Evidence map›Paper›PMID 38503277›Full record

ArticleDiabetes & metabolism journal2024

Healthy Lifestyle and the Risk of Metabolic Dysfunction-Associated Fatty Liver Disease: A Large Prospective Cohort Study.

Qing Chang, Yixiao Zhang, Tingjing Zhang, Zuyun Liu, Limin Cao, Qing Zhang, Li Liu, Shaomei Sun, Xing Wang, Ming Zhou and 6 more

Open access · goldAbstract read
In one paragraph

Article in Diabetes & metabolism journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

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  10. Updated mechanisms of MASLD pathogenesis.Lipids in health and disease · 2024
    Review
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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

16 authors at 6 institutions in 1 country.

Qing Chang *Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, China Medical University, Shenyang, China.
Yixiao Zhang *Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, China Medical University, Shenyang, China.
Tingjing ZhangSchool of Public Health, Wannan Medical College, Wuhu, China.
Zuyun LiuDepartment of Big Data in Health Science School of Public Health and Center for Clinical Big Data and Analytics of the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Limin CaoThe Third Central Hospital of Tianjin, Tianjin, China.
Qing ZhangHealth Management Center, Tianjin Medical University General Hospital, Tianjin, China.
Li LiuHealth Management Center, Tianjin Medical University General Hospital, Tianjin, China.
Shaomei SunHealth Management Center, Tianjin Medical University General Hospital, Tianjin, China.
Xing WangHealth Management Center, Tianjin Medical University General Hospital, Tianjin, China.
Ming ZhouHealth Management Center, Tianjin Medical University General Hospital, Tianjin, China.
Qiyu JiaHealth Management Center, Tianjin Medical University General Hospital, Tianjin, China.
Kun SongHealth Management Center, Tianjin Medical University General Hospital, Tianjin, China.
Yang DingDepartment of Infectious Diseases, Shengjing Hospital of China Medical University, China Medical University, Shenyang, China.
Yuhong ZhaoDepartment of Clinical Epidemiology, Shengjing Hospital of China Medical University, China Medical University, Shenyang, China.
Kaijun NiuSchool of Public Health of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Yang XiaDepartment of Clinical Epidemiology, Shengjing Hospital of China Medical University, China Medical University, Shenyang, China.
Tianjin Medical University General Hospital · CNChina Medical University · CNSecond Affiliated Hospital of Zhejiang University · CNTianjin Third Central Hospital · CNTianjin University of Traditional Chinese Medicine · CNWannan Medical College · CN

Funding

China Association for Science and Technology YESS20200151National Natural Science Foundation of China 81673166National Natural Science Foundation of China 81903302National Natural Science Foundation of China 91746205Shengjing Hospital of China Medical University M0294
6 · The paper itself

Abstract

backgruoundThe incidence density of metabolic dysfunction-associated fatty liver disease (MAFLD) and the effect of a healthy lifestyle on the risk of MAFLD remain unknown. We evaluated the prevalence and incidence density of MAFLD and investigated the association between healthy lifestyle and the risk of MAFLD.

methodsA cross-sectional analysis was conducted on 37,422 participants to explore the prevalence of MAFLD. A cohort analysis of 18,964 individuals was conducted to identify the incidence of MAFLD, as well as the association between healthy lifestyle and MAFLD. Cox proportional hazards regression was used to calculate the hazard ratio (HR) and 95% confidence interval (CI) with adjustments for confounding factors.

resultsThe prevalence of MAFLD, non-alcoholic fatty liver disease, and their comorbidities were 30.38%, 28.09%, and 26.13%, respectively. After approximately 70 thousand person-years of follow-up, the incidence densities of the three conditions were 61.03, 55.49, and 51.64 per 1,000 person-years, respectively. Adherence to an overall healthy lifestyle was associated with a 19% decreased risk of MAFLD (HR, 0.81; 95% CI, 0.72 to 0.92), and the effects were modified by baseline age, sex, and body mass index (BMI). Subgroup analyses revealed that younger participants, men, and those with a lower BMI experienced more significant beneficial effects from healthy lifestyle.

conclusionOur results highlight the beneficial effect of adherence to a healthy lifestyle on the prevention of MAFLD. Health management for improving dietary intake, physical activity, and smoking and drinking habits are critical to improving MAFLD.

Indexed as

Healthy LifestyleNon-alcoholic Fatty Liver DiseaseAdultAgedChinaCross-Sectional StudiesFemaleHumansIncidenceMaleMiddle AgedPrevalenceProportional Hazards ModelsProspective StudiesRisk FactorsCross-sectional studiesFollow-up studiesHealthy lifestyleIncidenceNon-alcoholic fatty liver diseasePrevalence

Identifiers

PMID38503277
PMCPMC11449819
OpenAlexW4394758383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.