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논문 기본 정보

자료유형
학술저널
저자정보
Qing Chang (China Medical University) Yixiao Zhang (China Medical University) Tingjing Zhang (Wannan Medical College) Zuyun Liu (Zhejiang University School of Medicine) Limin Cao (The Third Central Hospital of Tianjin) Qing Zhang (Tianjin Medical University General Hospital) Li Liu (Tianjin Medical University General Hospital) Shaomei Sun (Tianjin Medical University General Hospital) Xing Wang (Tianjin Medical University General Hospital) Ming Zhou (Tianjin Medical University General Hospital) Qiyu Jia (Tianjin Medical University General Hospital) Kun Song (Tianjin Medical University General Hospital) Yang Ding (China Medical University) Yuhong Zhao (China Medical University) Kaijun Niu (School of Public Health of Tianjin University of Traditional Chinese Medicine) Yang Xia (China Medical University)
저널정보
대한당뇨병학회 Diabetes and Metabolism Journal Diabetes and Metabolism Journal Vol.48 No.5
발행연도
2024.9
수록면
971 - 982 (12page)
DOI
10.4093/dmj.2023.0133

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Background: The incidence density of metabolic dysfunction-associated fatty liver disease (MAFLD) and the effect of a healthy lifestyle on the risk of MAFLD remain unknown. We evaluated the prevalence and incidence density of MAFLD and investigated the association between healthy lifestyle and the risk of MAFLD.Methods: A cross-sectional analysis was conducted on 37,422 participants to explore the prevalence of MAFLD. A cohort analysis of 18,964 individuals was conducted to identify the incidence of MAFLD, as well as the association between healthy lifestyle and MAFLD. Cox proportional hazards regression was used to calculate the hazard ratio (HR) and 95% confidence interval (CI) with adjustments for confounding factors.Results: The prevalence of MAFLD, non-alcoholic fatty liver disease, and their comorbidities were 30.38%, 28.09%, and 26.13%, respectively. After approximately 70 thousand person-years of follow-up, the incidence densities of the three conditions were 61.03, 55.49, and 51.64 per 1,000 person-years, respectively. Adherence to an overall healthy lifestyle was associated with a 19% decreased risk of MAFLD (HR, 0.81; 95% CI, 0.72 to 0.92), and the effects were modified by baseline age, sex, and body mass index (BMI). Subgroup analyses revealed that younger participants, men, and those with a lower BMI experienced more significant beneficial effects from healthy lifestyle.Conclusion: Our results highlight the beneficial effect of adherence to a healthy lifestyle on the prevention of MAFLD. Health management for improving dietary intake, physical activity, and smoking and drinking habits are critical to improving MAFLD.

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