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. 2023 Jan 4;21:4. doi: 10.1186/s12916-022-02716-3

Table 2.

All-cause and cause-specific mortality by MAFLD subgroup

Death Duration (PYs) Incidence rate
(per 1000 PY)
Hazard ratio (95% confidence interval)
Age, sex adjusted Multivariatea
All-cause mortality
 No MAFLD 240,245 58,587,451.25 4.10 1 (Ref.) 1 (Ref.)
 MAFLD-diabetes 58,797 4,848,887.35 12.13 1.43 (1.42, 1.45) 1.61 (1.59, 1.63)
 MAFLD-overweight/obese 101,136 25,961,930.93 3.90 0.84 (0.84, 0.85) 1.19 (1.18, 1.20)
 MAFLD-lean 17,415 1,727,529.60 10.08 1.45 (1.45, 1.49) 1.36 (1.34, 1.38)
CVD-specific mortality
 No MAFLD 45,670 58,587,451.25 0.78 1 (Ref.) 1 (Ref.)
 MAFLD-diabetes 11,683 4,848,887.35 2.41 1.55 (1.51, 1.58) 1.61 (1.58, 1.65)
 MAFLD-overweight/obese 19,718 25,961,930.93 0.76 0.94 (0.93, 0.96) 1.22 (1.19, 1.25)
 MAFLD-lean 3191 1,727,529.60 1.85 1.51 (1.46, 1.57) 1.45 (1.40, 1.51)
Cancer-specific mortality
 No MAFLD 84,720 58,587,451.25 1.45 1 (Ref.) 1 (Ref.)
 MAFLD-diabetes 19,822 4,848,887.35 4.09 1.37 (1.34, 1.39) 1.31 (1.29, 1.33)
 MAFLD-overweight/obese 41,763 25,961,930.93 1.61 0.95 (0.94, 0.96) 1.11 (1.09, 1.13)
 MAFLD-lean 5907 1,727,529.60 3.42 1.36 (1.32, 1.40) 1.27 (1.23, 1.30)
Liver disease-related mortality
 No MAFLD 12,824 58,587,451.25 0.22 1 (Ref.) 1 (Ref.)
 MAFLD-diabetes 6626 4,848,887.35 1.37 2.99 (2.90, 3.08) 2.85 (2.75, 2.95)
 MAFLD-overweight/obese 9535 25,961,930.93 0.38 1.28 (1.25, 1.32) 1.76 (1.70, 1.82)
 MAFLD-lean 2305 1,727,529.60 1.33 3.24 (3.10, 3.39) 2.84 (2.72, 2.97)

Abbreviations: MAFLD Metabolic-associated fatty liver disease, CVD Cardiovascular disease, PY Person years

aAdjusted for age, sex, body mass index, income, smoking, alcohol consumption, exercise, and Charlson Comorbidity Index score