Evidence map›Paper›PMID 40597710›Full record

ArticleBMC gastroenterology2025

Association of serum lactate dehydrogenase levels with non-alcoholic fatty liver disease and advanced hepatic fibrosis in the United States: a cross-sectional study using NHANES data from 2007 to 2018.

Xiaotong Zhang, Min Liu, Junjun Huang, Ya Zheng, Yuping Wang, Yongning Zhou

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. U-Shaped Relationship Between Serum Lactate Dehydrogenase With Diabetic Lower Extremity Ulcers Among Diabetic Patients Aged ≥ 40 Years in NHANES.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Article
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

6 authors.

Xiaotong ZhangThe First Clinical Medical College, Lanzhou University, Lanzhou, Gansu, 730000, China.
Min LiuDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, China.
Junjun HuangThe Department of Science and Technology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, China.
Ya ZhengDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, China. zhengya10@126.com.
Yuping WangDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, China.
Yongning ZhouDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730000, China. zhouyn@lzu.edu.cn.

Funding

Gansu Province Higher Education Project for Teaching Achievement Cultivation 202314-16Lanzhou Science and Technology Program 2023-1-19Medical Innovation and Development Project of Lanzhou University lzuyxcx-2022-41The Natural Science Foundation of Gansu Province 23JRRA0939
6 · The paper itself

Abstract

backgroundThe associations between LDH and non-alcoholic fatty liver disease (NAFLD), as well as advanced hepatic fibrosis (AHF), have not been explored. This study aims to investigate the association between log-transformed LDH levels and the prevalence of NAFLD and AHF.

methodsIn this cross-sectional study, after applying specific criteria for inclusion and exclusion, a total of 7,316 individuals were chosen from the 59,842 participants for the final analysis. LDH levels were measured using an enzymatic rate method. A fatty liver index (FLI) greater than or equal to 60 and an NAFLD fibrosis score (NFS) higher than 0.676 were found to be indicative of hepatic steatosis and advanced hepatic fibrosis. Both weighted multivariable linear and logistic regression analyses were used to finish the study. Moreover, additional analyses were performed utilizing weighted stratified analysis and weighted smoothed curve fitting using the generalized additive model (GAM).

resultsFollowing data analysis, the multivariable regression model 3 showed a significant association between the elevated log-transformed LDH levels and AHF (OR: 3.087, 95% CI: 1.378-6.915, P = 0.007). Furthermore, a modest association was observed between log-transformed LDH tertiles and FLI (β

conclusionsThis study indicates that elevated log-transformed LDH levels are associated with an increased prevalence of AHF in our study population. However, the cross-sectional study analysis cannot prove causality, which requires further cohort studies or mechanistic studies to elucidate the precise mechanisms and root causes.

Indexed as

Liver CirrhosisL-Lactate DehydrogenaseNon-alcoholic Fatty Liver DiseaseAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysPrevalenceUnited StatesL-Lactate DehydrogenaseBiomarkerCross-sectional analysisLactate dehydrogenaseNAFLDNHANES

Identifiers

PMID40597710
PMCPMC12210684

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LicenceCC BY-NC-ND
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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.