Effect of Air Pollution on Metabolism-Associated Fatty Liver Disease: A Hospital-Based Study
Abstract Background Many studies have shown that the fine particulate matter in air is related to the incidence rate of chronic diseases. However, research on air pollution and metabolism-associated fatty liver disease (MAFLD) is limited. The purpose of this study was to explore the relationship between the incidence rate of MAFLD and air pollutants.Methods using a quasi-Poisson regression generalized additive model. Stratified analyses by season and age were also performed. Results A 10 µg/m3 increase of PM10, PM2.5, and NO2 concentrations corresponded to 0.82 (95%Cl: 0.49, 1.15), 0.57(95%Cl: 0.18,0.98), and 0.86(95%Cl: 0.59,1.13) elevation in MAFLD. In terms of season, the impact estimates of NO2 and PM2.5 were 3.55 (95% CI, 1.23-5.87) and 1.12 (95% CI, 0.78-1.46) in the hot season and transition season, respectively. Compared with warm season, the impact estimates of PM10 were more significant in the cool season: 2.88 (95% CI, 0.66-5.10). NO2 has the highest effect in the transition season, while PM10 has the highest effect in the cool and hot seasons. In the two age groups with 45 years as the dividing line, PM2.5 has the highest impact estimate: 2.69 (95% CI, 0.77-5.61) and 2.88 (95% CI, 0.37-6.40). The impact values of PM2.5 in male and Female were 3.60 (95% CI, 0.63-6.57) and 1.65 (95% CI, 1.05-2.25), respectively. The most important link is in different lag models, there is a significant correlation.Conclusion: This study shows that the air pollutants are related to the incidence rate of MAFLD. The effects of different air pollutants on MAFLD incidence rate were different in different seasons, ages, and gender. It is found that air pollution has a lag effect on MAFLD.