Phytomedicine,
Год журнала:
2025,
Номер
143, С. 156889 - 156889
Опубликована: Май 21, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
a
growing
global
health
concern
linked
to
increased
risks
of
cardiovascular
disease,
chronic
kidney
(CKD),
and
premature
mortality.
Ginkgo
biloba
has
shown
potential
therapeutic
benefits
in
conditions
characterized
by
metabolic
dysfunction.
This
study
aimed
evaluate
the
protective
effects
supplementation
on
overall
survival
(OS)
incidence
renal
outcomes
specifically
MASLD
patients.
cohort
included
402,476
participants
from
UK
Biobank,
categorized
into
No
(SLD)
cohorts.
users
non-users
were
compared
using
inverse
probability
treatment
weighting
balance
baseline
characteristics.
Clinical
assessed
Cox
proportional
hazards
models,
with
subgroup
analyses.
was
associated
significantly
improved
OS
[hazard
ratio
(HR)
=
0.79,
95
%
confidence
interval
(CI):
0.64-0.98,
p
0.034)
reduced
events
(HR
0.82,
CI:
0.66-1.00,
0.012)
CKD
0.73,
0.56-0.96,
cohort,
while
no
significant
observed
SLD
cohort.
Subgroup
analyses
indicated
enhanced
older
adults,
males,
individuals
BMI
≥
25
kg/m²,
diabetic
The
beneficial
pronounced
patients
advanced
fibrosis.
patients,
particularly
high-risk
subgroups.
These
findings
highlight
as
an
adjunctive
therapy
management.
first
large-scale
examine
impact
clinical
MASLD,
fibrosis-stratified
providing
insights
its
differential
across
severity.
BACKGROUND
Weight
loss
is
the
standard
recommendation
for
patients
with
metabolic
dysfunction-associated
fatty
liver
disease
(MAFLD),
but
its
successful
implementation
difficult
in
practice.
Digital
lifestyle
interventions
may
provide
an
efficient
and
scalable
solution
to
enhance
patient
self-management.
OBJECTIVE
This
study
aimed
assess
effects
of
a
WeChat
mini-program-delivered
intervention
on
weight
hepatic
steatosis
among
overweight
or
obese
individuals
MAFLD
METHODS
Overweight
adults
clinically
diagnosed
transient
elastography
examination
were
enrolled
this
prospective
randomized
controlled
trial.
Patients
randomly
assigned
receive
either
mini-program
management
(intervention
group)
care
(control
at
1:1
ratio.
Body
clinical
parameters
assessed
baseline
then
6
months.
RESULTS
Among
89
included
patients,
60.0%
achieved
≥5%
loss,
24.4%
had
≥10%
group,
which
greater
than
those
control
group
(P
<0.05).
Importantly,
receiving
significantly
more
likely
achieve
attenuation
parameter
(CAP)reduction
CAP
normalization
(57.8%
vs.
31.8%,
P
In
parallel,
presented
reductions
enzymes
(ALT,
AST,
GGT)
(fasting
insulin,
HbA1c,
TG,
HDL-C)
According
fibrosis
assessment,
only
FibroScan-aspartate
aminotransferase
(FAST)
score
decreased
No
significant
difference
was
found
stiffness
measurement
(LSM)
values
noninvasive
scores
(APRI,
FIB-4,
NFS,
Agile
3+)
between
groups
(P>0.05).
CONCLUSIONS
coaching
via
demonstrates
efficacy
enhancing
reduction,
improving
steatosis,
ameliorating
disorders,
offering
novel
perspectives
regarding
practicality
therapeutic
value
digital
tools
managing
through
behavioral
interventions.
CLINICALTRIAL
Chinese
Clinical
Trial
Registry
ChiCTR2500100197;
https://www.chictr.org.cn/
Phytomedicine,
Год журнала:
2025,
Номер
143, С. 156889 - 156889
Опубликована: Май 21, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
a
growing
global
health
concern
linked
to
increased
risks
of
cardiovascular
disease,
chronic
kidney
(CKD),
and
premature
mortality.
Ginkgo
biloba
has
shown
potential
therapeutic
benefits
in
conditions
characterized
by
metabolic
dysfunction.
This
study
aimed
evaluate
the
protective
effects
supplementation
on
overall
survival
(OS)
incidence
renal
outcomes
specifically
MASLD
patients.
cohort
included
402,476
participants
from
UK
Biobank,
categorized
into
No
(SLD)
cohorts.
users
non-users
were
compared
using
inverse
probability
treatment
weighting
balance
baseline
characteristics.
Clinical
assessed
Cox
proportional
hazards
models,
with
subgroup
analyses.
was
associated
significantly
improved
OS
[hazard
ratio
(HR)
=
0.79,
95
%
confidence
interval
(CI):
0.64-0.98,
p
0.034)
reduced
events
(HR
0.82,
CI:
0.66-1.00,
0.012)
CKD
0.73,
0.56-0.96,
cohort,
while
no
significant
observed
SLD
cohort.
Subgroup
analyses
indicated
enhanced
older
adults,
males,
individuals
BMI
≥
25
kg/m²,
diabetic
The
beneficial
pronounced
patients
advanced
fibrosis.
patients,
particularly
high-risk
subgroups.
These
findings
highlight
as
an
adjunctive
therapy
management.
first
large-scale
examine
impact
clinical
MASLD,
fibrosis-stratified
providing
insights
its
differential
across
severity.