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Risk of cardiovascular disease in patients with fatty liver disease as defined from the metabolic dysfunction associated fatty liver disease or nonalcoholic fatty liver disease point of view: a retrospective nationwide claims database study in Japan

Journal of gastroenterology, 2021-11, Vol.56 (11), p.1022-1032 [Peer Reviewed Journal]

The Author(s) 2021 ;2021. The Author(s). ;COPYRIGHT 2021 Springer ;The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 0944-1174 ;EISSN: 1435-5922 ;DOI: 10.1007/s00535-021-01828-6 ;PMID: 34601620

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Title:
Risk of cardiovascular disease in patients with fatty liver disease as defined from the metabolic dysfunction associated fatty liver disease or nonalcoholic fatty liver disease point of view: a retrospective nationwide claims database study in Japan
Author: Yoneda, Masato ; Yamamoto, Takuma ; Honda, Yasushi ; Imajo, Kento ; Ogawa, Yuji ; Kessoku, Takaomi ; Kobayashi, Takashi ; Nogami, Asako ; Higurashi, Takuma ; Kato, Shingo ; Hosono, Kunihiro ; Saito, Satoru ; Nakajima, Atsushi
Subjects: Abdominal Surgery ; Adult ; Biliary Tract ; Cardiac patients ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - classification ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cohort Studies ; Colorectal Surgery ; Diabetes mellitus ; Fatty liver ; Female ; Gastroenterology ; Hepatology ; Humans ; Hypertriglyceridemia ; Japan - epidemiology ; Liver diseases ; Male ; Medicine ; Medicine & Public Health ; Metabolic Diseases - complications ; Metabolic Diseases - epidemiology ; Metabolism ; Middle Aged ; Non-alcoholic Fatty Liver Disease - complications ; Non-alcoholic Fatty Liver Disease - epidemiology ; Original Article—Liver ; Original —Liver, Pancreas, and Biliary Tract ; Pancreas ; Prevalence ; Proportional Hazards Models ; Retrospective Studies ; Risk Assessment - methods ; Risk Assessment - statistics & numerical data ; Risk factors ; Surgical Oncology
Is Part Of: Journal of gastroenterology, 2021-11, Vol.56 (11), p.1022-1032
Description: Background Nonalcoholic fatty liver disease (NAFLD) and metabolic dysfunction associated fatty liver disease (MAFLD) have important associations with cardiovascular disease (CVD). The main objective of this study was to compare the frequency of incidence rate of CVD in the NAFLD or MAFLD patients utilizing a large claims database. Methods Using the JMDC database from April 2013 to March 2019, we retrospectively analyzed data for 1,542,688 and 2,452,949 people to estimate the relationship between CVD and NAFLD, MAFLD, respectively. Results The incidence rates of CVD were 0.97 (95% CI 0.94–1.01) and 2.82 (95% CI 2.64–3.01) per 1000 person-years in the non-NAFLD and NAFLD groups, respectively, and 1.01 (95% CI 0.98–1.03) and 2.69 (95% CI 2.55–2.83) per 1000 person-years in the non-MAFLD and MAFLD groups, respectively. The overall prevalence of hypertriglyceridemia and diabetes mellitus (DM) was 13.1, and 4.2%, respectively, in the non-NAFLD group and 63.6, and 20.2%, respectively, in the NAFLD group. The overall prevalenceof hypertriglyceridemia and DM was 13.6 and 4.3%, respectively, in the non-MAFLD group and 64.1, and 20.6%, respectively, in the MAFLD group. HRs for CVD increased with hypertriglyceridemia and DM. Conclusions Results indicated that incident rate of CVD increased with NAFLD/MAFLD; the complication rate of DM and hypertriglyceridemia among NAFLD/MAFLD patients is high and may affect the development of CVD.
Publisher: Singapore: Springer Singapore
Language: English
Identifier: ISSN: 0944-1174
EISSN: 1435-5922
DOI: 10.1007/s00535-021-01828-6
PMID: 34601620
Source: MEDLINE
Springer Nature OA/Free Journals
ProQuest Central

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Risk of cardiovascular disease in patients with fatty liver disease as defined from the metabolic dysfunction associated fatty liver disease or nonalcoholic fatty liver disease point of view: a retrospective nationwide claims database study in Japan

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