非酒精性脂肪肝与炎症性肠病发病率之间的关系:一项基于全国人口的队列研究。

IF 3.4 Q2 GASTROENTEROLOGY & HEPATOLOGY Intestinal Research Pub Date : 2024-02-21 DOI:10.5217/ir.2023.00078
Ying-Hsiang Wang, Chi-Hsiang Chung, Tien-Yu Huang, Chao-Feng Chang, Chi-Wei Yang, Wu-Chien Chien, Yi-Chiao Cheng
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引用次数: 0

摘要

背景/目的:非酒精性脂肪肝(NAFLD)是一种常见疾病,其严重的炎症过程与炎症性肠病(IBD)等多种胃肠道疾病相关。因此,我们研究了非酒精性脂肪肝与 IBD 之间的关系,以及与 IBD 诊断相关的可能风险因素:这项全国性纵向队列研究调查了非酒精性脂肪肝患者罹患 IBD 的风险。研究还比较了IBD的一般特征、合并症和发病率:结果:与对照组相比,确诊为非酒精性脂肪肝的患者罹患 IBD 的风险很高,他们被诊断为 IBD 的风险是对照组的 2.245 倍,被诊断为溃疡性结肠炎和克罗恩病的风险分别增加了 2.260 倍和 2.231 倍(P< 0.001)。在对非酒精性脂肪肝患者的随访过程中,IBD的累积风险逐年增加(P< 0.001):我们的研究结果强调,非酒精性脂肪肝对非酒精性脂肪肝患者的发病率有显著影响。如果非酒精性脂肪肝患者存在糖尿病和血脂异常等危险因素,则应通过定期随访对这些疾病进行适当治疗。此外,我们认为这些原因可能与 IBD 的第二个发病高峰有关。
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Association between nonalcoholic fatty liver disease and incidence of inflammatory bowel disease: a nationwide population‑based cohort study.

Background/aims: Nonalcoholic fatty liver disease (NAFLD) is a common disease with severe inflammatory processes associated with numerous gastrointestinal diseases, such as inflammatory bowel disease (IBD). Therefore, we investigated the relationship between NAFLD and IBD and the possible risk factors associated with the diagnosis of IBD.

Methods: This longitudinal nationwide cohort study investigated the risk of IBD in patients with NAFLD alone. General characteristics, comorbidities, and incidence of IBD were also compared.

Results: Patients diagnosed with NAFLD had a significant risk of developing IBD compared to control individuals, who were associated with a 2.245-fold risk of the diagnosis of IBD and a 2.260- and 2.231-fold of increased diagnosis of ulcerative colitis and Crohn's disease, respectively (P< 0.001). The cumulative risk of IBD increased annually during the follow-up of patients with NAFLD (P< 0.001).

Conclusions: Our results emphasize that NAFLD significantly impacts its incidence in patients with NAFLD. If patients with NAFLD present with risk factors, such as diabetes mellitus and dyslipidemia, these conditions should be properly treated with regular follow-ups. Furthermore, we believe that these causes may be associated with the second peak of IBD.

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来源期刊
Intestinal Research
Intestinal Research GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
7.40
自引率
10.20%
发文量
69
审稿时长
38 weeks
期刊介绍: Intestinal Research (Intest Res) is the joint official publication of the Asian Organization for Crohn''s and Colitis (AOCC), Chinese Society of IBD (CSIBD), Japanese Society for IBD (JSIBD), Korean Association for the Study of Intestinal Diseases (KASID), Taiwan Society of IBD (TSIBD) and Colitis Crohn''s Foundation (India) (CCF, india). The aim of the Journal is to provide broad and in-depth analysis of intestinal diseases, especially inflammatory bowel disease, which shows increasing tendency and significance. As a Journal specialized in clinical and translational research in gastroenterology, it encompasses multiple aspects of diseases originated from the small and large intestines. The Journal also seeks to propagate and exchange useful innovations, both in ideas and in practice, within the research community. As a mode of scholarly communication, it encourages scientific investigation through the rigorous peer-review system and constitutes a qualified and continual platform for sharing studies of researchers and practitioners. Specifically, the Journal presents up-to-date coverage of medical researches on the physiology, epidemiology, pathophysiology, clinical presentations, and therapeutic interventions of the intestinal diseases. General topics of interest include inflammatory bowel disease, colon and small intestine cancer or polyp, endoscopy, irritable bowel syndrome and other motility disorders, infectious enterocolitis, intestinal tuberculosis, and so forth. The Journal publishes diverse types of academic materials such as editorials, clinical and basic reviews, original articles, case reports, letters to the editor, brief communications, perspective, statement or commentary, and images that are useful to clinicians and researchers.
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