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Letter to the Editor

Similar respiratory function including chronic obstructive pulmonary disease between non-alcoholic fatty liver disease and metabolic dysfunction-associated steatotic liver disease

Clinical and Molecular Hepatology 2024;30(2):266-268.
Published online: January 30, 2024

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Corresponding author : Tsubasa Tsutsumi Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine 67 Asahi-machi, Kurume 830-0011, Japan Tel: +81-942-31-7627, Fax: +81-942-31-2623, E-mail: tsutsumi_tsubasa@med.kurume-u.ac.jp

Editor: Gi-Ae Kim, Kyung Hee University School of Medicine, Korea

• Received: January 13, 2024   • Revised: January 21, 2024   • Accepted: January 27, 2024

Copyright © 2024 by The Korean Association for the Study of the Liver

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Dear Editor,
We have read with great interest the multi-stakeholder consensus statement that redefined the nomenclature for fatty liver disease [1]. The transition from the term “Non-alcoholic Fatty Liver Disease” (NAFLD) to “Metabolic Dysfunction-Associated Steatotic Liver Disease” (MASLD) represents a pivotal moment in the understanding and communication of this prevalent condition [2]. However, it is necessary to ascertain whether the evidence accumulated in association with NAFLD can be applied in the same manner as the transition to MASLD [3].
Chronic obstructive pulmonary disease (COPD) is the third leading cause of death globally, yet there is no effective treatment. Similar to steatotic liver disease (SLD), it remains a condition with high unmet needs. Although smoking has been identified as a cause of COPD, investigation into the diverse clinical features of COPD has been limited [4]. NAFLD is one of the comorbidities of COPD and is associated with its severity [5,6]. In addition, metabolic dysfunctions, including hypertension and dyslipidemia, are associated with the prevalence of COPD [7]. However, there is uncertainty about the differences between NAFLD and MASLD regarding respiratory function and the prevalence of COPD.
We investigated the respiratory function based on spirometry results in patients diagnosed with NAFLD and MASLD by abdominal ultrasonography. The health check-up database used in this study was derived from staff medical check-ups as required by the Occupational Health and Safety Law in Japan and as individual voluntary participation, not based on hospital data. We enrolled 34,073 Asian participants over 40 years of age, who underwent health check-up examinations from January 2010 to March 2020. Ultrasound extaminations were performed by certified sonographers, and all images were adequately recorded. The following information was obtained using a self-reported questionnaire: age, sex, current smoking habits, alcohol consumption, comorbidities, and medication use. We excluded 23,987 participants with multiple check-ups on the same subject, 173 participants with the presence of hepatitis B surface antigen or presence of anti-hepatitis C virus antibody, and 2,384 participants with moderate or heavy alcohol consumption (>20 g/day for female, >30 g/day for male) and a lack of data on alcohol consumption. Finally, we examined 7,529 participants who underwent abdominal ultrasound and spirometry tests (Supplementary Fig. 1).
Out of 7,529 individuals, 50% (3,755 out of 7,529) were diagnosed with steatotic liver by ultrasonography. NAFLD was diagnosed in 42.4% (3,192/7,529), including 6.1% (195/3,192) of patients who did not fulfill the cardiometabolic criteria for MASLD. MASLD was diagnosed in 39.8% (2,997/7,529). In our cohort, the overlap rate between NAFLD and MASLD was 93.9%. This result was nearly identical to previous studies that reported approximately 95% of MASLD cases meeting the diagnostic criteria of NAFLD [3]. In our cohort, patients’ characteristics such as age, sex, body mass index, and habits of drinking and smoking were nearly identical for both NAFLD and MASLD cases.
We showed the spirometry results of patients with NAFLD and MASLD in Table 1. Vital capacity (VC) shows the maximum amount of air that can be expelled from the lungs. The median values for VC were almost identical in both NAFLD and MASLD groups, suggesting that neither condition significantly affects respiratory capacity. The values were comparable in both groups, indicating that the risk of restrictive pulmonary disease is not markedly elevated in either condition. Peak expiratory flow at 25% and 50% (PEF at 25% and PEF at 50%) are metrics assesing respiratory function during the middle of the exhalation process. Similar values in both NAFLD and MASLD cohorts suggest no significant specific impairment in respiratory function. Moreover, the presence of forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) <70% is a criterion for the diagnosis of COPD. This value was almost the same in both NAFLD and MASLD, 7.9% and 8.0%, respectively. In a large-scale cohort in Japan, the prevalence of COPD in individuals over 40 years of age has been reported to be 10.9% [8]. Additionally, the National Health and Nutrition Examination Survey in South Korea also reported a COPD prevalence of 10.0% among patients with NAFLD [9]. These results support the credibility of our health check-up data cohort.
In conclusion, the research evidence on respiratory dysfunction and COPD obtained in NAFLD could be applied to MASLD. The finding that one in ten patients with MASLD suffers from COPD, especially considering the widespread prevalence of MASLD, suggests that we should pay close attention to the potential for COPD in patients with MASLD.
This research was partly supported by JSPS KAKENHI Grant Number JP23K15087, by Fukuoka Clinical Medical Research Award from the Medical Care Education Research Foundation, and by the Research Program on Hepatitis from the Japan Agency for Medical Research and Development, AMED, Grant Number 22fk0210094.

