Evidence map›Paper›PMID 42876771›Full record

ArticleFrontiers in nutrition2026

Associations of metabolic dysfunction-associated steatotic liver disease and significant fibrosis phenotypes with glomerular hyperfiltration defined by indexed eGFR.

Wen Tian, Jiameng Wang, Xueling Xu, Qiang Li, Ya Zheng, Hong Lu

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Wen TianThe First Clinical Medical College, Lanzhou University, Lanzhou, China.
Jiameng WangThe First Clinical Medical College, Lanzhou University, Lanzhou, China.
Xueling XuThe First Clinical Medical College, Lanzhou University, Lanzhou, China.
Qiang LiDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China.
Ya ZhengDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China.
Hong LuDepartment of Gastroenterology, The First Hospital of Lanzhou University, Lanzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To examine associations of metabolic dysfunction-associated steatotic liver disease (MASLD) and significant fibrosis with glomerular hyperfiltration (GHF) defined from indexed estimated glomerular filtration rate (eGFR), accounting for body size. Methods: We analyzed 9,140 NHANES participants and 721 adults from a Chinese clinical study. Liver phenotypes were G1 (no steatosis/no significant fibrosis), G2 (MASLD without significant fibrosis), and G3 (MASLD with significant fibrosis). Primary GHF was indexed eGFR above the survey-weighted age- and sex-specific 95th percentile of a low-risk NHANES reference, applied unchanged to both studies. BMI-adjusted Model 3 was central; metabolic adjustment and alternative GHF definitions were sensitivity analyses. Results: In NHANES Model 3, G2 and G3 had higher odds of GHF than G1 (OR 2.19, 95% CI 1.57-3.07; OR 2.46, 1.51-4.00), whereas G3 did not differ from G2 (OR 1.12, 0.74-1.70). In the identical fasting subsample, further metabolic adjustment attenuated G2 and G3 versus G1 (OR 1.94 and 2.08), while G3 versus G2 remained near the null. In China, G2 versus G1 was null, whereas G3 had higher odds than G1 and G2; however, G3 included only 29 participants and 8 events. NHANES findings were generally robust to indexed P90, age/sex/BSA-residual, and de-indexed sensitivity definitions. Conclusion: In NHANES, MASLD phenotypes were associated with higher odds of GHF after accounting for body size, whereas significant fibrosis showed no clear incremental association beyond MASLD. The fibrosis-related association observed in the Chinese clinical study should be interpreted cautiously because of the small G3 subgroup and cross-population differences in GHF calibration. Prospective studies using measured GFR are needed to clarify the temporal and prognostic significance of GHF in MASLD.

Indexed as

body surface areaestimated glomerular filtration rateglomerular hyperfiltrationliver fibrosismetabolic dysfunction-associated steatotic liver disease

Identifiers

PMID42876771
PMCPMC13661452

What OpenQuestion holds

Textmetadata
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.