非酒精性脂肪性肝病(NAFLD)已成为世界上最常见的肝脏疾病,非侵入性评估方法需要评估NAFLD疾病进展。血清铁蛋白已被认为是NAFLD诊断的生物标志物之一。本系统综述旨在确定,报告,并综合研究了成年人群中血清铁蛋白水平与NAFLD各个阶段的关系。
■三个数据库-MEDLINE,EMBASE,和Scopus-在2022年7月之前进行了系统搜索,以获取潜在的相关出版物。没有限制适用于地理区域,研究设计,出版物类型和语言。血清铁蛋白水平或不同铁蛋白类别与NAFLD不同阶段之间的关联是感兴趣的主要结果。标题和摘要放映,数据提取和编码,和质量评估由两名作者独立完成,差异通过与第三作者讨论解决.
■纳入了32项研究,异质性相当大。血清铁蛋白水平与肝脂肪变性分期的关系,纤维化,研究了炎症和气球膨胀以及非酒精性脂肪性肝炎(NASH)的发生,但报告了不一致的关联。大多数研究确定血清铁蛋白是晚期NAFLD的预测因子,而几个人揭示了相反的结局。
■血清铁蛋白可以被认为是评估NAFLD各个阶段的非侵入性生物标志物。然而,由于本研究报告了基于定性综合的不一致关联,因此仍需要进一步研究来确认其预测价值.
■http://www.crd.约克。AC.英国/PROSPERO,标识符:CRD42021275630。
UNASSIGNED: Non-alcoholic fatty liver disease (NAFLD) has become the most common liver disorder across the world, and non-invasive evaluation approaches are in need to assess NAFLD disease progression. Serum ferritin has been proposed as one of the biomarkers for NAFLD diagnosis in previous studies. This systematic
review aims to identify, report, and synthesize studies that investigated the association of serum ferritin level with the various stages of NAFLD among the adult population.
UNASSIGNED: Three databases - MEDLINE, EMBASE, and Scopus - were systematically searched to obtain potentially relevant publications before July 2022. No restrictions were applied to geographical region, study design, publication type and language. The association between serum ferritin level or different ferritin categories and the various stages of NAFLD was the primary outcome of interest. Title and abstract screenings, data extraction and coding, and quality assessment were independently completed by two authors with discrepancies resolved through discussion with a third author.
UNASSIGNED: Thirty-two studies were included and heterogeneity was considerable. The associations between serum ferritin level and the stages of hepatic steatosis, fibrosis, inflammation and ballooning and the occurrence of non-alcoholic steatohepatitis (NASH) were investigated but inconsistent associations were reported. Most studies identified serum ferritin to be a predictor of advanced NAFLD, while several revealed the opposite end.
UNASSIGNED: Serum ferritin could be considered to act as a non-invasive biomarker for assessing various stages of NAFLD. Nevertheless, further studies are still in need to confirm its predictive value since this study reported inconsistent associations based on the qualitative synthesis.
UNASSIGNED: http://www.crd.york.ac.uk/PROSPERO, identifier: CRD42021275630.