1
|
Heydari K, Yousefi M, Alizadeh-Navaei R, Lotfi P, Sheydaee F, Raei M, Vahdatinia A, Hessami A, Rafati S, Moosazadeh M, Ghasemian R, Salehi F, Massoudi H, Ghaffari-Saravi F, Rismantab S. Helicobacter pylori Infection and Non-alcoholic Fatty Liver Disease: A Systematic Review and Meta-Analysis. Turk J Gastroenterol 2022; 33:171-181. [PMID: 35410853 PMCID: PMC9128487 DOI: 10.5152/tjg.2022.21467] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Since numerous studies have stated that there may be a relationship between Helicobacter pylori infection and nonalcoholic fatty liver disease, and because of the high prevalence of both conditions worldwide, this study investigated the risk of non-alcoholic fatty liver disease in patients infected with H. pylori. Following a systematic review of PubMed, Scopus, Web of Science and Embase, and a search in Google Scholar using MeSH terms such as H. pylori and non-alcoholic fatty liver disease, the relevant papers up to November 2020 were reviewed. All cohort, case-control, and cross-sectional studies that examined the risk of developing non-alcoholic fatty liver disease in patients infected with H. pylori entered this study. A meta-analysis was conducted in STATA 11. This systematic review examined 22 papers with 117 117 participants (33 711 patients infected with H. pylori and 83 406 participants as control) and 20 studies were subjected to meta-analysis The results indicated a 22% to 27% increase in the risk of developing non-alcoholic fatty liver disease in patients infected with H. pylori (crude odds ratio: 1.27, 95% CI: 1.17-1.33; and adjusted odds ratio: 1.22, 95% CI: 1.09-1.35). According to the subgroup analysis, the study region, sample size, and the method of diagnosing H. pylori were the factors contributing to the high heterogeneity. The meta-analysis revealed the increased risk of developing non-alcoholic fatty liver disease in patients infected with H. pylori. This indicates that H. pylori is a serious risk factor in patients susceptible to NAFLD.
Collapse
Affiliation(s)
- Keyvan Heydari
- Student Research Committee, Mazandaran University of Medical Sciences Faculty of Medicine, Sari, Iran
- Gastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mohammad Yousefi
- Department of Medicine, Semnan University of Medical Sciences Faculty of Medicine, Semnan, Iran
| | - Reza Alizadeh-Navaei
- Gastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
- Corresponding author: Sahar Rismantab or Reza Alizadeh-Navaei, e-mail: ;
| | - Parisa Lotfi
- Student Research Committee, Mazandaran University of Medical Sciences Faculty of Medicine, Sari, Iran
| | - Fateme Sheydaee
- Department of Medicine, Semnan University of Medical Sciences Faculty of Medicine, Semnan, Iran
| | - Maedeh Raei
- Sari Branch, Islamic Azad University Faculty of Medicine, Sari, Iran
| | - Alireza Vahdatinia
- Student Research Committee, Mazandaran University of Medical Sciences Faculty of Medicine, Sari, Iran
| | - Amirhossein Hessami
- Student Research Committee, Mazandaran University of Medical Sciences Faculty of Medicine, Sari, Iran
| | - Sajjad Rafati
- Student Research Committee, Mazandaran University of Medical Sciences Faculty of Medicine, Sari, Iran
| | - Mahmood Moosazadeh
- Gastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Roya Ghasemian
- Department of Infectious Diseases, Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences, Sari, Iran
| | - Fatemeh Salehi
- Department of Pathology, Sari branch, Islamic Azad University Faculty of Medicine, Sari, Iran
| | - Haleh Massoudi
- Ramsar Campus, Mazandaran University of Medical Sciences, Ramsar, Iran
| | - Fatemeh Ghaffari-Saravi
- Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Sahar Rismantab
- Ramsar Campus, Mazandaran University of Medical Sciences, Ramsar, Iran
- Corresponding author: Sahar Rismantab or Reza Alizadeh-Navaei, e-mail: ;
| |
Collapse
|