Cardiometabolic criteria as predictors and treatment targets of liver‐related events and cardiovascular events in metabolic dysfunction‐associated steatotic liver disease

Author:

Tamaki Nobuharu1ORCID,Kimura Takefumi2ORCID,Wakabayashi Shun‐Ichi2,Umemura Takeji2,Izumi Namiki1,Loomba Rohit3,Kurosaki Masayuki1

Affiliation:

1. Department of Gastroenterology and Hepatology Musashino Red Cross Hospital Tokyo Japan

2. Division of Gastroenterology, Department of Medicine Shinshu University School of Medicine Nagano Japan

3. MASLD Research Center, Division of Gastroenterology and Hepatology, Department of Medicine University of California San Deigo La Jolla California USA

Abstract

SummaryBackgroundThe diagnosis of metabolic dysfunction‐associated steatotic liver disease (MASLD) requires at least one of five cardiometabolic criteria. It is unclear whether these criteria can be used as predictors and treatment targets for complications including liver‐related events and major adverse cardiovascular events (MACE).AimsTo investigate the relationship between cardiometabolic criteria and complications.MethodsWe conducted a nationwide, population‐based study of 979,352 patients with MASLD. We investigated relationships between a number of criteria at baseline and liver‐related events or MACE risks. In a separate longitudinal analysis, we included patients with five criteria at baseline and investigated the relationship between improving the criteria and the incidence of complications after 1 year.ResultsThe cumulative incidence of MACE, but not liver‐related events, increased with increasing baseline cardiometabolic criteria. In the longitudinal study, multivariable analysis using patients with five criteria (no improvement) as the reference, adjusted hazard ratios (95% confidence interval) of MACE in patients with 4, 3, 2, and 0–1 criteria (1 to 4–5 criteria improvement) were 0.55 (0.52–0.58, p < 0.001), 0.20 (0.17–0.22, p < 0.001), 0.13 (0.11–0.16, p < 0.001), and 0.06 (0.02–0.3, p < 0.001), respectively. The risk of MACE decreased as the cardiometabolic criteria improved. There was no significant association between improvement of the criteria and liver‐related events.ConclusionsCardiometabolic criteria can be used as predictors and treatment targets for cardiovascular event risk in MASLD. Developing predictors and therapeutic targets for liver‐related events is a future challenge.

Funder

Japan Agency for Medical Research and Development

Ministry of Health, Labour and Welfare

National Heart, Lung, and Blood Institute

National Center for Advancing Translational Sciences

National Institute of Diabetes and Digestive and Kidney Diseases

Publisher

Wiley

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Editorial: Cardiometabolic criteria matters in MASLD;Alimentary Pharmacology & Therapeutics;2024-09-03

2. Editorial: Cardiometabolic criteria matters in MASLD—Authors' reply;Alimentary Pharmacology & Therapeutics;2024-09-03

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