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Comparison of NAFLD, MAFLD and MASLD characteristics and mortality outcomes in United States adults.

作者信息

Song Rui, Li Zhao, Zhang Yingzhi, Tan Jiahe, Chen Zhiwei

机构信息

Key Laboratory of Molecular Biology for Infectious Diseases (Ministry of Education), Institute for Viral Hepatitis, Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Gastroenterology, The Seventh People's Hospital of Chongqing, Chongqing, China.

出版信息

Liver Int. 2024 Apr;44(4):1051-1060. doi: 10.1111/liv.15856. Epub 2024 Jan 31.


DOI:10.1111/liv.15856
PMID:38293788
Abstract

BACKGROUND & AIMS: Following the classification of metabolic dysfunction-associated fatty liver disease (MAFLD), non-alcoholic fatty liver disease (NAFLD) has recently been redefined again as metabolic dysfunction-associated steatotic liver disease (MASLD). However, the distinctions in characteristics and mortality outcomes between NAFLD, MAFLD and MASLD remain unclear. METHODS: We analysed data from 7519 participants in the third National Health and Nutrition Examination Surveys of United States (US) and their linked mortality until 2019. Survey weight-adjusted multivariable Cox proportional model was used to study the mortality over three terms. RESULTS: The prevalence of NAFLD, MAFLD and MASLD was 18.5%, 19.3% and 20.8%, respectively. Most individuals with NAFLD (94.5%) or MAFLD (100%) can be classified as MASLD, while a relatively low percentage of those with MASLD were also diagnosed with either NAFLD (84.1%) or MAFLD (92.7%). During a median follow-up of 26.9 years, both MAFLD and MASLD were associated with increased risk of all-cause mortality (adjusted hazard ratio [aHR] 1.18, 95% CI 1.04-1.33 and 1.19, 1.06-1.34, respectively), this association was mainly observed in NAFLD-/MASLD+ subgroups. NAFLD was not associated with all-cause mortality. However, all three terms were associated with an increased risk of all-cause mortality in individuals with advanced fibrosis (aHR: 1.71-1.81). Subgroup analyses showed that higher risk of all-cause mortality for both MAFLD and MASLD were observed among older adults (≥65 year), non-Hispanic whites and those without diabetes. CONCLUSIONS: Both MASLD and MALFD were linked to higher all-cause mortality risk, but MASLD identified a greater number of individuals compared to MAFLD.

摘要

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引用本文的文献

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J Int Med Res. 2025-8

[2]
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World J Hepatol. 2025-7-27

[3]
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Immunotargets Ther. 2025-7-11

[4]
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Medicine (Baltimore). 2025-7-11

[5]
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World J Gastroenterol. 2025-6-28

[6]
Pan-immune-inflammation value and mortality in the US adult MASLD: a nonlinear NHANES analysis.

BMC Gastroenterol. 2025-7-1

[7]
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[8]
Metabolic dysfunction-associated steatotic liver disease is associated with the risk of severe liver fibrosis in pediatric population.

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[9]
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[10]
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