Evidence mapPaperPMID 39696105Full record

ArticleBMC public health2024

Life's essential 8 and mortality in US adults with metabolic dysfunction-associated steatotic liver disease.

Yingying Zhang, Pingping Wang, Fan Tu, Hao Kang, Chengfeng Fu

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yingying Zhang *Medical Laboratory Center, Affiliated Wuxi Fifth Hospital of Jiangnan University, No. 1215 Guangrui Road, Jiangsu, 214005, China.
Pingping Wang *Department of Clinical Laboratory, Taizhou Second People's Hospital Affiliated to Yangzhou University, Jiangsu, China.
Fan TuMedical Laboratory Center, Affiliated Wuxi Fifth Hospital of Jiangnan University, No. 1215 Guangrui Road, Jiangsu, 214005, China.
Hao KangResearch Center for Clinical Medical Sciences, Affiliated Wuxi Fifth Hospital of Jiangnan University, Jiangsu, China. kanghao0908@163.com.
Chengfeng FuRespiratory and Critical Care Medicine, The Second People's Hospital of Banan District, No. 18, Huaxi New Village, Huaxi Street, Chongqing, 400054, China. chengfengfu@stu.cqmu.edu.cn.

Funding

Scientific Research Project of Wuxi Health Committee No. Q202366
6 · The paper itself

Abstract

backgroundMetabolic dysfunction-associated steatotic liver disease (MASLD) is linked to increased all-cause mortality due to metabolic dysfunctions like obesity, diabetes, and cardiovascular diseases. This study examines the association between Life's Essential 8 (LE8) scores and both all-cause and cardiovascular disease (CVD) mortality in MASLD participants.

methodsData from 5,916 MASLD participants in the NHANES (2005-2018) were analyzed. Associations between LE8 scores and all-cause and CVD mortality were assessed using Cox proportional hazards models, with follow-up until December 31, 2019. Dose-response relationships and survival differences were evaluated using Kaplan-Meier survival curves and Restricted Cubic Spline models.

resultsOver a median follow-up of 7.6 years, moderate and high LE8 scores were associated with 33% (HR: 0.67; 95% CI: 0.56-0.79) and 47% (HR: 0.53; 95% CI: 0.33-0.84) lower risk of all-cause mortality, respectively, compared to low scores. For CVD mortality, the adjusted HRs were 0.56 (95% CI: 0.41-0.78) and 0.35 (95% CI: 0.12-1.0). Higher LE8 scores were significantly associated with reduced cumulative incidence of all-cause and CVD mortality (log-rank P < 0.001). A 10-point increase in health behavior scores, particularly in diet, physical activity, and nicotine exposure, was linked to an 11% reduction in all-cause mortality risk and an 11% reduction in CVD mortality risk. Among health factors, only blood glucose showed a significant association with CVD mortality.

conclusionHigher LE8 scores in MASLD patients are associated with lower mortality risk, suggesting the potential value of promoting cardiovascular health in this population. Further research is needed to confirm these associations.

Indexed as

Cardiovascular DiseasesNutrition SurveysAdultAgedCause of DeathFemaleHumansMaleMetabolic DiseasesMiddle AgedNon-alcoholic Fatty Liver DiseaseProportional Hazards ModelsRisk FactorsUnited StatesAll-cause mortalityCVD mortalityLife’s essential 8MASLDNational health and nutrition examination survey

Identifiers

PMID39696105
PMCPMC11654388

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.