69e236b6708b37ed115de4f6e75d15b1 322344.pdf 18fdc8337a7bc4cd8d16ec69129f53589c71059f 322344.pdf 4a82e98409917452dd10262d4a305da27e63ce49739fd9049749507de5218ef3 322344.pdf Title: Prevalence and Risk Factors of MASLD and Liver Fibrosis amongst the Penitentiary Population in Catalonia: The PRISONAFLD Study Subject: Background and Aims: The prevalence of chronic non-communicable diseases, particularly metabolic syndrome (MetS), has increased among the prison population. Nevertheless, we have limited data on metabolic dysfunction-associated steatotic liver disease (MASLD), the hepatic manifestation of this syndrome. We aimed to investigate the prevalence and risk factors of MASLD and MASLD-associated liver fibrosis in the penitentiary population in Catalonia, Spain. Method: A cross-sectional observational study involving eight penitentiary centers. Participants had at least one metabolic disorder and were at a closed-regimen penitentiary. Individuals with concomitant liver diseases and/or alcohol risk consumption were excluded. Significant fibrosis and MASLD were defined as liver stiffness 8 kPa and a controlled attenuation parameter 275 dB/m by vibration-controlled transient elastography (VCTE), respectively. After exclusions, metabolic inmates with VCTE were analyzed. Logistic regression analysis was performed to identify predictors of MASLD and MASLD-associated significant fibrosis. Results: Out of the 4338 inmates studied, 1290 (29.7%) had metabolic disorders, and 646 (14.9%) underwent VCTE. The mean age was 48.0 years (SD 12.1), and 89.5% were male. MASLD prevalence was 33.9%. Significant fibrosis and MASLD-associated significant fibrosis were found in 16.4% and 9.4% of inmates, respectively. In the multivariate analysis, T2D, waist circumference, MetS, and higher ALT values were identified as independent risk factors for MASLD and MASLD-associated significant fibrosis amongst the prison population. Conclusions: Metabolic disorders including MASLD are highly prevalent among inmates. The prevalence of significant fibrosis seems notably higher than that of the general population, underscoring the need for targeted screening programs and therapeutic interventions in the incarcerated population. Keywords: non-alcoholic fatty liver disease; metabolic dysfunction-associated steatotic liver disease; metabolic syndrome; liver fibrosis; prison Author: Jesús Rivera-Esteban, Alba Jiménez-Masip, Sergio Muñoz-Martínez, Salvador Augustin, Rafael A. Guerrero, Pablo Gabriel-Medina, Roser Ferrer-Costa, Francisco Rodríguez-Frías, Elisabet Turu, Andrés Marco, Juan M. Pericàs and on behalf of the PRISONAFLD Study Group Collaborators Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Fri Nov 24 06:34:27 2023 CET ModDate: Fri Nov 24 07:42:48 2023 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 932630 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- IYDCBB+VnURWPalladioL Type 1 Custom yes yes no 10 0 NOVYNL+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 ZBLPJZ+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 QDOHGG+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 JGMOZW+CMSY10 Type 1 Builtin yes yes no 28 0 ICWMHX+VnURWPalladioL-Bold Type 1 Custom yes yes no 32 0 XPUSBJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 50 0 BSDWLC+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 53 0 JLZORU+EURM10 Type 1 Builtin yes yes no 81 0 JFMHPP+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 91 0 JFMHPO+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 97 0 JFMHOO+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 103 0 JFMIAA+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 109 0 JFMIAB+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 112 0 JFMIAC+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 115 0 JFMIMO+PalatinoLinotype-Roman TrueType MacRoman yes yes no 118 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes no 126 0 JFMHPP+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 136 0 JFMHPO+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 142 0 JFMHOO+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 148 0 JFMIAA+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 154 0 JFMIAB+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 157 0 JFMIAC+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 160 0 JFMIMO+PalatinoLinotype-Roman TrueType MacRoman yes yes no 163 0 RYVCUX+VnURWPalladioL-Italic Type 1 Custom yes yes no 179 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-12-06 03:08:17 CET RepresentationInformation: 322344.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-12-05 13:25:33 CET Size: 932630 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 356 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Material and Methods Destination: section.2 Children: Item: Title: Patients and Setting Destination: subsection.2.1 Item: Title: Inclusion Criteria Destination: subsection.2.2 Item: Title: Exclusion Criteria Destination: subsection.2.3 Item: Title: Outcomes Destination: subsection.2.4 Item: Title: Definitions Destination: subsection.2.5 Item: Title: Procedures Destination: subsection.2.6 Item: Title: Statistical Analysis Destination: subsection.2.7 Item: Title: Results Destination: section.3 Children: Item: Title: Sample Destination: subsection.3.1 Item: Title: Study Population Destination: subsection.3.2 Item: Title: Liver Fibrosis Distribution and Relationship with MASLD Destination: subsection.3.3 Item: Title: Predictors of MASLD and MASLD-Associated Liver Fibrosis among the Prison Population Destination: subsection.3.4 Item: Title: Genetic Single Nucleotide Polymorphism Analysis Destination: subsection.3.5 Item: Title: Discussion Destination: section.4 Item: Title: References Destination: section.A. Info: Title: Prevalence and Risk Factors of MASLD and Liver Fibrosis amongst the Penitentiary Population in Catalonia: The PRISONAFLD Study Author: Jesús Rivera-Esteban, Alba Jiménez-Masip, Sergio Muñoz-Martínez, Salvador Augustin, Rafael A. Guerrero, Pablo Gabriel-Medina, Roser Ferrer-Costa, Francisco Rodríguez-Frías, Elisabet Turu, Andrés Marco, Juan M. Pericàs and on behalf of the PRISONAFLD Study Group Collaborators Subject: Background and Aims: The prevalence of chronic non-communicable diseases, particularly metabolic syndrome (MetS), has increased among the prison population. Nevertheless, we have limited data on metabolic dysfunction-associated steatotic liver disease (MASLD), the hepatic manifestation of this syndrome. We aimed to investigate the prevalence and risk factors of MASLD and MASLD-associated liver fibrosis in the penitentiary population in Catalonia, Spain. Method: A cross-sectional observational study involving eight penitentiary centers. Participants had at least one metabolic disorder and were at a closed-regimen penitentiary. Individuals with concomitant liver diseases and/or alcohol risk consumption were excluded. Significant fibrosis and MASLD were defined as liver stiffness 8 kPa and a controlled attenuation parameter 275 dB/m by vibration-controlled transient elastography (VCTE), respectively. After exclusions, metabolic inmates with VCTE were analyzed. Logistic regression analysis was performed to identify predictors of MASLD and MASLD-associated significant fibrosis. Results: Out of the 4338 inmates studied, 1290 (29.7%) had metabolic disorders, and 646 (14.9%) underwent VCTE. The mean age was 48.0 years (SD 12.1), and 89.5% were male. MASLD prevalence was 33.9%. Significant fibrosis and MASLD-associated significant fibrosis were found in 16.4% and 9.4% of inmates, respectively. In the multivariate analysis, T2D, waist circumference, MetS, and higher ALT values were identified as independent risk factors for MASLD and MASLD-associated significant fibrosis amongst the prison population. Conclusions: Metabolic disorders including MASLD are highly prevalent among inmates. The prevalence of significant fibrosis seems notably higher than that of the general population, underscoring the need for targeted screening programs and therapeutic interventions in the incarcerated population. 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