Lipids & metabolic liver disease

Changes in Muscle Mass and the Risk of Liver‐Related Events: A Prospective Cohort Study

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

Greater preservation or increase in muscle mass was associated with a lower risk of incident LRE, particularly among participants younger than 60 years.

Study context

Population
Participants with baseline and first follow-up body composition data; ASM estimated by bioelectrical impedance and Janssen equation, indexed to BMI101 incident liver-related events (LRE)
Participants
19,660 participants
Exposure
Tertiles of change in ASM/BMI
Outcome
Incident liver-related events (LRE)
Follow-up
Median 9.87 years

Main finding

As reported in the abstract

Incident LRE
Each group vs lowest tertileHazard ratio (95% CI)
Intermediate tertile
0.59(0.37–0.94)
Highest tertile
0.44(0.27–0.72)

Observational data: associations, not effects.

Further findings

Incident LRE by age subgroup

Association more pronounced in participants <60 years
P for interaction = 0.042

Nonlinear association of ΔASM/BMI with LRE risk (restricted cubic spline)

P-overall
P-overall = 0.012
P-non-linear
p-non-linear = 0.029

Competing-risk, sensitivity, propensity score-based and nested case-control analyses

Results generally consistent

Original publication

Changes in Muscle Mass and the Risk of Liver‐Related Events: A Prospective Cohort Study. Diabetes Obes Metab. Published 19 July 2026. doi:10.1111/dom.71127

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