Bulk coal combustion in rural households is a major contributor to PM_(2.5)pollution in Northern China[1,2].To promote the energy transition and reduce bulk coal combustion for heating in rural areas,China initiated t...Bulk coal combustion in rural households is a major contributor to PM_(2.5)pollution in Northern China[1,2].To promote the energy transition and reduce bulk coal combustion for heating in rural areas,China initiated the Winter Clean Heating Action Plan in Rural Northern China in 2017,hereinafter referred to as rural clean heating(RCH)[3].The 2+26 region,comprising Beijing,Tianjin,and 26 other municipalities in the surrounding area(Fig.S1 online),is the key implementation area for the RCH.展开更多
Background and Aims:Metabolic dysfunction and obe-sity commonly coexist with both alcoholic and nonalcoholic fatty liver disease(AFLD and NAFLD).The association of AFLD and NAFLD with incident diseases in individuals ...Background and Aims:Metabolic dysfunction and obe-sity commonly coexist with both alcoholic and nonalcoholic fatty liver disease(AFLD and NAFLD).The association of AFLD and NAFLD with incident diseases in individuals with different metabolic phenotypes are unclear.Methods:UK Biobank study participants were screened for the presence of fatty liver at baseline.Body mass index and metabolic dysfunction were used to define metabolic phenotypes.Cox regression model was performed to examine the associations of AFLD and NAFLD with incident significant liver diseases(SLDs),cardiovascular diseases(CVDs),chronic kidney dis-eases(CKDs),and cancers,respectively.Results:A total of 43,974 AFLD and 103,248 NAFLD cases were identified.Both AFLD and NAFLD were associated with an increased risk of diseases of interest.The effects were amplified by obesity and metabolic abnormalities and modified by metabolic phe-notypes.Compared to individuals free of fatty liver and with phenotype of metabolically healthy-normal weight,AFLD[hazard ratio(HR 3.27;95%CI:1.95-5.47)]and NAFLD(HR 2.25;95%CI:1.28-3.94)cases with phenotype of met-abolically obese-normal weight had the greatest risk of SLDs.For CVDs,CKDs,and cancer,the greatest risks were detected in AFLD and NAFLD cases with phenotype of metabolically obese-overweight/obesity.In this subpopulation,AFLD and NAFLD conferred a 2.75-fold(95%CI:2.32-3.25)and 4.02-fold 95%CI:(3.64-4.43)increased risk of CVDs,4.37-fold 95%CI:(3.38-5.64)and 6.55-fold 95%CI:(5.73-7.48)increased risk of CKDs,and 1.19-fold 95%CI:(1.08-1.27)and 1.21-fold 95%CI:(1.14-1.28)increased risk of cancers,respectively.Conclusions:Metabolic phenotypes modified the association of AFLD and NAFLD with intrahepatic and ex-trahepatic diseases.展开更多
基金supported by the National Natural Science Foundation of China(72074155,72074137,72374107)the Shandong Province Natural Science Foundation(ZR2021YQ27)+2 种基金the Natural Science Foundation of Jiangsu Province(BK20230062)the National Key R&D Program of China(2022YFF0802504)the Postgraduate Research&Practice Innovation Program of Jiangsu Province(KYCX22_1223)。
文摘Bulk coal combustion in rural households is a major contributor to PM_(2.5)pollution in Northern China[1,2].To promote the energy transition and reduce bulk coal combustion for heating in rural areas,China initiated the Winter Clean Heating Action Plan in Rural Northern China in 2017,hereinafter referred to as rural clean heating(RCH)[3].The 2+26 region,comprising Beijing,Tianjin,and 26 other municipalities in the surrounding area(Fig.S1 online),is the key implementation area for the RCH.
基金the Special Foundation for Science and Technology Basic Research Program(2019FY101103)the Natural Science Foundation of China(81772170,91846302,82073637,82003548)+5 种基金the National Key Research and Development Program of China(grant numbers:2017 YFC0907000,2017YFC0907500,2017YFC0211700,2019Y FC1315804)key basic research grants from the Science and Technology Commission of Shanghai Municipality(grant num-ber:16JC1400500)the Shanghai Municipal Science and Technology Major Project(No2017SHZDZX01)Three-Year Action Plan for Strengthening Public Health System in Shang-hai(grant number:GWV-10.2-YQ32)Innovation Grant from Science and Technology Commission of Shanghai Municipality,China(grant number:20ZR1405600)Local Innovative and Research Teams Project of Guangdong Pearl River Talents Pro-gram(2017BT01S131).
文摘Background and Aims:Metabolic dysfunction and obe-sity commonly coexist with both alcoholic and nonalcoholic fatty liver disease(AFLD and NAFLD).The association of AFLD and NAFLD with incident diseases in individuals with different metabolic phenotypes are unclear.Methods:UK Biobank study participants were screened for the presence of fatty liver at baseline.Body mass index and metabolic dysfunction were used to define metabolic phenotypes.Cox regression model was performed to examine the associations of AFLD and NAFLD with incident significant liver diseases(SLDs),cardiovascular diseases(CVDs),chronic kidney dis-eases(CKDs),and cancers,respectively.Results:A total of 43,974 AFLD and 103,248 NAFLD cases were identified.Both AFLD and NAFLD were associated with an increased risk of diseases of interest.The effects were amplified by obesity and metabolic abnormalities and modified by metabolic phe-notypes.Compared to individuals free of fatty liver and with phenotype of metabolically healthy-normal weight,AFLD[hazard ratio(HR 3.27;95%CI:1.95-5.47)]and NAFLD(HR 2.25;95%CI:1.28-3.94)cases with phenotype of met-abolically obese-normal weight had the greatest risk of SLDs.For CVDs,CKDs,and cancer,the greatest risks were detected in AFLD and NAFLD cases with phenotype of metabolically obese-overweight/obesity.In this subpopulation,AFLD and NAFLD conferred a 2.75-fold(95%CI:2.32-3.25)and 4.02-fold 95%CI:(3.64-4.43)increased risk of CVDs,4.37-fold 95%CI:(3.38-5.64)and 6.55-fold 95%CI:(5.73-7.48)increased risk of CKDs,and 1.19-fold 95%CI:(1.08-1.27)and 1.21-fold 95%CI:(1.14-1.28)increased risk of cancers,respectively.Conclusions:Metabolic phenotypes modified the association of AFLD and NAFLD with intrahepatic and ex-trahepatic diseases.
