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代谢相关脂肪性肝病与心血管风险及疾病预防。

Metabolic dysfunction-associated fatty liver disease and implications for cardiovascular risk and disease prevention.

机构信息

Department of Cardiovascular Medicine, the Heart Center, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Department of Cardiology, the Third Xiangya Hospital, Central South University, Changsha, China.

出版信息

Cardiovasc Diabetol. 2022 Dec 3;21(1):270. doi: 10.1186/s12933-022-01697-0.


DOI:10.1186/s12933-022-01697-0
PMID:36463192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9719631/
Abstract

The newly proposed term "metabolic dysfunction-associated fatty liver disease" (MAFLD) is replacing the old term "non-alcoholic fatty liver disease" (NAFLD) in many global regions, because it better reflects the pathophysiology and cardiometabolic implications of this common liver disease. The proposed change in terminology from NAFLD to MAFLD is not simply a single-letter change in an acronym, since MAFLD is defined by a set of specific and positive diagnostic criteria. In particular, the MAFLD definition specifically incorporates within the classification recognized cardiovascular risk factors. Although convincing evidence supports a significant association between both NAFLD and MAFLD, with increased risk of CVD morbidity and mortality, neither NAFLD nor MAFLD have received sufficient attention from the Cardiology community. In fact, there is a paucity of scientific guidelines focusing on this common and burdensome liver disease from cardiovascular professional societies. This Perspective article discusses the rationale and clinical relevance for Cardiologists of the newly proposed MAFLD definition.

摘要

新提出的术语“代谢相关脂肪性肝病”(MAFLD)正在取代许多全球区域中旧的术语“非酒精性脂肪性肝病”(NAFLD),因为它更好地反映了这种常见肝脏疾病的病理生理学和心脏代谢影响。从 NAFLD 到 MAFLD 的术语变化不仅仅是缩写中的单个字母变化,因为 MAFLD 是由一套特定的阳性诊断标准定义的。具体来说,MAFLD 的定义特别纳入了公认的心血管危险因素分类。尽管有令人信服的证据支持 NAFLD 和 MAFLD 之间存在显著关联,并且心血管疾病发病率和死亡率的风险增加,但心血管医学领域并未充分关注 NAFLD 或 MAFLD。事实上,心血管专业学会针对这种常见且负担沉重的肝脏疾病的科学指南非常少。本文观点讨论了新提出的 MAFLD 定义对心脏病专家的基本原理和临床相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/c6c5e5b3d65e/12933_2022_1697_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/b98967088385/12933_2022_1697_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/09f596d61e7b/12933_2022_1697_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/3e1c37eaa2c8/12933_2022_1697_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/b5bf7976ca8c/12933_2022_1697_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/3c216765db6f/12933_2022_1697_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/c6c5e5b3d65e/12933_2022_1697_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/b98967088385/12933_2022_1697_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/09f596d61e7b/12933_2022_1697_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/3e1c37eaa2c8/12933_2022_1697_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/b5bf7976ca8c/12933_2022_1697_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/3c216765db6f/12933_2022_1697_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b0/9719631/c6c5e5b3d65e/12933_2022_1697_Fig6_HTML.jpg

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引用本文的文献

[1]
Bile acids for metabolic dysfunction-associated steatotic liver disease in adults.

Cochrane Database Syst Rev. 2025-9-2

[2]
Metabolic Dysfunction-Associated Steatotic Liver Disease: A Silent Driver of Cardiovascular Risk and a New Target for Intervention.

Int J Mol Sci. 2025-8-21

[3]
Development and validation of a non-invasive prediction model for identifying high-risk children with metabolic dysfunction-associated fatty liver disease.

Front Pediatr. 2025-8-6

[4]
Electrocardiographic P-Wave Indices in Metabolic Dysfunction-Associated Fatty Liver Disease and Their Relationship to Hepatic Fibrosis Risk.

J Clin Med. 2025-7-1

[5]
Metabolic dysfunction-associated fatty liver disease (MAFLD) in the adult population attending a health check-up program in Thailand: prevalence and fibrosis status.

Sci Rep. 2025-7-1

[6]
Comparative association between NAFLD and MAFLD with cardiovascular events and mortality: Evidence from observational studies.

PLoS One. 2025-6-13

[7]
The Maternal and Fetal Consequences of Metabolic Dysfunction-Associated Fatty Liver Disease and Gestational Diabetes Mellitus.

Nutrients. 2025-5-20

[8]
Unraveling the Metabolic Pathways Between Metabolic-Associated Fatty Liver Disease (MAFLD) and Sarcopenia.

Int J Mol Sci. 2025-5-14

[9]
Hallmarks of Cancer Cachexia: Sexual Dimorphism in Related Pathways.

Int J Mol Sci. 2025-4-22

[10]
Hidden in the Fat: Unpacking the Metabolic Tango Between Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Syndrome.

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本文引用的文献

[1]
Comparative effects of non-alcoholic fatty liver disease and metabolic dysfunction-associated fatty liver disease on risk of incident cardiovascular events: a meta-analysis of about 13 million individuals.

Gut. 2023-7

[2]
Promoting the term MAFLD: China in action.

Lancet Gastroenterol Hepatol. 2022-7

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A new risk stratification strategy for fatty liver disease by incorporating MAFLD and fibrosis score in a large US population.

Hepatol Int. 2022-8

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Hepatology. 2022-12

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Impact of metabolic syndrome and metabolic dysfunction-associated fatty liver disease on cardiovascular risk by the presence or absence of type 2 diabetes and according to sex.

Cardiovasc Diabetol. 2022-6-2

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MAFLD Predicts the Risk of Cardiovascular Disease Better than NAFLD in Asymptomatic Subjects with Health Check-Ups.

Dig Dis Sci. 2022-10

[7]
American Association of Clinical Endocrinology Clinical Practice Guideline for the Diagnosis and Management of Nonalcoholic Fatty Liver Disease in Primary Care and Endocrinology Clinical Settings: Co-Sponsored by the American Association for the Study of Liver Diseases (AASLD).

Endocr Pract. 2022-5

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Lancet. 2022-5-14

[9]
The transition from NAFLD to MAFLD: One size still does not fit all-Time for a tailored approach?

Hepatology. 2022-11

[10]
SGLT-2 inhibitors and GLP-1 receptor agonists in metabolic dysfunction-associated fatty liver disease.

Trends Endocrinol Metab. 2022-6

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