Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative review

Understanding the effects of sex and sex differences on liver health and disease is crucial for individualized healthcare and informed decision-making for patients with liver disease. The impact of sex on liver disease varies according to i...

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Main Authors: Sae Kyung Joo, Won Kim
Format: Article
Language:English
Published: Ewha Womans University College of Medicine 2024-04-01
Series:The Ewha Medical Journal
Subjects:
Online Access:http://www.e-emj.org/archive/view_article?pid=emj-47-2-17
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author Sae Kyung Joo
Won Kim
author_facet Sae Kyung Joo
Won Kim
author_sort Sae Kyung Joo
collection DOAJ
description Understanding the effects of sex and sex differences on liver health and disease is crucial for individualized healthcare and informed decision-making for patients with liver disease. The impact of sex on liver disease varies according to its etiology. Women have a lower prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) than men. However, postmenopausal women face a higher risk of advanced liver fibrosis due to hormonal influences. Sex differences affect the pathogenesis of MASLD, which involves a complex process involving several factors such as hormones, obesity, and the gut microbiome. Furthermore, sex-related differences in the development of MASLDrelated hepatocellular carcinoma have been observed. The sex-specific characteristics of MASLD necessitate an individualized management approach based on scientific evidence. However, research in this area has been lacking. This article reviews the current understanding of sex differences in MASLD.
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record_format Article
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spelling doaj-art-054c53fa0f6d4a6db0c97ea1642fe0a62024-12-16T08:43:16ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912024-04-0147210.12771/emj.2024.e17emj-47-2-17Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative reviewSae Kyung JooWon KimUnderstanding the effects of sex and sex differences on liver health and disease is crucial for individualized healthcare and informed decision-making for patients with liver disease. The impact of sex on liver disease varies according to its etiology. Women have a lower prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) than men. However, postmenopausal women face a higher risk of advanced liver fibrosis due to hormonal influences. Sex differences affect the pathogenesis of MASLD, which involves a complex process involving several factors such as hormones, obesity, and the gut microbiome. Furthermore, sex-related differences in the development of MASLDrelated hepatocellular carcinoma have been observed. The sex-specific characteristics of MASLD necessitate an individualized management approach based on scientific evidence. However, research in this area has been lacking. This article reviews the current understanding of sex differences in MASLD.http://www.e-emj.org/archive/view_article?pid=emj-47-2-17gastrointestinal microbiomehepatocellular carcinomaliver cirrhosispostmenopausesex characteristics
spellingShingle Sae Kyung Joo
Won Kim
Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative review
The Ewha Medical Journal
gastrointestinal microbiome
hepatocellular carcinoma
liver cirrhosis
postmenopause
sex characteristics
title Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative review
title_full Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative review
title_fullStr Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative review
title_full_unstemmed Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative review
title_short Sex differences in metabolic dysfunction-associated steatotic liver disease: a narrative review
title_sort sex differences in metabolic dysfunction associated steatotic liver disease a narrative review
topic gastrointestinal microbiome
hepatocellular carcinoma
liver cirrhosis
postmenopause
sex characteristics
url http://www.e-emj.org/archive/view_article?pid=emj-47-2-17
work_keys_str_mv AT saekyungjoo sexdifferencesinmetabolicdysfunctionassociatedsteatoticliverdiseaseanarrativereview
AT wonkim sexdifferencesinmetabolicdysfunctionassociatedsteatoticliverdiseaseanarrativereview