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维生素 D 不足对代谢功能障碍个体发生脂肪性肝病的作用。

The contribution of vitamin D insufficiency to the onset of steatotic liver disease among individuals with metabolic dysfunction.

机构信息

Department of Pharmacy, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, South Korea.

Department of Research Support, Samsung Changwon Hospital, School of Medicine, Sungkyunkwan University, Changwon, Korea.

出版信息

Sci Rep. 2024 Mar 20;14(1):6714. doi: 10.1038/s41598-024-57380-9.

Abstract

The interplay between fatty liver disease (FLD) and metabolic dysfunction has given rise to the concept of metabolic associated fatty liver disease (MAFLD). With vitamin D insufficiency frequently co-occurring with FLD and linked to metabolic abnormalities, this study investigates the potential role of vitamin D in the development of MAFLD. In this cross-sectional analysis, 22,476 participants with baseline metabolic dysfunction and known serum 25-OH-vitamin D3 levels were examined. The fatty liver index (FLI) was utilized to predict FLD, dividing subjects into MAFLD and non-MAFLD groups. Further stratification by vitamin D levels (sufficient vs. insufficient) and gender provided a detailed assessment through binary logistic regression to determine the association of vitamin D status with MAFLD incidence. Vitamin D insufficiency correlated with a higher MAFLD incidence in metabolically impaired individuals. Post-adjustment, the correlation was stronger (men: aOR = 1.32, 95% CI = 1.22-1.43, P < 0.001; women: aOR = 1.53, 95% CI = 1.18-1.98, P = 0.001). Lower serum 25-OH-vitamin D3 levels were found in MAFLD patients across genders (men: P = 0.003; women: P = 0.014), with a higher prevalence of insufficiency in MAFLD cases (men: P = 0.007; women: P = 0.003). The vitamin D-MAFLD link was stable across subgroups and using varying FLI criteria. Our findings indicate a clear association between vitamin D insufficiency and increased MAFLD incidence, underscoring the potential of vitamin D as an anti-lipogenic and anti-fibrotic agent.

摘要

维生素 D 与代谢相关脂肪性肝病(MAFLD)的关系

脂肪性肝病(FLD)和代谢功能障碍之间的相互作用产生了代谢相关脂肪性肝病(MAFLD)的概念。由于维生素 D 不足常与 FLD 并存,并与代谢异常有关,本研究探讨了维生素 D 在 MAFLD 发展中的潜在作用。在这项横断面分析中,检查了 22476 名基线代谢功能障碍且已知血清 25-OH-维生素 D3 水平的参与者。使用脂肪肝指数(FLI)预测 FLD,将受试者分为 MAFLD 和非 MAFLD 组。根据维生素 D 水平(充足与不足)和性别进一步分层,通过二元逻辑回归进行详细评估,以确定维生素 D 状态与 MAFLD 发生率的关系。维生素 D 不足与代谢受损个体 MAFLD 发生率升高相关。调整后,相关性更强(男性:aOR=1.32,95%CI=1.22-1.43,P<0.001;女性:aOR=1.53,95%CI=1.18-1.98,P=0.001)。无论性别如何,MAFLD 患者的血清 25-OH-维生素 D3 水平均较低(男性:P=0.003;女性:P=0.014),MAFLD 病例中不足的发生率更高(男性:P=0.007;女性:P=0.003)。在亚组和使用不同 FLI 标准时,维生素 D-MAFLD 之间的联系都是稳定的。我们的研究结果表明,维生素 D 不足与 MAFLD 发生率增加之间存在明确的关联,这突显了维生素 D 作为一种抗脂肪生成和抗纤维化剂的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df2/10954610/998ed127455e/41598_2024_57380_Fig1_HTML.jpg

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