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논문 기본 정보

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저자정보
Ansel Shao Pin Tang (Yong Loo Lin School of Medicine National University of Singapore) Kai En Chan (Yong Loo Lin School of Medicine National University of Singapore) Jingxuan Quek (Yong Loo Lin School of Medicine National University of Singapore) Jieling Xiao (Yong Loo Lin School of Medicine National University of Singapore) Phoebe Tay (Yong Loo Lin School of Medicine National University of Singapore) Margaret Teng (Division of Gastroenterology and Hepatology Department of Medicine National University Hospital) Keng Siang Lee (Bristol Medical School University of Bristol Bristol UK) Snow Yunni Lin (Yong Loo Lin School of Medicine National University of Singapore) May Zin Myint (Division of Neurology Department of Medicine National University Hospital) Benjamin Tan (Division of Neurology Department of Medicine National University Hospital) Vijay K Sharma (Division of Neurology Department of Medicine National University Hospital) Darren Jun Hao Tan (Yong Loo Lin School of Medicine National University of Singapore) Wen Hui Lim (Yong Loo Lin School of Medicine National University of Singapore) Apichat Kaewdech (Division of Internal Medicine Faculty of Medicine Prince of Songkla University) Daniel Huang (Yong Loo Lin School of Medicine National University of Singapore) Nicholas WS Chew (Yong Loo Lin School of Medicine National University of Singapore) Mohammad Shadab Siddiqui (Department of Internal Medicine Virginia Commonwealth University) Arun J Sanyal (Department of Internal Medicine Virginia Commonwealth University) Mark Muthiah (Division of Gastroenterology and Hepatology Department of Medicine National University Hospital) Cheng Han Ng (Yong Loo Lin School of Medicine National University of Singapore)
저널정보
대한간학회 Clinical and Molecular Hepatology Clinical and Molecular Hepatology 제28권 제3호
발행연도
2022.7
수록면
483 - 496 (14page)
DOI
10.3350/cmh.2021.0406

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Background/Aims: Non-alcoholic fatty liver disease (NAFLD) is associated with the development of cardiovascular disease. While existing studies have examined cardiac remodeling in NAFLD, there has been less emphasis on the development of carotid atherosclerosis and stroke. We sought to conduct a meta-analysis to quantify the prevalence, risk factors, and degree of risk increment of carotid atherosclerosis and stroke in NAFLD. Methods: Embase and Medline were searched for articles relating to NAFLD, carotid atherosclerosis, and stroke. Proportional data was analysed using a generalized linear mixed model. Pairwise meta-analysis was conducted to obtain odds ratio or weighted mean difference for comparison between patients with and without NAFLD. Results: From pooled analysis of 30 studies involving 7,951 patients with NAFLD, 35.02% (95% confidence interval [CI], 27.36?43.53%) had carotid atherosclerosis with an odds ratio of 3.20 (95% CI, 2.37?4.32; P<0.0001). Pooled analysis of 25,839 patients with NAFLD found the prevalence of stroke to be 5.04% (95% CI, 2.74?9.09%) with an odds ratio of 1.88 (95% CI, 1.23?2.88; P=0.02) compared to non-NAFLD. The degree of steatosis assessed by ultrasonography in NAFLD was closely associated with risk of carotid atherosclerosis and stroke. Older age significantly increased the risk of developing carotid atherosclerosis, but not stroke in NAFLD. Conclusions: This meta-analysis shows that a stepwise increment of steatosis of NAFLD can significantly increase the risk of carotid atherosclerosis and stroke development in NAFLD. Patients more than a third sufferred from carotid atherosclerosis and routine assessment of carotid atherosclerosis is quintessential in NAFLD.
#Atherosclerosis #Stroke #Ischemic stroke #Nonalcoholic fatty liver disease

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