Prevalence and Incidence of Non-alcohol Fatty Liver Disease in Chronic Hepatitis B Population in Southeast China : A Community-Based Study

Copyright © 2021 Zheng, Xu, Hu, Draz, Wu and Li..

Background: To investigate the prevalence and incidence of non-alcohol fatty liver disease (NAFLD) in a community-based chronic hepatitis B (CHB) population from Southeast China and evaluate the association between NAFLD and metabolic factors, viral factors, and underlying chronic diseases. Methods: CHB patients were recruited in 2012 and followed up from 2017 to 2019 in Zhejiang, China. NAFLD prevalence of the last visit and NAFLD incidence were calculated. Potential risk factors, including metabolic and viral factors, were also evaluated using Logistic or Cox regression models. Results: NAFLD prevalence of the last visit in 2019 was estimated at 26.76%. Waist circumference, body mass index (BMI), triglyceride (TG), low-density lipoprotein (LDL), and diabetes mellitus (DM) were found as associated factors. In subgroups analysis, HBV infection types were also identified as a risk factor in the non-diabetic population. HBeAg-negative hepatitis and immunotolerant had lower NAFLD prevalence than past CHB infection. NAFLD incidence was estimated at 22.63/1,000 person-years after 1,634.74 person-years of follow-up. Waist circumference, TG, LDL, and alkaline phosphatase (ALP) were identified as associated factors. Conclusion: The NAFLD prevalence and incidence in our study were slightly lower than previous reports from East Asia. Health education and healthy living habits were extremely important in reducing the NAFLD burden. Metabolic factors, history of DM, and viral factors were associated with NAFLD in CHB patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:8

Enthalten in:

Frontiers in medicine - 8(2021) vom: 01., Seite 683872

Sprache:

Englisch

Beteiligte Personen:

Zheng, Yang [VerfasserIn]
Xu, Kaijin [VerfasserIn]
Hu, Haiyang [VerfasserIn]
Draz, Mohamed S [VerfasserIn]
Wu, Wei [VerfasserIn]
Li, Lanjuan [VerfasserIn]

Links:

Volltext

Themen:

Chronic hepatitis B infection
Incidence
Journal Article
Metabolic factor
Non-alcohol fatty liver disease
Prevalence

Anmerkungen:

Date Revised 06.08.2021

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fmed.2021.683872

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328945757