Authors’ contribution

Conceptualization, T.T., and T.K.; methodology, T.T., and M.K.; software, D.N., and M.K.; validation, D.N., and M.K.; investigation, T.T., and T.K.; data curation, T.T.; writing—original draft preparation, T.T., T.K.; writing—review and editing, D.N. and M.K.; visualization, T.T.; supervision, H.T. and T.K.; project administration, T.T.; funding acquisition, T.T. and T.K. All authors have read and agreed to the published version of the manuscript.

Conflicts of Interest

T.K. received lecture fees from Janssen Pharmaceutical K.K., Taisho Pharmaceutical Co., Ltd., Kowa Company, Ltd., Otsuka Pharmaceutical Co., Ltd., Eisai Co., Ltd., ASKA Pharmaceutical Co., Ltd., AbbVie GK., EA Pharma Co., Ltd.

Supplementary material is available at Clinical and Molecular Hepatology website (http://www.e-cmh.org).
Supplementary Figure 1.
Study selection process.
cmh-2024-0028-Supplementary-Figure-1.pdf
Table 1.
The prevalence of lung function test between NAFLD and MASLD
Table 1.
Variable NAFLD
MASLD
Median (IQR) Range (min–max) Median (IQR) Range (min–max)
Number 42.4% (3,192/7,529) N/A 39.8% (2,997/7,529) N/A
Age 54 (47–63) 40–88 55 (48–64) 40–88
Sex (female/male) 925/2,267 (29.0%/71.0%) N/A 841/2,156 (28.0%/72.0%) N/A
Body mass index (kg/m2) 24.5 (22.6–26.7) 15.6–48.7 24.8 (22.9–26.9) 16.3–48.7
Smoking habit (yes/no) 24.4%/75.6% (780/2,412) N/A 24.3%/75.7% (727/2,270) N/A
Pack years 0 (0–10) 0–135 0 (0–10) 0–135
Alcohol intake habit (none/yes) 56.1%/43.9% (1,792/1,400) N/A 56.0/44.0% (1,678/1,319) N/A
Spirometric values
 VC (L) 3.76 (3.11–4.33) 1.41–6.66 3.75 (3.11–4.32) 1.41–6.58
 %VC 103.4 (94.6–113.2) 54.4–164.3 103.4 (94.6–113.2) 54.4–162.3
 FVC (L) 3.74 (3.08–4.32) 1.45–6.63 3.74 (3.08–4.31) 1.45–6.63
 FEV1 (L) 2.90 (2.41–3.41) 0.91–5.24 2.90 (2.40–3.40) 0.91–5.24
 FEV1/FVC (%) 79.3 (75.0–82.7) 27.3–98.8 79.2 (74.9–82.6) 27.3–98.8
 % FEV1 96.2 (87.3–105.3) 31.7–157.5 96.1 (87.1–105.2) 31.7–157.5
 PEF at 25% (L) 0.9 (0.64–1.26) 0.08–4.6 0.89 (0.63–1.24) 0.08–4.6
 PEF at 50% (L) 3.38 (2.54–4.28) 0.36–10.4 3.37 (2.53–4.28) 0.36–10.4
 FEV1/FVC <70% (yes/no) 7.9%/92.1% (253/2,939) N/A 8.0%/92.0% (240/2,757) N/A
 % FEV1 <80% (yes/no) 11.8%/88.2% (377/2,815) N/A 12.2%/87.8% (366/2,631) N/A

NAFLD, non-alcoholic fatty liver disease; MASLD, metabolic dysfunction-associated steatotic liver disease; IQR, interquartile range; VC, vital capacity; FVC, forced vital capacity; FEV1, forced expiratory volume in 1 second; PEF, peak expiratory flow.

