Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.

It has been suggested that small intestinal bacterial overgrowth (SIBO) could cause nonalcoholic fatty liver disease (NAFLD), but this association was not examined in children by meta-analysis. This meta-analysis aimed to determine the association between SIBO and NAFLD in children. The electronic d...

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Main Authors: Linghan Kuang, Wei Zhou, Yongmei Jiang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0260479
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author Linghan Kuang
Wei Zhou
Yongmei Jiang
author_facet Linghan Kuang
Wei Zhou
Yongmei Jiang
author_sort Linghan Kuang
collection DOAJ
description It has been suggested that small intestinal bacterial overgrowth (SIBO) could cause nonalcoholic fatty liver disease (NAFLD), but this association was not examined in children by meta-analysis. This meta-analysis aimed to determine the association between SIBO and NAFLD in children. The electronic databases PubMed, Embase, and Cochrane Library were searched for studies published before April 22, 2021. The outcome was the association between SIBO and NAFLD. Three studies and 205 children were included. All three studies reported the association between SIBO and NAFLD. Children with SIBO were more likely to have NAFLD (odds ratio = 5.27, 95% confidence interval (CI): 1.66-16.68, P<0.001; I2 = 63.5%, Pheterogeneity = 0.065). When directly pooling the reported relative risks (RR) from two studies, children with NAFLD had an over 2-fold increased relative risk of developing SIBO (RR = 2.17, 05%CI: 1.66-2.82, P<0.001; I2 = 0.0%, Pheterogeneity = 0.837). This meta-analysis reports a possible association between SIBO and NAFLD in children.
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spelling doaj.art-b2ab4d04f07e4cd4bc3aaa983171a7da2022-12-21T21:21:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011612e026047910.1371/journal.pone.0260479Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.Linghan KuangWei ZhouYongmei JiangIt has been suggested that small intestinal bacterial overgrowth (SIBO) could cause nonalcoholic fatty liver disease (NAFLD), but this association was not examined in children by meta-analysis. This meta-analysis aimed to determine the association between SIBO and NAFLD in children. The electronic databases PubMed, Embase, and Cochrane Library were searched for studies published before April 22, 2021. The outcome was the association between SIBO and NAFLD. Three studies and 205 children were included. All three studies reported the association between SIBO and NAFLD. Children with SIBO were more likely to have NAFLD (odds ratio = 5.27, 95% confidence interval (CI): 1.66-16.68, P<0.001; I2 = 63.5%, Pheterogeneity = 0.065). When directly pooling the reported relative risks (RR) from two studies, children with NAFLD had an over 2-fold increased relative risk of developing SIBO (RR = 2.17, 05%CI: 1.66-2.82, P<0.001; I2 = 0.0%, Pheterogeneity = 0.837). This meta-analysis reports a possible association between SIBO and NAFLD in children.https://doi.org/10.1371/journal.pone.0260479
spellingShingle Linghan Kuang
Wei Zhou
Yongmei Jiang
Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.
PLoS ONE
title Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.
title_full Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.
title_fullStr Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.
title_full_unstemmed Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.
title_short Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis.
title_sort association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children a meta analysis
url https://doi.org/10.1371/journal.pone.0260479
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