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中国人群中与代谢相关脂肪性肝病(MASLD)相关的代谢和肝脏生物标志物。

Metabolic and hepatic biomarkers associated with MASLD in the Chinese population.

作者信息

Chen Hua, Chen Zexu, Bai Xinyan, Li Zhaohua, Huang Songqi, Lu Dawei, Li Jue, Wang Yunfei, Han Lu, Xia Kun, Huang Shuqiong

机构信息

Xiamen Key Laboratory for TCM Dampness Disease, Neurology & Immunology Research, Department of Traditional Chinese Medicine, Xiang'an Hospital, School of Medicine, Xiamen University, Xiamen, Fujian, People's Republic of China.

Ping An Healthcare Diagnostics Center, Xiamen, Fujian, People's Republic of China.

出版信息

Sci Rep. 2025 Aug 27;15(1):31593. doi: 10.1038/s41598-025-17219-3.

Abstract

Metabolic dysfunction-associated steatotic liver disease (MASLD) has become the most prevalent chronic liver disease globally, imposing significant economic burdens. In this study, we analyzed serum indicators-including ALT, AST, De-Ritis ratio, fasting blood glucose (FBG), lipid profiles, and blood pressure-among 162,699 Chinese individuals from Ping An Healthcare Diagnostics Center, stratified by gender, age, and weight. Comparative analysis revealed significant differences in these biomarkers between MASLD and Normal groups, enabling the identification of markers associated with MASLD subhealth. The overall MASLD prevalence was 36.57% (23.96% in men and 12.61% in women). Notable discrepancies were observed for ALT, De-Ritis ratio, triglycerides, and HDL-C across all groups, with AST, FBG, blood pressure, TC, and LDL-C differing significantly in most groups. Our findings highlight the association of some critical metabolic and hepatic biomarkers with MASLD, underscoring the imperative need for enhanced monitoring of metabolic health indicators. This approach may facilitate the identification of individuals at risk for MASLD in the Chinese population, paving the way for timely interventions.

摘要

代谢功能障碍相关脂肪性肝病(MASLD)已成为全球最普遍的慢性肝病,带来了巨大的经济负担。在本研究中,我们分析了来自平安健康医疗检测中心的162,699名中国个体的血清指标,包括谷丙转氨酶(ALT)、谷草转氨酶(AST)、德瑞蒂斯比值、空腹血糖(FBG)、血脂谱和血压,并按性别、年龄和体重进行分层。比较分析显示,MASLD组与正常组之间这些生物标志物存在显著差异,从而能够识别与MASLD亚健康相关的标志物。MASLD的总体患病率为36.57%(男性为23.96%,女性为12.61%)。在所有组中,ALT、德瑞蒂斯比值、甘油三酯和高密度脂蛋白胆固醇(HDL-C)均存在显著差异,在大多数组中,AST、FBG、血压、总胆固醇(TC)和低密度脂蛋白胆固醇(LDL-C)也有显著差异。我们的研究结果突出了一些关键代谢和肝脏生物标志物与MASLD的关联,强调了加强对代谢健康指标监测的迫切需求。这种方法可能有助于在中国人群中识别出有MASLD风险的个体,为及时干预铺平道路。

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