Evidence map›Paper›PMID 36194337›Full record

ArticleHepatology international2023

Metabolic dysfunction-associated fatty liver disease and liver function markers are associated with Crohn's disease but not Ulcerative Colitis: a prospective cohort study.

Jie Chen, Lintao Dan, Xinru Tu, Yuhao Sun, Minzi Deng, Xuejie Chen, Therese Hesketh, Ran Li, Xiaoyan Wang, Xue Li

Open access · hybridAbstract read
In one paragraph

Article in Hepatology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  10. Effect of dietary supplementation withFrontiers in veterinary science · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Jie Chen *Department of Big Data in Health Science, Center of Clinical Big Data and Analytics of the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lintao Dan *Centre for Global Health, Zhejiang University, Hangzhou, China.
Xinru TuCentre for Global Health, Zhejiang University, Hangzhou, China.
Yuhao SunCentre for Global Health, Zhejiang University, Hangzhou, China.
Minzi DengDepartment of Gastroenterology, The Third Xiangya Hospital of Central South University, Changsha, China.
Xuejie ChenDepartment of Gastroenterology, The Third Xiangya Hospital of Central South University, Changsha, China.
Therese HeskethCentre for Global Health, Zhejiang University, Hangzhou, China.
Ran LiCentre for Global Health, Zhejiang University, Hangzhou, China. ranli38@zju.edu.cn.
Xiaoyan WangDepartment of Gastroenterology, The Third Xiangya Hospital of Central South University, Changsha, China. wangxiaoyan@csu.edu.cn.ORCID http://orcid.org/0000-0002-7281-1078
Xue LiDepartment of Big Data in Health Science, Center of Clinical Big Data and Analytics of the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. xueli157@zju.edu.cn.
Central South University · CNZhejiang University · CNUniversity College London · GBCentre for Global Health Research · CA

Funding

Key Project of Research and Development Plan of Hunan Province 2019SK2041Medical Research Council MC_PC_17228Medical Research Council MC_QA137853National Natural Science Foundation of China 81970494Natural Science Fund for Distinguished Young Scholars of Zhejiang Province LR22H260001
6 · The paper itself

Abstract

backgroundMetabolic dysfunction-associated fatty liver disease (MAFLD) is recently recognized as a condition featured with metabolic dysfunctions in liver. It has been supposed that MAFLD might contribute to the development of IBD, but evidence from prospective cohort studies is lacking and inconclusive.

methodsA total of 221,546 females and 183,867 males from the UK Biobank cohort enrolled in 2006-2010 were included to examine whether MAFLD and liver function markers were related to incident IBD. MAFLD was identified based on hepatic steatosis defined by fatty liver index plus the prevalence of overweight, type 2 diabetes mellitus, or at least two metabolic abnormalities. Biomarker related to liver function (albumin [ALB], alkaline phosphatase [ALP], alanine transaminase [ALT], aspartate transaminase [AST]; gamma-glutamyl transferase [GGT], total bilirubin [TB], total protein [TP]) was measured using colorimetric or enzymatic assays. The incidence of IBD was ascertained based on primary care and inpatient records. Cox proportional hazard model was used to estimate hazard ratios (HRs) with 95% confidence intervals (CI) for the magnitude of their associations.

resultsWith a mean follow-up of 12.1 years, 2228 incident IBD cases were documented. We identified 150,385 individuals with MAFLD at baseline and 86% participants' circulating liver function markers were within the normal range. Participants with MAFLD were associated with a 12% (HR 1.12, 95% CI 1.03, 1.23, p = 0.012) increased risk of IBD compared with those without MAFLD at baseline; the association was stronger (p-

conclusionsIndividuals with MAFLD were at increased risk of developing IBD, especially CD, but not UC. Circulating levels of liver function biomarkers as the surrogate indicators of MAFLD were also associated with IBD risk.

Indexed as

Colitis, UlcerativeCrohn DiseaseDiabetes Mellitus, Type 2Non-alcoholic Fatty Liver DiseaseAlkaline PhosphataseBiomarkersFemalegamma-GlutamyltransferaseHumansMaleProspective StudiesRisk FactorsAlkaline PhosphataseBiomarkersgamma-GlutamyltransferaseCDCohort studyIBDInflammatory bowel diseaseLiver function biomarkersMAFLDMetabolic dysfunction-associated fatty liver diseaseSurvival analysisUCUK Biobank

Identifiers

PMID36194337
PMCPMC9895026
OpenAlexW4301391649

What OpenQuestion holds

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LicenceCC BY
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.