Lee Ethan C Z, Anand Vickram V, Razavi Alex C, Alebna Pamela L, Muthiah Mark D, Siddiqui Mohammad S, Chew Nicholas W S, Mehta Anurag
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.
Curr Cardiol Rep. 2024 Apr;26(4):199-210. doi: 10.1007/s11886-024-02025-6. Epub 2024 Feb 20.
The objective of this manuscript is to examine the current literature on the epidemiology of metabolic dysfunction-associated steatotic liver disease (MASLD), its correlation with cardiovascular disease (CVD) outcomes, as well as to evaluate the update in nomenclature from non-alcoholic liver disease (NAFLD).
The update of diagnostic criteria from NAFLD to MASLD reduces the stigma associated with alcohol consumption and poor health choices. It also shines a light on the crucial role of cardiometabolic risk factors in disease pathophysiology. The incidence and prevalence of MASLD are projected to increase significantly in the future as the population burden of cardiometabolic risk factors rises. MASLD is also a potent risk factor for developing CVD that should be tackled by using a multi-disciplinary team with a holistic approach. As the new nomenclature for metabolic liver disease is adopted on a global scale, more research is needed to investigate the applicability of findings from previous trials focusing on NAFLD. It is anticipated that the epidemic of MASLD will continue to increase globally, hence the urgent need for therapeutic approaches to reverse this trend.
本手稿旨在审视有关代谢功能障碍相关脂肪性肝病(MASLD)流行病学的当前文献,其与心血管疾病(CVD)结局的相关性,以及评估从非酒精性肝病(NAFLD)到新命名法的更新情况。
从NAFLD到MASLD的诊断标准更新减少了与饮酒和不良健康选择相关的污名。它还凸显了心脏代谢危险因素在疾病病理生理学中的关键作用。随着心脏代谢危险因素的人群负担增加,预计未来MASLD的发病率和患病率将显著上升。MASLD也是发生CVD的一个重要危险因素,应通过多学科团队采用整体方法加以应对。随着代谢性肝病新命名法在全球范围内被采用,需要更多研究来调查以往聚焦于NAFLD的试验结果的适用性。预计MASLD的流行在全球范围内将持续增加,因此迫切需要治疗方法来扭转这一趋势。