NAFLD

non-alcoholic fatty liver disease

MASLD

metabolic dysfunction-associated steatotic liver disease

COPD

chronic obstructive pulmonary disease

SLD

steatotic liver disease

VC

vital capacity

PEF

peak expiratory flow

FVC

forced vital capacity

FEV1

forced expiratory volume in 1 second
  • 1. Rinella ME, Lazarus JV, Ratziu V, Francque SM, Sanyal AJ, Kanwal F, et al. A multisociety Delphi consensus statement on new fatty liver disease nomenclature. J Hepatol 2023;79:1542-1556.
  • 2. Kim GA, Moon JH, Kim W. Critical appraisal of metabolic dysfunction-associated steatotic liver disease: Implication of Janusfaced modernity. Clin Mol Hepatol 2023;29:831-843.
  • 3. Yoon EL, Jun DW. Waiting for the changes after the adoption of steatotic liver disease. Clin Mol Hepatol 2023;29:844-850.
  • 4. Celli B, Fabbri L, Criner G, Martinez FJ, Mannino D, Vogelmeier C, et al. Definition and nomenclature of chronic obstructive pulmonary disease: time for its revision. Am J Respir Crit Care Med 2022;206:1317-1325.
  • 5. Viglino D, Jullian-Desayes I, Minoves M, Aron-Wisnewsky J, Leroy V, Zarski JP, et al. Nonalcoholic fatty liver disease in chronic obstructive pulmonary disease. Eur Respir J 2017;49:1601923.
  • 6. Soriano JB, Maier WC, Egger P, Visick G, Thakrar B, Sykes J, et al. Recent trends in physician diagnosed COPD in women and men in the UK. Thorax 2000;55:789-794.
  • 7. Divo M, Cote C, de Torres JP, Casanova C, Marin JM, Pinto-Plata V, et al. Comorbidities and risk of mortality in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2012;186:155-161.
  • 8. Fukuchi Y, Nishimura M, Ichinose M, Adachi M, Nagai A, Kuriyama T, et al. COPD in Japan: the Nippon COPD Epidemiology study. Respirology 2004;9:458-465.
  • 9. Moon SW, Kim SY, Jung JY, Kang YA, Park MS, Kim YS, et al. Relationship between obstructive lung disease and non-alcoholic fatty liver disease in the Korean population: Korea National Health and Nutrition Examination Survey, 2007-2010. Int J Chron Obstruct Pulmon Dis 2018;13:2603-2611.

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Similar respiratory function including chronic obstructive pulmonary disease between non-alcoholic fatty liver disease and metabolic dysfunction-associated steatotic liver disease
Clin Mol Hepatol. 2024;30(2):266-268.   Published online January 30, 2024
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Similar respiratory function including chronic obstructive pulmonary disease between non-alcoholic fatty liver disease and metabolic dysfunction-associated steatotic liver disease
Clin Mol Hepatol. 2024;30(2):266-268.   Published online January 30, 2024
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Similar respiratory function including chronic obstructive pulmonary disease between non-alcoholic fatty liver disease and metabolic dysfunction-associated steatotic liver disease
Similar respiratory function including chronic obstructive pulmonary disease between non-alcoholic fatty liver disease and metabolic dysfunction-associated steatotic liver disease
Variable NAFLD
MASLD
Median (IQR) Range (min–max) Median (IQR) Range (min–max)
Number 42.4% (3,192/7,529) N/A 39.8% (2,997/7,529) N/A
Age 54 (47–63) 40–88 55 (48–64) 40–88
Sex (female/male) 925/2,267 (29.0%/71.0%) N/A 841/2,156 (28.0%/72.0%) N/A
Body mass index (kg/m2) 24.5 (22.6–26.7) 15.6–48.7 24.8 (22.9–26.9) 16.3–48.7
Smoking habit (yes/no) 24.4%/75.6% (780/2,412) N/A 24.3%/75.7% (727/2,270) N/A
Pack years 0 (0–10) 0–135 0 (0–10) 0–135
Alcohol intake habit (none/yes) 56.1%/43.9% (1,792/1,400) N/A 56.0/44.0% (1,678/1,319) N/A
Spirometric values
 VC (L) 3.76 (3.11–4.33) 1.41–6.66 3.75 (3.11–4.32) 1.41–6.58
 %VC 103.4 (94.6–113.2) 54.4–164.3 103.4 (94.6–113.2) 54.4–162.3
 FVC (L) 3.74 (3.08–4.32) 1.45–6.63 3.74 (3.08–4.31) 1.45–6.63
 FEV1 (L) 2.90 (2.41–3.41) 0.91–5.24 2.90 (2.40–3.40) 0.91–5.24
 FEV1/FVC (%) 79.3 (75.0–82.7) 27.3–98.8 79.2 (74.9–82.6) 27.3–98.8
 % FEV1 96.2 (87.3–105.3) 31.7–157.5 96.1 (87.1–105.2) 31.7–157.5
 PEF at 25% (L) 0.9 (0.64–1.26) 0.08–4.6 0.89 (0.63–1.24) 0.08–4.6
 PEF at 50% (L) 3.38 (2.54–4.28) 0.36–10.4 3.37 (2.53–4.28) 0.36–10.4
 FEV1/FVC <70% (yes/no) 7.9%/92.1% (253/2,939) N/A 8.0%/92.0% (240/2,757) N/A
 % FEV1 <80% (yes/no) 11.8%/88.2% (377/2,815) N/A 12.2%/87.8% (366/2,631) N/A
Table 1. The prevalence of lung function test between NAFLD and MASLD

NAFLD, non-alcoholic fatty liver disease; MASLD, metabolic dysfunction-associated steatotic liver disease; IQR, interquartile range; VC, vital capacity; FVC, forced vital capacity; FEV1, forced expiratory volume in 1 second; PEF, peak expiratory flow.