Tang · Frontiers in endocrinology 2023 · narrative review · n=?

The impact of obstructive sleep apnea on nonalcoholic fatty liver disease.

Cited 30 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing disease associations and mechanistic pathways without a systematic review protocol or meta-analysis

PubMed 37850091 · doi:10.3389/fendo.2023.1254459 · record verified 2026-08-29

What was done

This was a narrative review synthesizing literature retrieved from PubMed and Medline on the relationship between obstructive sleep apnea (OSA) and nonalcoholic fatty liver disease (NAFLD), focusing on clinical associations and underlying biological mechanisms.

What was found

The abstract reports no numerical findings, effect sizes, or study counts. It qualitatively notes that OSA is closely associated with NAFLD and impacts its progression, while highlighting a current lack of sufficient high-quality clinical studies to confirm a causal or concomitant relationship.

Why it matters

Clarifying the mechanistic links between sleep apnea-induced hypoxia and liver pathology may aid in identifying preventive measures and therapeutic targets for NAFLD.

Limits

The review is narrative rather than systematic, with no quantitative synthesis, formal study quality assessment, or reported search methodology. The abstract specifically notes an absence of high-quality clinical trials establishing causality.

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