代谢功能障碍相关脂肪性肝病患者的时间型偏好、睡眠质量和夜间饮食行为:评估与疾病严重程度和纤维化的关系。

IF 1.2 Q4 GASTROENTEROLOGY & HEPATOLOGY
Hepatology Forum Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI:10.14744/hf.2023.2023.0034
Ayse Sakalli Kani, Ahmet Ozercan, Haluk Tarik Kani, Fatih Eren, Kemal Sayar, Yusuf Yilmaz
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引用次数: 0

摘要

背景和目的:我们的主要目的是检查活检证实代谢功能障碍相关脂肪变性肝病患者的时间类型、夜间饮食模式和睡眠质量的差异。此外,我们旨在建立这些变量与疾病和纤维化严重程度之间的相关性。材料和方法:随访经活检证实代谢功能障碍相关脂肪变性肝病(MASLD)的患者纳入研究。组织学上严重的疾病以脂肪变性、活性和纤维化活性评分≥3或存在晚期纤维化(≥F3)为特征。符合入选标准的参与者接受了晨间和夜间问卷(MEQ)、匹兹堡睡眠质量指数和夜间饮食问卷。结果:本研究共纳入93例患者。根据MEQ,48名患者为晨间型(51.6%),42名患者(45.2%)为非晨间型。非晨曦组的睡眠质量较差(p=0.002)。与晨曦时间型患者(n=9.7%)(p=0.001)相比,夜间饮食综合征患者中有非晨曦时间类型偏好的比例明显更高(n=2223.7%)。在多变量分析中,年龄和睡眠质量差都对晚期纤维化有显著影响,比值比分别为1.11和3.81。结论:尽管非晨间时间型表现出较差的睡眠质量和较高的夜间饮食行为发生率,但我们的研究结果显示,不同程度MASLD严重程度的患者在睡眠质量、夜间饮食习惯或时间型偏好方面没有统计学上的显著差异。另一方面,晚期纤维化受到睡眠质量差的显著影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chronotype preference, sleep quality, and night-eating behaviors in patients with metabolic dysfunction-associated steatotic liver disease: Assessing the relationship with disease severity and fibrosis.

Background and aim: Our primary objective is to examine the variance in chronotype, night-eating patterns, and sleep quality in patients with biopsy-proven metabolic dysfunction-associated steatotic liver disease. In addition, we aim to establish a correlation between these variables and the severity of the disease and fibrosis.

Materials and methods: Patients who were following up with biopsy-proven metabolic dysfunction associated steatotic liver disease (MASLD) were included in the study. Histologically severe disease is characterized by a Steatosis, Activity, and Fibrosis activity score of ≥3 or the presence of advanced fibrosis (≥F3). Participants who met the inclusion criteria were given the Morningness and Evening Questionnaire (MEQ), the Pittsburgh Sleep Quality Index, and the Night Eating Questionnaire to complete.

Results: A total of 93 patients were included in this study. According to the MEQ, 48 patients were morning type (51.6%), and 42 (45.2%) were neither type. Sleep quality was determined to be inferior in the non-morningness group (p=0.002). A significantly higher proportion of patients with nocturnal eating syndrome had a non-morningness chronotype preference (n=22, 23.7%), compared to those with a morningness chronotype (n=9, 9.7%) (p=0.001). In the multivariate analysis, both age and poor sleep quality had significant impacts on advanced fibrosis, with odds ratios of 1.11 and 3.81, respectively.

Conclusion: Despite the non-morningness chronotype demonstrating poorer sleep quality and a higher prevalence of night-eating behavior, our findings revealed no statistically significant differences in terms of sleep quality, nocturnal eating habits, or chronotype preferences among patients with varying degrees of MASLD severity. On the other hand, advanced fibrosis was significantly impacted by poor sleep quality.

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CiteScore
1.90
自引率
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