Evidence map›Paper›PMID 32801014›Full record

ArticleClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2021

Associations Between Reproductive and Hormone-Related Factors and Risk of Nonalcoholic Fatty Liver Disease in a Multiethnic Population.

Jun Wang, Anna H Wu, Frank Z Stanczyk, Jacqueline Porcel, Mazen Noureddin, Norah A Terrault, Lynne R Wilkens, Veronica Wendy Setiawan

Open access · greenAbstract read
In one paragraph

Article in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Review
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  7. Review
  8. Sex Hormones and Metabolic Dysfunction-Associated Steatotic Liver Disease.International journal of molecular sciences · 2025
    Review
  9. Article
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  11. Review
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  13. Article
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  15. [Analysis of non-alcoholic fatty liver disease differences from metabolic dysfunction-associated fatty liver disease based on clinical features].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Article
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  18. 17β-Estradiol (EAntioxidants (Basel, Switzerland) · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Jun WangDepartment of Preventive Medicine; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.
Anna H WuDepartment of Preventive Medicine; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California.
Frank Z StanczykDepartment of Preventive Medicine; Department of Obstetrics and Gynecology.
Jacqueline PorcelDepartment of Preventive Medicine.
Mazen NoureddinDivision of Gastroenterology and Hepatology, Department of Medicine, Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, California.
Norah A TerraultDivision of Gastrointestinal and Liver Diseases, Department of Medicine, Keck School of Medicine.
Lynne R WilkensEpidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii.
Veronica Wendy SetiawanDepartment of Preventive Medicine; Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California. Electronic address: vsetiawa@usc.edu.
University of Southern California · USCedars-Sinai Medical Center · USGeneral Department of Preventive Medicine · VNUniversity of Hawaiʻi at Mānoa · US

Funding

University of Hawaii Cancer Center CCSGP30CA071789 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI GERTRAUD MASKARINEC · 1996 to 2026
$56.2M
Understanding Population Differences in Cancer: The MEC StudyU01CA164973 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI HAIMAN, CHRISTOPHER ALAN, LE MARCHAND, LOIC · 2015 to 2025
$37.4M
Understanding the Determinants of Racial/Ethnic Disparities in Liver Cancer and Chronic Liver Disease in Understudied and High-Risk PopulationsR01CA228589 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SETIAWAN, VERONICA WENDY · 2018 to 2021
$1.8M
NCI NIH HHS P30 CA071789NCI NIH HHS R01 CA228589NCI NIH HHS U01 CA164973
6 · The paper itself

Abstract

BACKGROUND &

aimsDespite apparent differences between men and women in the prevalence and incidence of nonalcoholic fatty liver disease (NAFLD), there are limited epidemiologic data regarding the associations of reproductive and hormone-related factors with NAFLD. We examined the associations of these factors and exogenous hormone use with NAFLD risk in African American, Japanese American, Latino, Native Hawaiian, and white women.

methodsWe conducted a nested case-control study (1861 cases and 17,664 controls) in the Multiethnic Cohort Study. NAFLD cases were identified using Medicare claims data; controls were selected among participants without liver disease and individually matched to cases by birth year, ethnicity, and length of Medicare enrollment. Reproductive and hormone-related factors and covariates were obtained from the baseline questionnaire. Multivariable logistic regression was used to calculate odds ratios (ORs) and 95% CIs.

resultsLater age at menarche was associated inversely with NAFLD (P

conclusionsFindings from a large multiethnic study support the concept that menstrual and reproductive factors, as well as the use of exogenous hormones, are associated with the risk of NAFLD.

Indexed as

Non-alcoholic Fatty Liver DiseaseAgedCase-Control StudiesChildCohort StudiesFemaleHormonesHumansMaleMedicarePregnancyRisk FactorsUnited StatesHormonesBirth ControlNASHSteatosisWorldwide

Identifiers

PMID32801014
PMCPMC7878579
OpenAlexW3048712397

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.