The Role of SHBG as a Marker in Male Patients with Metabolic-Associated Fatty Liver Disease: Insights into Metabolic and Hormonal Status
2024

SHBG as a Marker for Fatty Liver Disease in Men

Sample size: 172 publication 10 minutes Evidence: moderate

Author Information

Author(s): Fodor Duric Ljiljana, Belčić Velimir, Oberiter Korbar Anja, Ćurković Sanja, Vujicic Bozidar, Gulin Tonko, Muslim Jelena, Gulin Matko, Grgurević Mladen, Catic Cuti Edina, Lichtenauer Michael, Berezin Alexander E.

Primary Institution: School of Medicine, University of Catholica Croatica, Zagreb, Croatia

Hypothesis

This study aimed to evaluate the relationship between SHBG and MAFLD in a male cohort and to explore interactions with body mass index (BMI), age, and other metabolic factors.

Conclusion

SHBG may serve as a valuable biomarker for early detection and risk assessment of MAFLD.

Supporting Evidence

  • Individuals with MAFLD had lower SHBG levels compared to controls.
  • BMI and age were key factors influencing SHBG levels.
  • Higher BMI was linked to lower SHBG in younger men.
  • SHBG levels remained stable in older individuals regardless of BMI.
  • A significant association was found between low SHBG levels and the presence of fatty liver.

Takeaway

This study found that lower levels of a protein called SHBG are linked to fatty liver disease in men, suggesting it could help doctors spot the disease early.

Methodology

The study included 98 male patients with MAFLD and 74 healthy male controls, assessing various metabolic and hormonal parameters through blood tests and abdominal ultrasound.

Potential Biases

The study focused only on male participants, which may limit the generalizability of findings to females or mixed-gender populations.

Limitations

The use of ultrasound instead of biopsy for MAFLD diagnosis may limit the precision of liver fat assessment.

Participant Demographics

The study involved 172 male participants aged 30 to 55 years, with a mean age of 43.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI: 0.786–0.974

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.3390/jcm13247717

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