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Protocol for a Longitudinal Cohort Study to Understand Characteristics and Risk Factors Underlying Vibration-Controlled Transient Elastography-Diagnosed Metabolic Dysfunction-Associated Fatty Liver Disease Children

Yang, Fan ; Hu, Mengyuan ; Zhang, Haoyang LU orcid ; Zheng, Xiaowei ; Chen, Limei ; Zhu, Lihong and Zhang, Le (2024) In Diabetes, Metabolic Syndrome and Obesity 17. p.4627-4639
Abstract
Background: Metabolic-associated steatotic liver disease (MASLD) is a novel term proposed in 2023 to replace non-alcoholic fatty liver disease (NAFLD) with the aim of better reflecting its pathogenesis and clinical manifestations. Vibration-controlled transient elastography (VCTE) is an evidence-based, non-invasive imaging device used to evaluate liver fat deposition and fibrosis. It can effectively detect liver fat infiltration greater than 5%, which is much higher than the previous ultrasound detection rate (it is difficult to detect liver fat deposition below 30%). Nevertheless, the prevalence and characteristics of MASLD children diagnosed based on these updated criteria are currently not well established.
Methods: Currently, a... (More)
Background: Metabolic-associated steatotic liver disease (MASLD) is a novel term proposed in 2023 to replace non-alcoholic fatty liver disease (NAFLD) with the aim of better reflecting its pathogenesis and clinical manifestations. Vibration-controlled transient elastography (VCTE) is an evidence-based, non-invasive imaging device used to evaluate liver fat deposition and fibrosis. It can effectively detect liver fat infiltration greater than 5%, which is much higher than the previous ultrasound detection rate (it is difficult to detect liver fat deposition below 30%). Nevertheless, the prevalence and characteristics of MASLD children diagnosed based on these updated criteria are currently not well established.
Methods: Currently, a prospective multi-center population-based cohort study is being conducted in Wuxi, China, spanning from 2023 to 2035, involving 5600 children from four primary schools. Throughout the study’s baseline and follow-up periods, yearly physical examinations, laboratory tests, VCTE assessments, and bioelectrical impedance analysis are being conducted to measure MASLD-related biomarkers. Additionally, a questionnaire is being administered to inquire about dietary habits. MASLD is being diagnosed based on clinical and laboratory criteria, and the corresponding prevalence is being assessed.
Results: Recruitment began in March 13, 2023. To date, 1475 participants have completed the physical examination and questionnaire survey.
Discussion: Our study investigated the prevalence of MASLD and its influencing factors in Chinese school-age children and adolescents. By collecting and analyzing data from physical examinations and survey questionnaires, it may propose new avenues for guiding the treatment and early-stage prevention of MASLD in children. (Less)
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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
cohort study, incidence, MASLD, student, VCTE
in
Diabetes, Metabolic Syndrome and Obesity
volume
17
pages
13 pages
publisher
Dove Medical Press Ltd.
external identifiers
  • pmid:39649758
  • scopus:85211773914
DOI
10.2147/DMSO.S492809
language
English
LU publication?
no
id
59314917-8f96-4eda-bfc5-88998fc99721
date added to LUP
2024-12-09 15:36:03
date last changed
2025-04-16 20:03:44
@article{59314917-8f96-4eda-bfc5-88998fc99721,
  abstract     = {{Background: Metabolic-associated steatotic liver disease (MASLD) is a novel term proposed in 2023 to replace non-alcoholic fatty liver disease (NAFLD) with the aim of better reflecting its pathogenesis and clinical manifestations. Vibration-controlled transient elastography (VCTE) is an evidence-based, non-invasive imaging device used to evaluate liver fat deposition and fibrosis. It can effectively detect liver fat infiltration greater than 5%, which is much higher than the previous ultrasound detection rate (it is difficult to detect liver fat deposition below 30%). Nevertheless, the prevalence and characteristics of MASLD children diagnosed based on these updated criteria are currently not well established.<br/>Methods: Currently, a prospective multi-center population-based cohort study is being conducted in Wuxi, China, spanning from 2023 to 2035, involving 5600 children from four primary schools. Throughout the study’s baseline and follow-up periods, yearly physical examinations, laboratory tests, VCTE assessments, and bioelectrical impedance analysis are being conducted to measure MASLD-related biomarkers. Additionally, a questionnaire is being administered to inquire about dietary habits. MASLD is being diagnosed based on clinical and laboratory criteria, and the corresponding prevalence is being assessed.<br/>Results: Recruitment began in March 13, 2023. To date, 1475 participants have completed the physical examination and questionnaire survey.<br/>Discussion: Our study investigated the prevalence of MASLD and its influencing factors in Chinese school-age children and adolescents. By collecting and analyzing data from physical examinations and survey questionnaires, it may propose new avenues for guiding the treatment and early-stage prevention of MASLD in children.}},
  author       = {{Yang, Fan and Hu, Mengyuan and Zhang, Haoyang and Zheng, Xiaowei and Chen, Limei and Zhu, Lihong and Zhang, Le}},
  keywords     = {{cohort study; incidence; MASLD; student; VCTE}},
  language     = {{eng}},
  pages        = {{4627--4639}},
  publisher    = {{Dove Medical Press Ltd.}},
  series       = {{Diabetes, Metabolic Syndrome and Obesity}},
  title        = {{Protocol for a Longitudinal Cohort Study to Understand Characteristics and Risk Factors Underlying Vibration-Controlled Transient Elastography-Diagnosed Metabolic Dysfunction-Associated Fatty Liver Disease Children}},
  url          = {{http://dx.doi.org/10.2147/DMSO.S492809}},
  doi          = {{10.2147/DMSO.S492809}},
  volume       = {{17}},
  year         = {{2024}},
}