Menopause is associated with increased prevalence of nonalcoholic fatty liver disease: a systematic review and meta-analysis.


Journal

Menopause (New York, N.Y.)
ISSN: 1530-0374
Titre abrégé: Menopause
Pays: United States
ID NLM: 9433353

Informations de publication

Date de publication:
01 03 2023
Historique:
pubmed: 3 2 2023
medline: 25 2 2023
entrez: 2 2 2023
Statut: ppublish

Résumé

Data are inconsistent on whether menopause is a risk for nonalcoholic fatty liver disease (NAFLD). Using systematic review and meta-analysis, we aimed to collect all available data to determine the association between menopause and NAFLD. Potentially eligible studies were identified from EMBASE, MEDLINE, and Web of Science databases from inception to December 2021 using a search strategy that was composed of the terms for "NAFLD" and "menopause." Eligible study must contain two groups of participants: one group of postmenopausal women and another group of premenopausal women. Then, the study must report the association between menopause and prevalent NAFLD. We extracted such data from each study and calculated pooled odds ratio (OR) by combining effect estimates of each study using a random-effects model. Funnel plot was used to assess for the presence of publication bias. A total of 587 articles were identified. After two rounds of independent review by two investigators, 12 cross-sectional studies fulfilled the eligibility criteria. The meta-analysis of 12 studies revealed the significant association between menopause and NAFLD with a pooled OR of 2.37 (95% CI, 1.99-2.82; I2 = 73%). The association remained significant in a sensitivity meta-analysis of six studies that reported the association with adjustment for age and metabolic factors with a pooled OR of 2.19 (95% CI, 1.73-2.78; I2 = 74%). The funnel plot was fairly symmetric and was not suggestive of publication bias. The meta-analysis reveals that menopausal status was associated with approximately 2.4 times higher odds of NAFLD.

Identifiants

pubmed: 36728528
doi: 10.1097/GME.0000000000002133
pii: 00042192-202303000-00018
doi:

Types de publication

Meta-Analysis Systematic Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

348-354

Informations de copyright

Copyright © 2023 by The North American Menopause Society.

Déclaration de conflit d'intérêts

Financial disclosure/conflicts of interest: None reported.

Références

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Auteurs

Ben Ponvilawan (B)

Department of Medicine, University of Missouri-Kansas City School of Medicine, Kansas City, MO.

Jerapas Thongpiya (J)

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.

Pitchaporn Yingchoncharoen (P)

Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.

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