Choi Yong Jun, Park Jooheon, Cho Han-Ik, Shin Myung Geun, Nah Eun-Hee
Department of Laboratory Medicine, Chonnam National University Hwasun Hospital, Hwasun 58128, Republic of Korea.
MEDIcheck LAB, Korea Association of Health Promotion, Seoul 07572, Republic of Korea.
Metabolites. 2025 Apr 30;15(5):299. doi: 10.3390/metabo15050299.
: Metabolic dysfunction-associated steatotic liver disease (MASLD) represents a contemporary classification of liver disease linked to metabolic dysfunction. It is recognized as the main form of chronic liver disease and significantly contributes to liver-related morbidity and mortality rates. The epidemiology of MASLD is affected by ethnic background, sex, age, and environmental factors. South Korea is one of the countries that has experienced rapid urbanization. Geographical differences also play a crucial role in the prevalence and progression of the disease. Consequently, it is essential to investigate the prevalence of MASLD; its associated risk factors, particularly in relation to liver fibrosis; and the effectiveness of non-invasive screening techniques within the Korean population. : This review describes the prevalence of MASLD, the risk factors related to MASLD with liver fibrosis, and the non-invasive screening approaches suitable for the Korean general population. : This review underscores the rising incidence and implications of MASLD in South Korea. Notably, among younger demographics, there is a swift increase in both the prevalence of MASLD and its associated risk factors, indicating that MASLD is poised to become a significant public health concern. Non-invasive testing methods are increasingly utilized within at-risk groups to determine the presence of advanced fibrosis. : Addressing these complex liver diseases necessitates not only ongoing monitoring of MASLD epidemiological patterns but also a unified approach to care that integrates medical interventions with lifestyle changes.
代谢功能障碍相关脂肪性肝病(MASLD)是一种与代谢功能障碍相关的当代肝病分类。它被认为是慢性肝病的主要形式,对肝脏相关的发病率和死亡率有显著影响。MASLD的流行病学受种族背景、性别、年龄和环境因素影响。韩国是经历快速城市化的国家之一。地理差异在该疾病的患病率和进展中也起着关键作用。因此,调查MASLD在韩国人群中的患病率、其相关危险因素,特别是与肝纤维化相关的因素,以及非侵入性筛查技术的有效性至关重要。
本综述描述了MASLD的患病率、与伴有肝纤维化的MASLD相关的危险因素,以及适用于韩国普通人群的非侵入性筛查方法。
本综述强调了MASLD在韩国发病率的上升及其影响。值得注意的是,在较年轻人群中,MASLD的患病率及其相关危险因素都迅速增加,这表明MASLD即将成为一个重大的公共卫生问题。在高危人群中越来越多地使用非侵入性检测方法来确定是否存在晚期纤维化。
应对这些复杂的肝脏疾病不仅需要持续监测MASLD的流行病学模式,还需要一种将医疗干预与生活方式改变相结合的统一护理方法。