Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort Study
Qing-Xia Wang,1 Jiao Xue,1 Mei-Jie Shi,2 Yu-Bao Xie,2 Huan-Ming Xiao,2 Sheng Li,2 Ming Lin,2 Xiao-Ling Chi2 1The Second School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, People’s Republic of China; 2Department of Hepatology, The Second Affiliated Hospital of Guangzhou...
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Dove Medical Press
2022-08-01
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| Series: | Diabetes, Metabolic Syndrome and Obesity |
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| Online Access: | https://www.dovepress.com/association-between-metabolic-dysfunction-associated-fatty-liver-disea-peer-reviewed-fulltext-article-DMSO |
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| author | Wang QX Xue J Shi MJ Xie YB Xiao HM Li S Lin M Chi XL |
| author_facet | Wang QX Xue J Shi MJ Xie YB Xiao HM Li S Lin M Chi XL |
| author_sort | Wang QX |
| collection | DOAJ |
| description | Qing-Xia Wang,1 Jiao Xue,1 Mei-Jie Shi,2 Yu-Bao Xie,2 Huan-Ming Xiao,2 Sheng Li,2 Ming Lin,2 Xiao-Ling Chi2 1The Second School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, People’s Republic of China; 2Department of Hepatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, People’s Republic of ChinaCorrespondence: Xiao-Ling Chi, Department of Hepatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, People’s Republic of China, Tel +86+39318398, Fax +86-020-81867705, Email chixiaolingqh@163.comBackground: Metabolic dysfunction-associated fatty liver disease (MAFLD) is a novel proposed concept that is being recognized worldwide. Both chronic hepatitis B (CHB) and MAFLD have been independently attributed to an increased risk of disease development to cirrhosis. However, it is still unclear whether MAFLD is associated with an increased risk of cirrhosis in CHB patients.Aim: This study aimed to analyze the impact of MAFLD on the risk of cirrhosis in CHB patients.Methods: In this retrospective cohort study, consecutive CHB patients with or without MAFLD were enrolled from January 1st, 2007, to May 1st, 2020, in Guangdong Provincial Hospital of Chinese Medicine. Inverse probability treatment weighting (IPTW) was performed to balance the covariates across groups. The weighted Kaplan–Meier analysis and Cox regression analysis were used to compare both groups for the risk of cirrhosis.Results: A total of 1223 CHB patients were included in this study during the median follow-up of 5.25 years; of these patients, 355 were CHB-MAFLD patients. After IPTW, the weighted Kaplan–Meier analysis showed that the weighted cumulative incidence of cirrhosis was significantly higher in patients with MAFLD than that in patients without MAFLD (12.6% versus 7.1%, P=0.015). In the weighted multivariate Cox analysis, coexisting MAFLD was related to an increased risk of cirrhosis [adjusted weighted hazard ratio (HR) 1.790; P =0.020]. Age (> 40 years, adjusted weighted HR, 1.950; P=0.015), diabetes mellitus (adjusted weighted HR, 1.883; P=0.041), non-antiviral treatment (adjusted weighted HR, 2.037; P=0.013), and baseline serum HBV DNA levels (> 2.4 log10 IU/mL, adjusted weighted HR, 1.756; P=0.045) were significant risk factors for cirrhosis.Conclusion: We found that MAFLD was associated with a higher risk of cirrhosis in CHB patients.Keywords: chronic hepatitis B, metabolic dysfunction-associated fatty liver disease, hepatic steatosis, cirrhosis |
| first_indexed | 2024-03-12T18:28:05Z |
| format | Article |
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| language | English |
| last_indexed | 2024-03-12T18:28:05Z |
| publishDate | 2022-08-01 |
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| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj.art-75e31fb30b24453282e13223a21154c32023-08-02T08:26:41ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072022-08-01Volume 152311232277010Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort StudyWang QXXue JShi MJXie YBXiao HMLi SLin MChi XLQing-Xia Wang,1 Jiao Xue,1 Mei-Jie Shi,2 Yu-Bao Xie,2 Huan-Ming Xiao,2 Sheng Li,2 Ming Lin,2 Xiao-Ling Chi2 1The Second School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, People’s Republic of China; 2Department of Hepatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, People’s Republic of ChinaCorrespondence: Xiao-Ling Chi, Department of Hepatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, People’s Republic of China, Tel +86+39318398, Fax +86-020-81867705, Email chixiaolingqh@163.comBackground: Metabolic dysfunction-associated fatty liver disease (MAFLD) is a novel proposed concept that is being recognized worldwide. Both chronic hepatitis B (CHB) and MAFLD have been independently attributed to an increased risk of disease development to cirrhosis. However, it is still unclear whether MAFLD is associated with an increased risk of cirrhosis in CHB patients.Aim: This study aimed to analyze the impact of MAFLD on the risk of cirrhosis in CHB patients.Methods: In this retrospective cohort study, consecutive CHB patients with or without MAFLD were enrolled from January 1st, 2007, to May 1st, 2020, in Guangdong Provincial Hospital of Chinese Medicine. Inverse probability treatment weighting (IPTW) was performed to balance the covariates across groups. The weighted Kaplan–Meier analysis and Cox regression analysis were used to compare both groups for the risk of cirrhosis.Results: A total of 1223 CHB patients were included in this study during the median follow-up of 5.25 years; of these patients, 355 were CHB-MAFLD patients. After IPTW, the weighted Kaplan–Meier analysis showed that the weighted cumulative incidence of cirrhosis was significantly higher in patients with MAFLD than that in patients without MAFLD (12.6% versus 7.1%, P=0.015). In the weighted multivariate Cox analysis, coexisting MAFLD was related to an increased risk of cirrhosis [adjusted weighted hazard ratio (HR) 1.790; P =0.020]. Age (> 40 years, adjusted weighted HR, 1.950; P=0.015), diabetes mellitus (adjusted weighted HR, 1.883; P=0.041), non-antiviral treatment (adjusted weighted HR, 2.037; P=0.013), and baseline serum HBV DNA levels (> 2.4 log10 IU/mL, adjusted weighted HR, 1.756; P=0.045) were significant risk factors for cirrhosis.Conclusion: We found that MAFLD was associated with a higher risk of cirrhosis in CHB patients.Keywords: chronic hepatitis B, metabolic dysfunction-associated fatty liver disease, hepatic steatosis, cirrhosishttps://www.dovepress.com/association-between-metabolic-dysfunction-associated-fatty-liver-disea-peer-reviewed-fulltext-article-DMSOchronic hepatitis bmetabolic dysfunction-associated fatty liver diseasehepatic steatosiscirrhosis |
| spellingShingle | Wang QX Xue J Shi MJ Xie YB Xiao HM Li S Lin M Chi XL Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort Study Diabetes, Metabolic Syndrome and Obesity chronic hepatitis b metabolic dysfunction-associated fatty liver disease hepatic steatosis cirrhosis |
| title | Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort Study |
| title_full | Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort Study |
| title_fullStr | Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort Study |
| title_full_unstemmed | Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort Study |
| title_short | Association Between Metabolic Dysfunction-Associated Fatty Liver Disease and the Risk of Cirrhosis in Patients with Chronic Hepatitis B—A Retrospective Cohort Study |
| title_sort | association between metabolic dysfunction associated fatty liver disease and the risk of cirrhosis in patients with chronic hepatitis b mdash a retrospective cohort study |
| topic | chronic hepatitis b metabolic dysfunction-associated fatty liver disease hepatic steatosis cirrhosis |
| url | https://www.dovepress.com/association-between-metabolic-dysfunction-associated-fatty-liver-disea-peer-reviewed-fulltext-article-DMSO |
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