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Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD
High-sensitive C-reactive protein (hs-CRP) is one of the diagnostic components for metabolic (-dysfunction) associated fatty liver disease (MAFLD). This study aimed to explore the relationship between hs-CRP level and 25-year mortality in patients with MAFLD. The study data were from the Third Natio...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9631492/ https://www.ncbi.nlm.nih.gov/pubmed/36338499 http://dx.doi.org/10.3389/fphys.2022.1012887 |
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author | Huang, Jiaofeng Wang, Mingfang Wu, Yinlian Kumar, Rahul Lin, Su |
author_facet | Huang, Jiaofeng Wang, Mingfang Wu, Yinlian Kumar, Rahul Lin, Su |
author_sort | Huang, Jiaofeng |
collection | PubMed |
description | High-sensitive C-reactive protein (hs-CRP) is one of the diagnostic components for metabolic (-dysfunction) associated fatty liver disease (MAFLD). This study aimed to explore the relationship between hs-CRP level and 25-year mortality in patients with MAFLD. The study data were from the Third National Health and Nutrition Examination Survey 1988–1994. All participants were followed up until December 2015 and the outcome of each participant was ascertained from National Death Index records. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence interval (CI) of all-cause mortality, cardiovascular-related mortality, and malignancy-related mortality. A total of 4,145 participants with MAFLD were included in final analysis. The median follow-up period was 22.3 years (interquartile range 16.9–24.2). There were 1,610 (38.8%) all-cause deaths. The leading cause of death was malignant neoplasms (365/1,610, 22.7%), followed by cardiovascular diseases (342/1,610, 21.2%). Of the 4,145 patients with MAFLD, 1,293 (31.2%) had an hs-CRP level greater than 0.5 mg/dl. Those with hs-CRP > 0.5 mg/dl were older, more likely to be female and had greater derangements of metabolic profiles than those with lower hs-CRP. The results of Cox regression analysis showed that hs-CRP ≥ 0.5 mg/dl was an independent risk factor for all-cause mortality (HR = 1.394, 95% CI 1.253–1.551), cardiovascular mortality (HR = 1.497, 95% CI 1.190–1.885) and malignant neoplasms related mortality (HR = 1.290, 95% CI 1.030–1.615) after adjusting for risk factors. This study confirms that hs-CRP is an independent predictive factor of poor prognosis in patients with MAFLD. |
format | Online Article Text |
id | pubmed-9631492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96314922022-11-04 Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD Huang, Jiaofeng Wang, Mingfang Wu, Yinlian Kumar, Rahul Lin, Su Front Physiol Physiology High-sensitive C-reactive protein (hs-CRP) is one of the diagnostic components for metabolic (-dysfunction) associated fatty liver disease (MAFLD). This study aimed to explore the relationship between hs-CRP level and 25-year mortality in patients with MAFLD. The study data were from the Third National Health and Nutrition Examination Survey 1988–1994. All participants were followed up until December 2015 and the outcome of each participant was ascertained from National Death Index records. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence interval (CI) of all-cause mortality, cardiovascular-related mortality, and malignancy-related mortality. A total of 4,145 participants with MAFLD were included in final analysis. The median follow-up period was 22.3 years (interquartile range 16.9–24.2). There were 1,610 (38.8%) all-cause deaths. The leading cause of death was malignant neoplasms (365/1,610, 22.7%), followed by cardiovascular diseases (342/1,610, 21.2%). Of the 4,145 patients with MAFLD, 1,293 (31.2%) had an hs-CRP level greater than 0.5 mg/dl. Those with hs-CRP > 0.5 mg/dl were older, more likely to be female and had greater derangements of metabolic profiles than those with lower hs-CRP. The results of Cox regression analysis showed that hs-CRP ≥ 0.5 mg/dl was an independent risk factor for all-cause mortality (HR = 1.394, 95% CI 1.253–1.551), cardiovascular mortality (HR = 1.497, 95% CI 1.190–1.885) and malignant neoplasms related mortality (HR = 1.290, 95% CI 1.030–1.615) after adjusting for risk factors. This study confirms that hs-CRP is an independent predictive factor of poor prognosis in patients with MAFLD. Frontiers Media S.A. 2022-10-20 /pmc/articles/PMC9631492/ /pubmed/36338499 http://dx.doi.org/10.3389/fphys.2022.1012887 Text en Copyright © 2022 Huang, Wang, Wu, Kumar and Lin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Physiology Huang, Jiaofeng Wang, Mingfang Wu, Yinlian Kumar, Rahul Lin, Su Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD |
title | Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD |
title_full | Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD |
title_fullStr | Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD |
title_full_unstemmed | Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD |
title_short | Serum high-sensitive C-reactive protein is a simple indicator for all-cause among individuals with MAFLD |
title_sort | serum high-sensitive c-reactive protein is a simple indicator for all-cause among individuals with mafld |
topic | Physiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9631492/ https://www.ncbi.nlm.nih.gov/pubmed/36338499 http://dx.doi.org/10.3389/fphys.2022.1012887 |
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