Evidence map›Paper›PMID 40518766›Full record

ArticleJournal of internal medicine2025

Evaluating the prevalence and severity of metabolic dysfunction-associated steatotic liver disease in patients with type 2 diabetes mellitus in primary care.

Wile Balkhed, Martin Bergram, Fredrik Iredahl, Markus Holmberg, Carl Edin, Carl-Johan Carlhäll, Tino Ebbers, Pontus Henriksson, Christian Simonsson, Karin Rådholm and 9 more

Abstract read
In one paragraph

Article in Journal of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Article
  5. Review
  6. Article
  7. Effect of Hormone Replacement Therapy on Liver and Cardiometabolic Outcomes in Peri-Menopausal MASLD.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
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  14. Observational
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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

19 authors.

Wile BalkhedDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-4223-8968
Martin BergramDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0001-8524-1900
Fredrik IredahlPrimary Health Care Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-4245-7565
Markus HolmbergDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Carl EdinDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0001-5063-654X
Carl-Johan CarlhällDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-2198-9690
Tino EbbersDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-1395-8296
Pontus HenrikssonDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-2482-7048
Christian SimonssonDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Karin RådholmPrimary Health Care Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-3120-0913
Gunnar CedersundDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0001-9386-0568
Mikael ForsgrenDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-4630-6550
Olof Dahlqvist LeinhardDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-6189-0807
Cecilia JönssonDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-0981-0264
Peter LundbergCenter for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0001-8661-2232
Stergios KechagiasDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0001-7614-739X
Nils DahlströmCenter for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-4111-1693
Patrik NasrDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-2928-4188
Mattias EkstedtDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-5590-8601

Funding

Bengt Ihres Foundation SLS-959713Gilead SciencesKnut och Alice Wallenbergs StiftelseMag-TarmFonden, Swedish Gastroenterology SocietyRegion Östergötland 919161Region Östergötland 965260Region Östergötland 987498Ruth och Richard Julins Stiftelse 2024-00262Svenska Läkaresällskapet SLS-960199Svenska Läkaresällskapet SLS-960925VetenskapsrådetWallenberg Centre for Molecular and Translational Medicine
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) has increased during the epidemic of obesity. Type 2 diabetes mellitus (T2DM) is associated with progressive MASLD. Therefore, many guidelines recommend screening for MASLD in patients with T2DM. Most studies in patients with MASLD have been conducted in specialist care. We investigated the prevalence and severity of MASLD in patients with T2DM from primary care.

methodsPatients with T2DM were prospectively included from primary care facilities to undergo transient elastography with controlled attenuation parameter and whole-body magnetic resonance imaging (MRI) to assess liver fat, cardiac function, muscle composition, and distribution of body fat.

resultsAmong 308 participants, 59% had MASLD, 7% had suspected advanced fibrosis (transient elastography ≥ 10 kPa), and 1.9% had cirrhosis. The mean age was 63.9 ± 8.1 years; 37% were female, with no differences between the MASLD and the non-MASLD groups. Participants with MASLD had greater body mass index (31.1 ± 4.4 vs. 27.4 ± 4.1 kg/m

conclusionsIn this cohort of primary care patients with T2DM, 59% had MASLD, and 7% had suspected advanced fibrosis. Obesity was a strong predictor of fibrotic MASLD. MASLD was associated with alterations to the left ventricle and increased deposition of ectopic fat.

Indexed as

Diabetes Mellitus, Type 2Fatty LiverAgedBody Mass IndexElasticity Imaging TechniquesFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedObesityPrevalencePrimary Health CareProspective StudiesSeverity of Illness IndexfibrosisMASLDmyosteatosisobesityprimary caresarcopeniaType 2 diabetes mellitus

Identifiers

PMID40518766
PMCPMC12374761

What OpenQuestion holds

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Registered trials

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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.