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非酒精性脂肪性肝病(NAFLD)患者中肌肉减少症的超声征象与血清铁蛋白水平及NFS和FIB-4等肝脏指标的相关性。

Association of ultrasound signs of sarcopenia with serum ferritin levels and hepatic indices like NFS and FIB-4 in NAFLD patients.

作者信息

Arasteh Bahar, Hamzehzadeh Sina, Toutounchi Kia Seyed, Nikniaz Zeinab, Amini Leila, Alizadeh Leila

机构信息

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Gastroenterol. 2025 Apr 15;25(1):261. doi: 10.1186/s12876-025-03773-7.

Abstract

INTRODUCTION

Non-alcoholic fatty liver disease is one of the most common chronic diseases all around the world, which significantly correlates with metabolic disorders and inflammatory cycles. Sarcopenia is a decrease in the mass of skeletal muscles interacting with factors such as inflammatory processes and chronic diseases. It can also lead to the aggravation of chronic diseases.

METHOD

The study population was randomly selected and entered into the research based on exclusion and inclusion criteria. Non-alcoholic fatty liver disease was confirmed in all members of the study population by ultrasound. Patients' serum ferritin level was assessed, and their NFS and Fib 4 scores were calculated. Sarcopenia was diagnosed by measuring the thickness of the rectus femoris by ultrasonography. The correlation between these variables was evaluated and analyzed by statistical software.

RESULTS

According to statistical analysis, there is a significant association between the serum ferritin level and sarcopenia (P-value < 0.001). Besides, there is a significant association between NFS, Fib4, and sarcopenia (P-value = 0.024, 0.000).

CONCLUSION

This research's results reflect the correlation between serum ferritin and sarcopenia; however, it cannot conclude a cause-and-effect relationship between these variables.

摘要

引言

非酒精性脂肪性肝病是全球最常见的慢性病之一,与代谢紊乱和炎症循环密切相关。肌肉减少症是指骨骼肌质量减少,与炎症过程和慢性病等因素相互作用。它还会导致慢性病加重。

方法

根据排除和纳入标准随机选择研究人群并纳入研究。通过超声检查确认研究人群所有成员均患有非酒精性脂肪性肝病。评估患者血清铁蛋白水平,并计算其NFS和Fib 4评分。通过超声测量股直肌厚度来诊断肌肉减少症。使用统计软件评估和分析这些变量之间的相关性。

结果

根据统计分析,血清铁蛋白水平与肌肉减少症之间存在显著关联(P值<0.001)。此外,NFS、Fib4与肌肉减少症之间存在显著关联(P值分别为0.024、0.000)。

结论

本研究结果反映了血清铁蛋白与肌肉减少症之间的相关性;然而,无法得出这些变量之间的因果关系。

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本文引用的文献

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Interaction between sarcopenia and nonalcoholic fatty liver disease.肌少症与非酒精性脂肪性肝病的相互作用。
Clin Mol Hepatol. 2023 Feb;29(Suppl):S68-S78. doi: 10.3350/cmh.2022.0358. Epub 2022 Dec 5.
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