and PNPLA3 and TM6SF2 risk alleles were used to assess the independent determinants for incident NAFLD and hepatic fibrosis among individuals with NAFLD at baseline. Results Among the 4038 participants without NAFLD at baseline (mean age, 51.5 ± 8.8 years), 920 (22.8%) developed NAFLD during the 12‐year follow‐up period. As muscle mass decreased, the risk of NAFLD increased even after adjustment for age, sex, obesity, metabolic syndrome and PNPLA3 and TM6SF2 risk alleles [hazard ratio (HR) per quartile, 1.18, 95% confidence interval (CI), 1.11–1.27, P < 0.001]. TM6SF2 also affected the risk of NAFLD development [HR 1.19, (95% CI, 1.00–1.40), P = 0.044]. Of the 1176 patients with NAFLD but without hepatic fibrosis at baseline, the incident of hepatic fibrosis was found in 51.8%, 44.7%, 42.6% and 41.0% in Q1, Q2, Q3 and Q4 of BMI‐adjusted muscle mass, respectively, during the follow‐up period ( P for trend = 0.006). ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1002/jcsm.13125 |
| الاتاحة: | http://dx.doi.org/10.1002/jcsm.13125 https://onlinelibrary.wiley.com/doi/pdf/10.1002/jcsm.13125 https://onlinelibrary.wiley.com/doi/full-xml/10.1002/jcsm.13125 |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.F935F0CB |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/jcsm.13125 |
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