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Vitamin D Is Associated with Severity and Mortality of Non-alcoholic Fatty Liver Disease: A US Population-based Study

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Journal of Clinical and Translational Hepatology 2017年第3期5卷 185-192页

作者： Hyun-Seok Kim Laura Rotundo neil kothari Sung-Hoon Kim Nikolaos Pyrsopoulos Department of Medicine Division of Gastroenterology and Hepatology Rutgers New Jersey Medical School Newark NJ USA College of Korean Medicine Kyung-hee University Seoul South Korea Division of Gastroenterology and Hepatology Rutgers New Jersey Medical School Newark NJ USA

Background and Aims:There has been increasing evidence that vitamin D deficiency may increase the risk of metabolic *** metabolic syndrome is a major risk factor for non-alcoholic fatty liver disease (NAFLD),we aimed to investigate the association between vitamin D and the severity and mortality of ***:Data was obtained from the United States Third National Health and Nutrition Examination Survey conducted in 1988-1994,with followup mortality data through *** was defined by ultrasonographic detection of hepatic steatosis in the absence of other liver diseases and categorized as normal,mild,moderate or *** severity of hepatic fibrosis was determined by NAFLD fibrosis score (NFS).ANOVA (F-test) was used to evaluate the association between vitamin D level and degree of NAFLD,and Cox proportional hazards regression analysis was used for survival ***:Vitamin D levels for normal,mild,moderate and severe steatosis were 25.1 ± 0.29 ng/mL,24.7 ± 0.42 ng/mL,23.7 ± 0.37 ng/mL and 23.6 ± 0.60 ng/mL,respectively (trend p < 0.001).Likewise,vitamin D levels for low,intermediate and high NFS categories were 24.7 ± 0.38 ng/mL,23.4 ± 0.42 ng/mL and 21.5 ± 0.57 ng/mL,respectively (trend p < 0.001).After median-follow up over 19 years,vitamin D deficiency was significantly associated with diabetes-and Alzheimer's diseaserelated mortality (hazard ratio (HR):3.64,95%CI:1.51-8.82 and HR:4.80,95%CI:1.53-15.1,respectively),with a borderline significance in overall mortality (HR:1.16,95%CI:0.99-1.36,p =0.06).Conclusion:Vitamin D level was inversely related to the degree of liver steatosis and ***,vitamin D deficiency was associated with diabetes-and Alzheimer's disease-related mortality in NAFLD patients.

关键词： Vitamin D Non-alcoholic fatty liver disease Mortality Severity

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