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Cited by 254

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Association of obstructive sleep apnoea with the presence and severity of non‐alcoholic fatty liver disease. A systematic review and meta‐analysis

Open access
Musso, G., Cassader, M., Olivetti, C., Rosina, F., Carbone, G., Gambino, R.·2013·Obesity Reviews

Abstract

Summary: Obstructive sleep apnoea syndrome (OSAS) and non‐alcoholic fatty liver disease (NAFLD) are common in clinical practice. NAFLD encompasses simple steatosis and non‐alcoholic steatohepatitis (NASH): both confer an increased risk of cardiovascular disease and diabetes; NASH increases also liver‐related risk. Growing experimental evidence connects chronic intermittent hypoxia of OSAS to NAFLD. We reviewed E nglish and non‐E nglish articles and international meeting abstracts through D ecember 2012. Observational studies were included if they assessed OSAS by polysomnography and NAFLD by histological, radiological or biochemical criteria. Two reviewers evaluated retrieved articles by appropriate quality scores. Main outcomes were pooled using random‐ or fixed‐effects models. The effect of age, sex and body mass index (BMI) on effect estimates was assessed by meta‐regression. Eighteen cross‐sectional studies (2,183 participants) were included. Pooled odds ratios (OR s) of OSAS for the presence of NAFLD, as defined by histology, radiology, and AST or ALT elevation, were 2.01(95% CI: 1.36–2.97), 2.99(1.79–4.99), 2.36(1.46–3.82) and 2.60(1.88–3.61), respectively. Pooled OR s of OSAS for NASH, fibrosis‐any stage, or advanced fibrosis in biopsy‐proven NAFLD patients were 2.37(1.59–3.51), 2.16(1.45–3.20) and 2.30(1.21–4.38). The magnitude and direction of effects were unaffected by age, sex and BMI. In conclusion, OSAS is associated with an increased risk of NAFLD, NASH and fibrosis. OSAS patients should be screened for the presence and severity of NAFLD.

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Metadata

Authors
Musso, G., Cassader, M., Olivetti, C., Rosina, F., Carbone, G., & Gambino, R.
Venue
Obesity Reviews
Publisher
Wiley
Published
2013-02-06
Volume
14
Issue
5
Pages
417-431
ISSN
  • 1467-7881 (ISSN-L)
  • 1467-789X
OpenAlex
W2141221893
Cited by
254
References
8
FWCI
3.23
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Association of obstructive sleep apnoea with the presence and severity of non‐alcoholic fatty liver disease. A systematic review and meta‐analysis. https://app.cochat.ai/papers/10.1111/obr.12020
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Musso, G., Cassader, M., Olivetti, C., Rosina, F., Carbone, G., & Gambino, R. (2013). Association of obstructive sleep apnoea with the presence and severity of non‐alcoholic fatty liver disease. A systematic review and meta‐analysis. Obesity Reviews. https://doi.org/10.1111/obr.12020

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