Low thyroid function is associated with an increased risk of advanced fibrosis in patients with metabolic dysfunction-associated fatty liver disease - BMC Gastroenterology

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A study published in BMCGastroEnterol finds that low-normal thyroid function is associated with an increased risk of advanced hepatic fibrosis in patients with metabolic dysfunction-associated fatty liver.

The univariable regression model did not detect any significant association between thyroid dysfunction and MAFLD risk. After adjusting for age and sex, the logistic regression analysis showed that low-normal thyroid function increased the risk of MAFLD . In the multivariable regression model additional adjusted for BMI, T2DM, and hypertension, the significant association between low-normal thyroid function and MAFLD disappeared.

Table 3 The associations between TSH levels and MAFLD, as well as the FIB-4 and NFS values in patients with FLDCompared with the low fibrosis score group . The levels of TSH were significant difference between FIB-4 2.67 , NFS 0.676 . The univariable regression model showed that SCH and low-normal thyroid function were associated with FIB-4 values of > 1.30 and NFS values of > − 1.455 . These associations disappeared after adjusted covaries in the multivariable regression model. Low-normal thyroid function increased the risk of advanced fibrosis both in the univariable regression model and multivariable regression model.

MAFLD is a nomenclature proposed in 2020 to replace the definition of NAFLD. Therefore, most of the current studies have focused on elucidating the associations between thyroid function and NAFLD. Generally speaking, NAFLD patients are always characterized by lower levels of T4 and FT4, and higher levels of TSH [

 

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