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Adoption of the New Nomenclature of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) by the Indian National Association for Study of the Liver (INASL): Implications for the INASL Guidance Paper on NAFLD.印度国家肝脏研究协会(INASL)采用代谢功能障碍相关脂肪性肝病(MASLD)新命名法:对INASL非酒精性脂肪性肝病指南文件的影响
J Clin Exp Hepatol. 2025 Sep-Oct;15(5):102590. doi: 10.1016/j.jceh.2025.102590. Epub 2025 May 16.
2
Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) in People With Diabetes: The Need for Screening and Early Intervention. A Consensus Report of the American Diabetes Association.糖尿病患者的代谢功能障碍相关脂肪性肝病(MASLD):筛查与早期干预的必要性。美国糖尿病协会共识报告
Diabetes Care. 2025 Jul 1;48(7):1057-1082. doi: 10.2337/dci24-0094.
3
Association of uric acid levels with the development of metabolic dysfunction-associated and metabolic and alcohol-related/associated steatotic liver disease: a study on Japanese participants undergoing health checkups.尿酸水平与代谢功能障碍相关及代谢和酒精相关/伴发的脂肪性肝病发生的关联:一项针对接受健康检查的日本参与者的研究
Endocr J. 2025 Jun 2;72(6):671-687. doi: 10.1507/endocrj.EJ24-0622. Epub 2025 Feb 26.
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Updated recommendations for the management of metabolic dysfunction-associated steatotic liver disease (MASLD) by the Latin American working group.拉丁美洲工作组关于代谢功能障碍相关脂肪性肝病(MASLD)管理的更新建议。
Ann Hepatol. 2025 Mar 13:101903. doi: 10.1016/j.aohep.2025.101903.
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Cause-specific mortality in patients with steatotic liver disease in the United States.美国脂肪性肝病患者的病因特异性死亡率。
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Prevalence of Transaminitis and Metabolic Dysfunction-Associated Steatotic Liver Disease Among Young Indian Adults-A Population-Based Study.印度年轻成年人中转氨酶升高及代谢功能障碍相关脂肪性肝病的患病率——一项基于人群的研究
J Clin Exp Hepatol. 2025 May-Jun;15(3):102466. doi: 10.1016/j.jceh.2024.102466. Epub 2024 Nov 28.
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Modeling the health and economic impact of pharmacologic therapies for MASLD in the United States.模拟美国药物治疗非酒精性脂肪性肝炎相关肝病的健康和经济影响。
J Hepatol. 2025 Jan 18. doi: 10.1016/j.jhep.2025.01.009.
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Silymarin for adults with metabolic dysfunction-associated steatotic liver disease.水飞蓟素用于患有代谢功能障碍相关脂肪性肝病的成年人。
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Metabolic dysfunction-associated steatotic liver disease is associated with the risk of severe liver fibrosis in pediatric population.代谢功能障碍相关脂肪性肝病与儿童人群严重肝纤维化风险相关。
Gastroenterol Rep (Oxf). 2025 Jun 16;13:goaf056. doi: 10.1093/gastro/goaf056. eCollection 2025.

