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循环脂肪细胞因子网膜素水平与非酒精性脂肪性肝病的关系:系统评价和荟萃分析。

The Association between Circulating Adipocytokine Omentin Levels and Nonalcoholic Fatty Liver Disease: A Systematic Review and Meta-analysis.

机构信息

Mashhad Transplant Research Center, Clinical Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran.

Division of Medical Education, Brighton & Sussex Medical School, Brighton, UK.

出版信息

Curr Mol Med. 2024;24(11):1374-1381. doi: 10.2174/1566524023666230913105910.

Abstract

BACKGROUND

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver condition worldwide. NAFLD is often associated with features of Metabolic Syndrome such as obesity and insulin resistance.

METHODS

The current comprehensive meta-analysis was performed to evaluate the association between circulating Omentin levels and NAFLD. A systematic search in Scopus, Web of Science, PubMed, and Google Scholar databases was conducted to identify relevant studies up until 5th May 2022. The standard mean difference (SMD) values and 95% confidence intervals (CIs) were computed for the association of Omentin levels with NAFLD risk in a random effect model.

RESULTS

The meta-analysis involved 6 case-control studies with a total of 371 cases and 269 controls. Pooled SMD showed no significant difference in serum Omentin between NAFLD and healthy groups (SMD= -0.047 and 95% CI -0.957_0.862 P=0.91). Subgroup analysis based on sample size showed that the average Omentin levels were significantly higher in NAFLD patients in studies with sample size ≥70 (SMD=0.356 CI 0.056_0.655 P=0.02).

CONCLUSION

Additional well-designed studies with more sample sizes are essential to clarify the potential role of Omentin as a risk marker of NAFLD.

摘要

背景

非酒精性脂肪性肝病(NAFLD)是全球最常见的慢性肝病。NAFLD 常伴有代谢综合征的特征,如肥胖和胰岛素抵抗。

方法

目前进行了全面的荟萃分析,以评估循环网膜素水平与 NAFLD 之间的关系。在 Scopus、Web of Science、PubMed 和 Google Scholar 数据库中进行了系统搜索,以确定截至 2022 年 5 月 5 日的相关研究。使用随机效应模型计算网膜素水平与 NAFLD 风险之间关联的标准化均数差(SMD)值和 95%置信区间(CI)。

结果

荟萃分析共纳入 6 项病例对照研究,共 371 例病例和 269 例对照。汇总 SMD 显示,NAFLD 组与健康组血清网膜素水平无显著差异(SMD=-0.047,95%CI-0.957_0.862,P=0.91)。基于样本量的亚组分析显示,在样本量≥70 的研究中,NAFLD 患者的平均网膜素水平显著较高(SMD=0.356,CI 0.056_0.655,P=0.02)。

结论

需要更多样本量的精心设计的研究来阐明网膜素作为 NAFLD 风险标志物的潜在作用。

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