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生物衰老与非酒精性脂肪性肝病患病率的关联:一项基于人群的研究。

Association of biological aging and the prevalence of nonalcoholic fatty liver disease: a population-based study.

作者信息

Liu Gang, Mao Qingsong, Tian Xinling, Zhang Chenwei, Zhang Yukai, He Jiarong, Kong Yuzhe

机构信息

Department of Infection Control, International School of Medicine, The Fourth Affiliated Hospital of School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.

Hepatobiliary Pancreatic Surgery, Banan Hospital Affiliated of Chongqing Medical University, Chongqing, China.

出版信息

BMC Gastroenterol. 2025 May 13;25(1):368. doi: 10.1186/s12876-025-03955-3.

Abstract

PURPOSE

To examine the relationship between biological aging and the prevalence of NAFLD.

METHOD

We used the recommended sampling weights to account for the complex survey design of NHANES. The analysis, utilizing data from 2005 to 2016, aimed to investigate the impact of biological aging on NAFLD prevalence using various statistical methods. A restricted cubic spline (RCS) model was applied to explore the dose-response relationship, while logistic regression examined linear associations. The robustness of the association across different subgroups was also tested.

RESULT

The study included 2786 participants. We found significant associations between NAFLD and the following biological aging metrics: AL score (OR (95%CI) = 1.1932 (1.0597 ~ 1.3435), P = 0.0035), HD (OR (95%CI) = 1.2092 (1.0565 ~ 1.3839), P = 0.0058), and PA (OR (95%CI) = 1.7564 (1.1949 ~ 2.5818), P = 0.0042). All biological aging metrics were identified as independent predictors. PA was most associated with the prevalence of NAFLD. The associations persisted across most subgroups.

CONCLUSION

The prevalence of NAFLD was associated with biological aging, emphasizing the importance of addressing potential health risks related to aging.

摘要

目的

研究生物衰老与非酒精性脂肪性肝病(NAFLD)患病率之间的关系。

方法

我们使用推荐的抽样权重来考虑美国国家健康与营养检查调查(NHANES)的复杂调查设计。利用2005年至2016年的数据进行分析,旨在通过各种统计方法研究生物衰老对NAFLD患病率的影响。应用受限立方样条(RCS)模型来探索剂量反应关系,同时使用逻辑回归分析线性关联。还测试了不同亚组间关联的稳健性。

结果

该研究纳入了2786名参与者。我们发现NAFLD与以下生物衰老指标之间存在显著关联:AL评分(比值比(95%置信区间)=1.1932(1.05971.3435),P=0.0035)、HD(比值比(95%置信区间)=1.2092(1.05651.3839),P=0.0058)和PA(比值比(95%置信区间)=1.7564(1.1949~2.5818),P=0.0042)。所有生物衰老指标均被确定为独立预测因素。PA与NAFLD患病率的关联最为密切。这些关联在大多数亚组中都持续存在。

结论

NAFLD的患病率与生物衰老相关,强调了应对与衰老相关潜在健康风险的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9141/12070789/827a19b7a636/12876_2025_3955_Fig1_HTML.jpg

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