Osteoporosis & bone health

Metabolic associated fatty liver disease and bone mineral density: a cross-sectional study of the National Health and Nutrition Examination Survey 2017–2018

Osteoporos IntPublished Cross-sectional study

Authors' conclusion

The present study found that the MAFLD population has higher BMD and a lower risk of osteoporosis than those without MAFLD.

Study context

Population
Subjects aged ≥ 50 years from National Health and Nutrition Examination Survey (NHANES) 2017–2018
Participants
817 subjects
Exposure
Metabolic associated fatty liver disease (MAFLD) vs non-MAFLD
  • MAFLDn = 381
  • non-MAFLDn = 436reference
Outcome
BMD
Methodological detailsmultivariate linear regression, multiple logistic regression
  • Multivariate linear regression
  • Multiple logistic regression

Main finding

As reported in the abstract

Femoral BMD
  • Participants with MAFLD showed higher femoral bone mineral density (BMDs) than those without MAFLD, especially among males aged ≥ 50 years and females aged ≥ 65 years

Observational data: associations, not effects.

Further findings

Femoral BMD by BMI (subgroup)

Obese men (BMI ≥ 30 kg/m²) with MAFLD had higher femoral BMDs than controls; trend not present in women

Osteoporosis

Participants with MAFLD had no increased risks of osteoporosis

Original publication

Metabolic associated fatty liver disease and bone mineral density: a cross-sectional study of the National Health and Nutrition Examination Survey 2017–2018. Osteoporos Int. Published 31 January 2023. doi:10.1007/s00198-023-06687-w

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