Evidence mapPaperPMID 40859873Full record

ArticleAnnals of medicine2025

Global, regional, and national time trends in prevalence of metabolic dysfunction associated steatotic liver disease among women of reproductive age: an age-period-cohort analysis for the global Burden of Disease 2021 study.

Jiehua Wei, Shanyu Lin, Senmao Zhang, Luying Fan, Lisa Jiang, Fan Xia, Ziye Li, Lizhang Chen, Zhiyong Zou, Tingting Wang

Abstract read
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jiehua WeiDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Shanyu LinDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Senmao ZhangThe Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Luying FanDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Lisa JiangDepartment for continuing education, University of Oxford, Oxford, UK.
Fan XiaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Ziye LiDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Lizhang ChenDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.ORCID 0000-0001-5426-0519
Zhiyong ZouInstitute of Child and Adolescent Health and National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing, China.
Tingting WangDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to investigate the time trends in the prevalence of metabolic dysfunction associated steatotic liver disease (MASLD) among women of reproductive age (WRA) globally, regionally, and nationally from 1992 to 2021, and to explore associations with age, period, and birth cohort effects.

methodsMASLD prevalence estimates were sourced from the Global Burden of Disease (GBD) 2021 study. We used an age-period-cohort model to analyze cohort and period effects, overall annual percentage changes (net drifts), annual percentage change in each age group, and longitudinal age-specific rates.

resultsThe global prevalence of MASLD among WRA nearly doubled from 165 million in 1992 to 307 million in 2021. Fifty-one countries reported over one million cases, with China, India, and Indonesia leading. The global net drift of MASLD prevalence among WRA was 0.70% per year, with a range from 0.38% in the low sociodemographic index (SDI) region to 1.29% in the high-SDI region. Of 204 countries, 195 exhibited increasing age-standardized prevalence rates (net drift ≥ 0.0% per year), with Italy, Brunei Darussalam, and Oman showing the largest increases. Both period and cohort effects displayed unfavorable trends across most countries, except for Cambodia. Increased MASLD prevalence was associated with rising summary exposure values for high BMI, low physical activity, and high fasting plasma glucose.

conclusionsMASLD in the WRA is an increasing health problem in all countries, and is accompanied by worsening period and cohort risks. These population-level trends warrant further investigation of their clinical implications for maternal health outcomes. Future research should focus on establishing evidence-based screening strategies and evaluating the clinical utility of interventions targeting liver health in WRA.

Indexed as

Fatty LiverAdultCohort StudiesFemaleGlobal Burden of DiseaseGlobal HealthHumansMiddle AgedPrevalenceYoung Adultage-period-cohort modelglobal burden of diseaseMetabolic dysfunction associated steatotic liver diseaseprevalencewomen of reproductive age

Identifiers

PMID40859873
PMCPMC12302449

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.