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酒精与代谢相关脂肪性肝病

Alcohol and Metabolic-associated Fatty Liver Disease.

作者信息

Sun Fu-Rong, Wang Bing-Yuan

机构信息

Department of Elderly Gastroenterology, The First Hospital of China Medical University, Shenyang, Liaoning, China.

出版信息

J Clin Transl Hepatol. 2021 Oct 28;9(5):719-730. doi: 10.14218/JCTH.2021.00173. Epub 2021 Jul 19.

Abstract

The diagnosis of metabolic-associated fatty liver disease is based on the detection of liver steatosis together with the presence of metabolic dysfunction. According to this new definition, the diagnosis of metabolic-associated fatty liver disease is independent of the amount of alcohol consumed. Actually, alcohol and its metabolites have various effects on metabolic-associated abnormalities during the process of alcohol metabolism. Studies have shown improved metabolic function in light to moderate alcohol drinkers. There are several studies focusing on the role of light to moderate alcohol intake on metabolic dysfunction. However, the results from studies are diverse, and the conclusions are often controversial. This review systematically discusses the effects of alcohol consumption, focusing on light to moderate alcohol consumption, obesity, lipid and glucose metabolism, and blood pressure.

摘要

代谢相关脂肪性肝病的诊断基于肝脂肪变性的检测以及代谢功能障碍的存在。根据这一新定义,代谢相关脂肪性肝病的诊断与酒精摄入量无关。实际上,酒精及其代谢产物在酒精代谢过程中对代谢相关异常有多种影响。研究表明,轻度至中度饮酒者的代谢功能有所改善。有几项研究关注轻度至中度饮酒对代谢功能障碍的作用。然而,研究结果各不相同,结论往往存在争议。本综述系统地讨论了饮酒的影响,重点是轻度至中度饮酒、肥胖、脂质和葡萄糖代谢以及血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16b2/8516839/bddaaaedb5b0/JCTH-9-719-g001.jpg

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