Lipids & metabolic liver disease

Investigating multimorbidity trajectories in people living with MASLD diagnosis: A trajectory analysis using the UK Biobank

Diabetes Obes MetabPublished Cohort study with trajectory analysis

Authors' conclusion

People living with MASLD demonstrated multimorbidity trajectories involving co-occurrence of metabolic diseases, chronic inflammation, and cardiovascular diseases. If replicated, these pathways may serve as promising targets to improve late-life health in individuals with MASLD.

Study context

Population
People with MASLD in UK Biobank; median age 59 (52–64) years, 65.6% malematched cohort
Exposure
MASLD vs propensity-matched non-MASLD controls
  • MASLDn = 137,859
Outcome
Multimorbidity trajectories of chronic diseases post-MASLD diagnosis
Follow-up
13 years
Methodological detailspropensity score matching, UK Biobank, phenome-wide association analysis
  • Propensity score matching
  • UK Biobank
  • Phenome-wide association analysis

Main finding

As reported in the abstract

Multimorbidity trajectories post-MASLD diagnosis · Over 13 years of follow-up

Diseases with elevated risks post-MASLD diagnosis (PheWAS)

128

Common trajectories

6637

Diseases involved in common trajectories

69

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Obesity8.77 (8.37–9.18)
Diabetes4.34 (4.15–4.53)
Sleep disorders3.21 (3.01–3.42)

Original publication

Investigating multimorbidity trajectories in people living with MASLD diagnosis: A trajectory analysis using the UK Biobank. Diabetes Obes Metab. Published 8 September 2025. doi:10.1111/dom.70095

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