Nonalcoholic fatty liver disease and risk of early-onset vasomotor symptoms in lean and overweight premenopausal women

Cho, Yoosun and Chang, Yoosoo and Choi, Hye Rin and Kang, Jeonggyu and Kwon, Ria and Lim, Ga-Young and Ahn, Jiin and Kim, Kye-Hyun and Kim, Hoon and Hong, Yun Soo and Zhao, Di and Lekhraj Rampal, Sanjay Rampal and Cho, Juhee and Park, Hyun-Young and Guallar, Eliseo and Ryu, Seungho (2022) Nonalcoholic fatty liver disease and risk of early-onset vasomotor symptoms in lean and overweight premenopausal women. Nutrients, 14 (14). ISSN 2072-6643, DOI https://doi.org/10.3390/nu14142805.

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Abstract

The role of nonalcoholic fatty liver disease (NAFLD) in vasomotor symptom (VMS) risk in premenopausal women is unknown. We examined the prevalence of early-onset VMSs according to NAFLD status in lean and overweight premenopausal women. This cross-sectional study included 4242 premenopausal Korean women (mean age 45.4 years). VMSs (hot flashes and night sweats) were assessed using the Korean version of the Menopause-Specific Quality of Life questionnaire. Hepatic steatosis was determined using liver ultrasound; lean was defined as a body mass index of <23 kg/m(2). Participants were categorized into four groups: NAFLD-free lean (reference), NAFLD-free overweight, lean NAFLD, and overweight NAFLD. Compared with the reference, the multivariable-adjusted prevalence ratios (PRs) (95% confidence intervals (CIs)) for VMSs in NAFLD-free overweight, lean NAFLD, and overweight NAFLD were 1.22 (1.06-1.41), 1.38 (1.06-1.79), and 1.49 (1.28-1.73), respectively. For moderate-to-severe VMSs, the multivariable-adjusted PRs (95% CIs) comparing NAFLD-free overweight, lean NAFLD, and overweight NAFLD to the reference were 1.38 (1.10-1.74), 1.73 (1.16-2.57), and 1.74 (1.37-2.21), respectively. NAFLD, even lean NAFLD, was significantly associated with an increased risk of prevalent early-onset VMSs and their severe forms among premenopausal women. Further studies are needed to determine the longitudinal association between NAFLD and VMS risk.

Item Type: Article
Funders: Korea Centers for Disease Control and Prevention (Grant No: 2014ER630200, 2017ER630200, 2020-ER7102-00, 2020ER710201 & 2020ER710202), SKKU Excellence in Research Award Research Fund, Sungkyunkwan University (2020), Korea Health Promotion Institute (Grant No: 2020-ER7102-00)
Uncontrolled Keywords: Menopause; Vasomotor symptoms; Lean; Nonalcoholic fatty liver disease
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 27 Nov 2023 01:35
Last Modified: 27 Nov 2023 01:35
URI: http://eprints.um.edu.my/id/eprint/41652

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