Evidence map›Paper›PMID 40605557›Full record

ArticleUnited European gastroenterology journal2025

The Rising Global Burden of MASLD and Other Metabolic Diseases (2000-2021).

Pojsakorn Danpanichkul, Kanokphong Suparan, Luis Antonio Diaz, Michael B Fallon, Vincent L Chen, Kornnatthanai Namsathimaphorn, Krittameth Rakwong, Torlap Inkongngam, Chuthathip Kaeosri, Markos Kalligeros and 14 more

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Steatotic liver disease in Latin America: current views and perspectives.Nature reviews. Gastroenterology & hepatology · 2026
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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

24 authors.

Pojsakorn DanpanichkulDepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.ORCID https://orcid.org/0000-0002-9121-165X
Kanokphong SuparanImmunology Unit, Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Luis Antonio DiazMASLD Research Center, Division of Gastroenterology and Hepatology, University of California San Diego, San Diego, California, USA.
Michael B FallonDivision of Gastroenterology and Hepatology, Department of Medicine, University of Arizona College of Medicine, Phoenix, Arizona, USA.
Vincent L ChenDivision of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Kornnatthanai NamsathimaphornFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Krittameth RakwongFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Torlap InkongngamFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Chuthathip KaeosriFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Markos KalligerosDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Phuuwadith WattanachayakulDepartment of Medicine, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania, USA.
Cheng Han NgDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.
Hirokazu TakahashiDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University, Saga, Japan.
Daniel Q HuangDivision of Gastroenterology and Hepatology, Department of Medicine, National University Health System, Singapore, Singapore.
Mark D MuthiahDivision of Gastroenterology and Hepatology, Department of Medicine, National University Health System, Singapore, Singapore.ORCID https://orcid.org/0000-0002-9724-4743
Juan Pablo ArabDepartamento de Gastroenterologia, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-8561-396X
Donghee KimDivision of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA.
Trenton M WhiteBarcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain.
Mazen NoureddinHouston Research Institute and Houston Methodist Hospital, Houston, Texas, USA.
Elisabetta BugianesiDivision of Gastroenterology and Hepatology, Department of Medical Sciences, University of Turin, Turin, Italy.
Peter JepsenDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Vincent W S WongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Jeffrey V LazarusBarcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0001-9618-2299
Karn WijarnpreechaDivision of Gastroenterology and Hepatology, Department of Medicine, University of Arizona College of Medicine, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-6232-6343

Funding

Generalitat de Catalunya through the CERCA ProgrammeMCIN/AEI/10.13039/501100011033 CEX2023-0001290-S
6 · The paper itself

Abstract

backgroundMetabolic diseases are a public health threat to diverse populations worldwide. This study aims to update the epidemiological trends of metabolic diseases across regions and sociodemographic stratifications using the Global Burden of Diseases Study 2021.

methodsThis study focused on metabolic dysfunction-associated steatotic liver disease (MASLD) and type 2 diabetes mellitus (T2DM) along with obesity, hypertension, and dyslipidemia. The prevalence and disability-adjusted life years (DALYs) with their age-standardised prevalence rate and DALYs (ASPR and ASDALYs) and uncertainty intervals (UIs) were estimated and stratified by sex, geography, and the Sociodemographic Index (SDI). Epidemiological trends were analysed using the Joinpoint Regression method, which calculated the annual percent change (APC) and confidence intervals (CIs) of age-standardised rates (ASRs) from 2000 to 2021.

resultsIn 2021, MASLD had a prevalence of 1.27 billion people (ASPR: 15,018.07, 95% UI: 13,756.47 to 16,361.44; ASDALYs: 42.40, 95% UI: 33.60 to 53.31), while T2DM had a prevalence of 0.51 billion people (ASPR: 5885.40, 95% UI: 5467.62 to 6334.18; ASDALYs: 871.78, 95% UI: 735.05 to 1044.78) worldwide. ASPRs of MASLD and T2DM increased over the 2 decades. ASDALYs decreased over time for dyslipidemia (APC: -1.43%, 95% CI: -1.58 to -1.27%) and hypertension (APC: -1.32%, 95% CI: -1.43 to -1.21%) but increased for T2DM (APC: 1.09%, 95% CI: 1.04 to 1.14%) and obesity (APC: 0.70%, 95% CI: 0.63 to 0.78%), while it remained stable for MASLD. The global burden of metabolic diseases was generally higher in males compared to females. The highest ASDALYs for all these metabolic diseases were observed in low-middle SDI countries.

conclusionThe global burden of MASLD and other metabolic diseases is substantial. National and global policies must better address metabolic diseases including the MASLD public health threat.

Indexed as

Diabetes Mellitus, Type 2Global Burden of DiseaseMetabolic DiseasesNon-alcoholic Fatty Liver DiseaseAdultAgedDisability-Adjusted Life YearsDyslipidemiasFemaleGlobal HealthHumansHypertensionMaleMiddle AgedObesityPrevalencedyslipidemiaepidemiologyglobal healthhypertensionliver diseaseMASHMASLDnon‐alcoholic fatty liver disease (NAFLD)obesitytype 2 diabetes

Identifiers

PMID40605557
PMCPMC12463718

What OpenQuestion holds

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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.