Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis

Background/Aims: To investigate the risk of metabolic syndrome and fatty liver diseases in gastric cancer survivors compared to non-cancer subjects. Methods: The data from the health screening registry of the Gangnam Severance Hospital from 2014–2019 was used. Ninety-one gastric cancer survivors an...

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Main Authors: Sang Jo Han, Su Jung Baik, Young Hoon Yoon, Jie Hyun Kim, Hye Sun Lee, Soyoung Jeon, Hyojin Park
Format: Article
Language:English
Published: Jin Publishing & Printing Co. 2023-04-01
Series:The Korean Journal of Gastroenterology
Subjects:
Online Access:https://www.kjg.or.kr/journal/view.html?uid=5905&vmd=Full
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author Sang Jo Han
Su Jung Baik
Young Hoon Yoon
Jie Hyun Kim
Hye Sun Lee
Soyoung Jeon
Hyojin Park
author_facet Sang Jo Han
Su Jung Baik
Young Hoon Yoon
Jie Hyun Kim
Hye Sun Lee
Soyoung Jeon
Hyojin Park
author_sort Sang Jo Han
collection DOAJ
description Background/Aims: To investigate the risk of metabolic syndrome and fatty liver diseases in gastric cancer survivors compared to non-cancer subjects. Methods: The data from the health screening registry of the Gangnam Severance Hospital from 2014–2019 was used. Ninety-one gastric cancer survivors and a propensity-score-matching 445 non-cancer subjects were analyzed. Gastric cancer survivors were divided into those with surgical treatment (OpGC, n=66) and non-surgical treatment (non-OpGC, n=25). Metabolic syndrome, fatty liver by ultrasonography, and metabolic dysfunction-associated fatty liver disease (MAFLD) were assessed. Results: Metabolic syndrome was in 15.4% of gastric cancer survivors (OpGC; 13.6%, non-OpGC; 20.0%). Fatty liver by ultrasonography was in 35.2% in gastric cancer survivors (OpGC; 30.3%, non-OpGC: 48.0%). MAFLD was in 27.5% of gastric cancer survivor (OpGC; 21.2%, non-OpGC; 44.0%). After adjusting for age, sex, smoking, and alcohol, the risk of metabolic syndrome was lower in OpGC than in non-cancer subjects (OR, 0.372; 95% CI, 0.176-0.786, p=0.010). After adjusting, OpGC showed lower risks of fatty liver by ultrasonography (OR, 0.545; 95% CI, 0.306-0.970, p=0.039) and MAFLD (OR, 0.375; 95% CI, 0.197-0.711, p=0.003) than did non-cancer subjects. There were no significant differences in the risks of metabolic syndrome and fatty liver diseases between non-OpGC and non-cancer subjects. Conclusions: OpGC showed lower risks of metabolic syndrome, fatty liver by ultrasonography, and MAFLD than non-cancer subjects, but there were no significant differences in the risks between non-OpGC and non-cancer subjects. Further studies on metabolic syndrome and fatty liver diseases in gastric cancer survivors are warranted.
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spelling doaj.art-934bb4d6978741e683b02d8838af94242024-03-12T08:01:27ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922233-68692023-04-0181415416210.4166/kjg.2022.113Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched AnalysisSang Jo Han0Su Jung Baik1Young Hoon Yoon2Jie Hyun Kim3Hye Sun Lee4Soyoung Jeon5Hyojin Park6https://orcid.org/0000-0003-4814-8330Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaHealthcare Research Team, Health Promotion Center, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaBiostatistics Collaboration Unit, Medical Research Center, Yonsei University College of Medicine, Seoul, KoreaBiostatistics Collaboration Unit, Medical Research Center, Yonsei University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaBackground/Aims: To investigate the risk of metabolic syndrome and fatty liver diseases in gastric cancer survivors compared to non-cancer subjects. Methods: The data from the health screening registry of the Gangnam Severance Hospital from 2014–2019 was used. Ninety-one gastric cancer survivors and a propensity-score-matching 445 non-cancer subjects were analyzed. Gastric cancer survivors were divided into those with surgical treatment (OpGC, n=66) and non-surgical treatment (non-OpGC, n=25). Metabolic syndrome, fatty liver by ultrasonography, and metabolic dysfunction-associated fatty liver disease (MAFLD) were assessed. Results: Metabolic syndrome was in 15.4% of gastric cancer survivors (OpGC; 13.6%, non-OpGC; 20.0%). Fatty liver by ultrasonography was in 35.2% in gastric cancer survivors (OpGC; 30.3%, non-OpGC: 48.0%). MAFLD was in 27.5% of gastric cancer survivor (OpGC; 21.2%, non-OpGC; 44.0%). After adjusting for age, sex, smoking, and alcohol, the risk of metabolic syndrome was lower in OpGC than in non-cancer subjects (OR, 0.372; 95% CI, 0.176-0.786, p=0.010). After adjusting, OpGC showed lower risks of fatty liver by ultrasonography (OR, 0.545; 95% CI, 0.306-0.970, p=0.039) and MAFLD (OR, 0.375; 95% CI, 0.197-0.711, p=0.003) than did non-cancer subjects. There were no significant differences in the risks of metabolic syndrome and fatty liver diseases between non-OpGC and non-cancer subjects. Conclusions: OpGC showed lower risks of metabolic syndrome, fatty liver by ultrasonography, and MAFLD than non-cancer subjects, but there were no significant differences in the risks between non-OpGC and non-cancer subjects. Further studies on metabolic syndrome and fatty liver diseases in gastric cancer survivors are warranted.https://www.kjg.or.kr/journal/view.html?uid=5905&vmd=Fullcancer survivorsstomach neoplasmsmetabolic syndromefatty liver
spellingShingle Sang Jo Han
Su Jung Baik
Young Hoon Yoon
Jie Hyun Kim
Hye Sun Lee
Soyoung Jeon
Hyojin Park
Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis
The Korean Journal of Gastroenterology
cancer survivors
stomach neoplasms
metabolic syndrome
fatty liver
title Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis
title_full Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis
title_fullStr Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis
title_full_unstemmed Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis
title_short Risk of Metabolic Syndrome and Fatty Liver Diseases in Gastric Cancer Survivors: A Propensity Score-Matched Analysis
title_sort risk of metabolic syndrome and fatty liver diseases in gastric cancer survivors a propensity score matched analysis
topic cancer survivors
stomach neoplasms
metabolic syndrome
fatty liver
url https://www.kjg.or.kr/journal/view.html?uid=5905&vmd=Full
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