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血清硒与代谢相关脂肪性肝病及肝纤维化的关联:一项横断面研究。

Association of serum selenium with MASLD and liver fibrosis: A cross-sectional study.

作者信息

Guo Wenying, Weng Ting, Song Yufei

机构信息

Ningbo Medical Center Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China.

出版信息

PLoS One. 2024 Dec 31;19(12):e0314780. doi: 10.1371/journal.pone.0314780. eCollection 2024.

Abstract

BACKGROUND

The evolution of NAFLD, MAFLD, and MASLD underscores significant advancements and nomenclatural shifts in the realm of chronic liver disorders. This study primarily aimed to investigate the possible link between serum selenium levels and the occurrence of MASLD.

METHODS

Utilizing data from NHANES for the years 2017 through 2020, we performed an in-depth analysis. To evaluate the relationship between serum selenium concentrations and the prevalence of MASLD and liver fibrosis, we employed a comprehensive multivariable analysis. This approach accounted for a range of variables to enhance the robustness and reliability of our results by mitigating potential confounding factors.

RESULTS

Through the application of linear regression models, our comprehensive data analysis revealed significant insights. Elevated serum selenium levels exhibited a distinct positive correlation with CAP, whereas an inverse relationship with LSM was observed. Multivariate logistic regression analysis indicated that higher serum selenium concentrations were significantly associated with an increased likelihood of MASLD, alongside a marked reduction in the probability of liver fibrosis.

CONCLUSION

The findings of this study highlight a significant positive association between elevated serum selenium levels, CAP, and the prevalence of MASLD, coupled with an inverse relationship with LSM and liver fibrosis.

摘要

背景

非酒精性脂肪性肝病(NAFLD)、代谢功能障碍相关脂肪性肝病(MAFLD)和代谢相关脂肪性肝病(MASLD)的演变突显了慢性肝病领域的重大进展和命名变化。本研究主要旨在探讨血清硒水平与MASLD发生之间的可能联系。

方法

利用2017年至2020年美国国家健康与营养检查调查(NHANES)的数据,我们进行了深入分析。为了评估血清硒浓度与MASLD患病率和肝纤维化之间的关系,我们采用了全面的多变量分析。这种方法考虑了一系列变量,通过减轻潜在的混杂因素来提高我们结果的稳健性和可靠性。

结果

通过应用线性回归模型,我们的综合数据分析揭示了重要见解。血清硒水平升高与受控衰减参数(CAP)呈明显正相关,而与肝脏硬度值(LSM)呈负相关。多变量逻辑回归分析表明,较高的血清硒浓度与MASLD发生可能性增加显著相关,同时肝纤维化概率显著降低。

结论

本研究结果突出了血清硒水平升高、CAP与MASLD患病率之间的显著正相关,以及与LSM和肝纤维化的负相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57c0/11687858/dfbbc2887bef/pone.0314780.g001.jpg

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