本文引用的文献

1
Substantial overlap between NAFLD and MASLD with comparable disease severity and non-invasive test performance: An analysis of the Indian Consortium on MASLD (ICOM-D) cohort.非酒精性脂肪性肝病(NAFLD)与代谢相关脂肪性肝病(MASLD)之间存在显著重叠,疾病严重程度和非侵入性检测性能相当:对印度MASLD联盟(ICOM-D)队列的分析
J Hepatol. 2024 Oct;81(4):e162-e164. doi: 10.1016/j.jhep.2024.05.027. Epub 2024 May 25.
2
Paediatric steatotic liver disease has unique characteristics: A multisociety statement endorsing the new nomenclature.儿童脂肪性肝病具有独特特征:一份认可新命名法的多学会声明。
J Pediatr Gastroenterol Nutr. 2024 May;78(5):1190-1196. doi: 10.1002/jpn3.12156. Epub 2024 Mar 26.
3
Metabolic dysfunction-associated steatotic liver disease: Update and impact of new nomenclature on the American Association for the Study of Liver Diseases practice guidance on nonalcoholic fatty liver disease.代谢相关脂肪性肝病:新命名对美国肝病研究学会非酒精性脂肪性肝病实践指南的影响及更新。
Hepatology. 2024 May 1;79(5):1212-1219. doi: 10.1097/HEP.0000000000000670. Epub 2023 Nov 9.
4
MASLD screening and diagnostic algorithms are interchangeable with existing NAFLD literature.代谢功能障碍相关脂肪性肝病(MASLD)的筛查和诊断算法与现有的非酒精性脂肪性肝病(NAFLD)文献是可互换的。
J Hepatol. 2024 Feb;80(2):e89-e91. doi: 10.1016/j.jhep.2023.10.032. Epub 2023 Nov 3.
5
Transitioning from NAFLD to MAFLD and MASLD: Consistent prevalence and risk factors in a Chinese cohort.从非酒精性脂肪性肝病向代谢相关脂肪性肝病及代谢相关脂肪性肝炎的转变:中国队列中的一致患病率及危险因素
J Hepatol. 2024 Apr;80(4):e154-e155. doi: 10.1016/j.jhep.2023.09.033. Epub 2023 Oct 10.
6
The influence of different combinations of cardiometabolic risk factors on the prevalence of MASLD and risk of advanced fibrosis deserves attention.心脏代谢危险因素的不同组合对代谢功能障碍相关脂肪性肝病(MASLD)患病率和肝纤维化进展风险的影响值得关注。
J Hepatol. 2024 Feb;80(2):e82-e85. doi: 10.1016/j.jhep.2023.09.030. Epub 2023 Oct 7.
7
Metabolic dysfunction-associated steatotic liver disease: Where does non-alcoholic fatty liver disease in liver transplant recipients fit in this new definition?代谢功能障碍相关脂肪性肝病:肝移植受者中的非酒精性脂肪性肝病在这一新定义中处于什么位置?
J Hepatol. 2024 Feb;80(2):e77-e79. doi: 10.1016/j.jhep.2023.09.009. Epub 2023 Sep 16.
8
99% of patients with NAFLD meet MASLD criteria and natural history is therefore identical.99%的非酒精性脂肪性肝病患者符合代谢功能障碍相关脂肪性肝病标准,因此其自然病史相同。
J Hepatol. 2024 Feb;80(2):e76-e77. doi: 10.1016/j.jhep.2023.08.026. Epub 2023 Sep 9.
9
Changing from NAFLD through MAFLD to MASLD: Similar prevalence and risk factors in a large Brazilian cohort.从非酒精性脂肪性肝病(NAFLD)到代谢相关脂肪性肝病(MAFLD)再到代谢相关脂肪性肝炎(MASLD)的转变:巴西一个大型队列中的相似患病率和风险因素
J Hepatol. 2024 Feb;80(2):e72-e74. doi: 10.1016/j.jhep.2023.08.025. Epub 2023 Sep 9.
10
Metabolic dysfunction-associated steatotic liver disease (MASLD) definition is better than MAFLD criteria for lean patients with NAFLD.对于非酒精性脂肪性肝病(NAFLD)的瘦患者,代谢功能障碍相关脂肪性肝病(MASLD)的定义优于代谢功能障碍相关脂肪性肝病(MAFLD)标准。
J Hepatol. 2024 Feb;80(2):e61-e62. doi: 10.1016/j.jhep.2023.07.031. Epub 2023 Aug 7.

印度国家肝脏研究协会(INASL)采用代谢功能障碍相关脂肪性肝病(MASLD)新命名法:对INASL非酒精性脂肪性肝病指南文件的影响

Adoption of the New Nomenclature of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) by the Indian National Association for Study of the Liver (INASL): Implications for the INASL Guidance Paper on NAFLD.

作者信息

Duseja Ajay, De Arka, Singh Shivaram P, Madan Kaushal, Rao Padaki N, Shukla Akash, Choudhuri Gourdas, Saigal Sanjiv, Arora Anil, Anand Anil C, Das Ashim, Kumar Ashish, Eapen Chundamannil E, Devadas Krishnadas, Shenoy Kotacherry T, Panigrahi Manas, Wadhawan Manav, Rathi Manish, Choudhary Narendra S, Saraf Neeraj, Nath Preetam, Kar Sanjib, Alam Seema, Shah Samir, Nijhawan Sandeep, Acharya Subrat K, Aggarwal Vinayak, Saraswat Vivek A, Chawla Yogesh K

机构信息

Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Digestive Diseases Centre, Cuttack, India.

出版信息

J Clin Exp Hepatol. 2025 Sep-Oct;15(5):102590. doi: 10.1016/j.jceh.2025.102590. Epub 2025 May 16.

DOI:10.1016/j.jceh.2025.102590
PMID:40535844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12173646/
Abstract

The transition from nonalcoholic fatty liver disease (NAFLD) to metabolic dysfunction-associated steatotic liver disease (MASLD) reflects a paradigm shift in hepatology, emphasising metabolic dysfunction as the central driver in patients with MASLD. This inclusive terminology, endorsed by over 70 international organisations including the Indian National Association for Study of the Liver (INASL), reduces stigma of 'fatty and alcohol' and allows the co-existence of other liver disease etiologies along with MASLD. In the present commentary, we discuss the implications of the adoption of new nomenclature of MASLD on the INASL guidance paper on NAFLD, which was published in 2023, before the Delphi consensus on MASLD.

摘要

从非酒精性脂肪性肝病(NAFLD)到代谢功能障碍相关脂肪性肝病(MASLD)的转变反映了肝病学领域的范式转变,强调代谢功能障碍是MASLD患者的核心驱动因素。这一包容性术语得到了包括印度国家肝脏研究协会(INASL)在内的70多个国际组织的认可,减少了“脂肪肝和酒精肝”的污名化,并允许MASLD与其他肝病病因共存。在本评论中,我们讨论了采用MASLD新命名法对INASL于2023年在关于MASLD的德尔菲共识之前发表的NAFLD指导文件的影响。