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Association between metabolic associated fatty liver disease and osteoarthritis using data from the Korean national health and nutrition examination survey (KNHANES)

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Abstract

Osteoarthritis of the knee (knee OA) is on the rise due to the aging population and increasing obesity. In addition to mechanical stress attributed to weight and age, osteoarthritis is associated with obesity and metabolic dysregulation. Here, a cross-sectional study targeting retrospectively registered 17,476 adults aged 50 years or older who were enrolled in the National Health and Nutrition Survey (2010–2011) was performed to analyze the association between the newly named metabolic associated fatty liver disease (MAFLD) and knee OA. Fatty liver index (FLI) ≥ 60 confirmed the presence of MAFLD, and FLI < 30 indicated the absence of MAFLD. Knee OA was diagnosed according to the Kellgren–Lawrence scale based on knee radiography results. A complex sample logistic regression analysis was performed. Statistically significant factors were adjusted to estimate probability ratios, and 95% confidence intervals were used to investigate the association between knee OA and MAFLD. The probability of knee OA was 1.479 times higher in the presence of MAFLD than that in the normal group. The results indicate that MAFLD is significantly associated with knee OA, suggesting that these two disorders should be managed simultaneously.

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Contributions

ALH: Study design, data collection, data analysis, and manuscript drafting.

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Correspondence to A Lum Han.

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The author declares no competing interests.

Ethical approval

This study followed the ethical standards laid out in the Declaration of Helsinki. The study was approved by the Clinical Trial Screening Committee of Wonkwang University Hospital (institutional review board [IRB] approval number: 2021-03-032). The name of the IRB is Wonkwang University Hospital Institutional Review Board, which belongs to Wonkwang University 3rd General Hospital, and its address is as follows: Wonkwang University Hospital, Sinyong-dong 344-2, Iksan, Jeollabuk-do.

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Not applicable. The data used were publicly available at the national level, and anonymity was guaranteed. The author also declared that the data will not be used for any purpose other than the research purpose.

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Not applicable. This is because all patient information was investigated anonymously, and the manuscript did not reveal the patient's personal clinical information or the patient's image.

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Han, A.L. Association between metabolic associated fatty liver disease and osteoarthritis using data from the Korean national health and nutrition examination survey (KNHANES). Inflammopharmacol 29, 1111–1118 (2021). https://doi.org/10.1007/s10787-021-00842-7

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