Lipids & metabolic liver disease

The Relationships Between MASLD, Extrahepatic Multimorbidity, and All-Cause Mortality in the UK Biobank Cohort

J Clin Endocrinol MetabPublished Prospective cohort study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 1.16 95% CI 1.13–1.19

Authors' conclusion

Those with MASLD exhibited a higher prevalence of extrahepatic multimorbidity and a 16% higher rate of mortality than those without, underscoring the impact of liver steatosis on mortality and highlighting the need to target LTCs to improve outcomes and reduce health care burdens.

Study context

Population
UK Biobank participants; multimorbidity defined as ≥2 of 47 prespecified extrahepatic long-term conditions (LTCs)
Participants
438,840 participants
Exposure
MASLD vs no MASLD
  • MASLDn = 131,020
Outcome
All-cause mortality
Follow-up
Median 13 years
Methodological detailspopulation-based, adjusted Cox models
  • Population-based
  • Adjusted Cox models

Main finding

As reported in the abstract

Hazard ratio

1.16

95% CI 1.13–1.19

MASLDvs Non-MASLD
HR 1.16 (95% CI 1.13–1.19)

Observational data: associations, not effects.

Further findings

Prevalence of multimorbidity at baseline

OutcomeMASLDNon-MASLD
Mortality per additional LTC at baseline
HR1.30 (1.29, 1.32)1.38 (1.37, 1.40)

LTCs associated with increased mortality in MASLD

LTCs associated with increased mortality in people with MASLD, of 47
16
MASLD strongly associated with several LTCs, particularly metabolic, cardiovascular, cancers, kidney, mental/behavioral and respiratory diseases

Original publication

The Relationships Between MASLD, Extrahepatic Multimorbidity, and All-Cause Mortality in the UK Biobank Cohort. J Clin Endocrinol Metab. Published 10 June 2025. doi:10.1210/clinem/dgaf342

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