Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Internal Medicine, Min-Sheng General Hospital, Taoyuan; Cardiovascular Center, National Taiwan University Hospital, Taipei, Taiwan.
Clin Mol Hepatol. 2024 Jan;30(1):16-36. doi: 10.3350/cmh.2023.0315. Epub 2023 Oct 4.
Metabolic dysfunction-associated fatty liver disease (MAFLD) is an increasingly common liver disease worldwide. MAFLD is diagnosed based on the presence of steatosis on images, histological findings, or serum marker levels as well as the presence of at least one of the three metabolic features: overweight/obesity, type 2 diabetes mellitus, and metabolic risk factors. MAFLD is not only a liver disease but also a factor contributing to or related to cardiovascular diseases (CVD), which is the major etiology responsible for morbidity and mortality in patients with MAFLD. Hence, understanding the association between MAFLD and CVD, surveillance and risk stratification of MAFLD in patients with CVD, and assessment of the current status of MAFLD management are urgent requirements for both hepatologists and cardiologists. This Taiwan position statement reviews the literature and provides suggestions regarding the epidemiology, etiology, risk factors, risk stratification, nonpharmacological interventions, and potential drug treatments of MAFLD, focusing on its association with CVD.
代谢相关性脂肪性肝病(MAFLD)是一种在全球范围内日益常见的肝脏疾病。MAFLD 的诊断基于影像学、组织学发现或血清标志物水平存在脂肪变性,以及至少存在以下三种代谢特征之一:超重/肥胖、2 型糖尿病和代谢危险因素。MAFLD 不仅是一种肝脏疾病,也是导致或与心血管疾病(CVD)相关的一个因素,这是 MAFLD 患者发病率和死亡率的主要病因。因此,了解 MAFLD 与 CVD 的关联、对 CVD 患者的 MAFLD 进行监测和风险分层,以及评估 MAFLD 管理的现状,是肝病学家和心脏病学家的迫切需求。本台湾立场声明回顾了文献,并就 MAFLD 的流行病学、病因、危险因素、风险分层、非药物干预以及潜在的药物治疗提供了建议,重点关注其与 CVD 的关联。