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Associations of serum vitamin B12 level with chronic liver diseases and the degree of steatosis and fibrosis in Chinese older adults
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Yang LIU1, Xiao WANG1, Lin CAI2, Ye LIAO1, Xin CHEN1, Liang LYU1, Jin-yu XIAO1, Tian-pei MA1, Meng-yu FAN1, Tao ZHANG1, Jia-qiang LIAO1, Chuan WANG1, Xia JIANG1, Juan LIAO2, Jia-yuan LI1, Lu LONG1
Modern Preventive Medicine | 2026, 53(5) : 769 - 774
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Modern Preventive Medicine | 2026, 53(5): 769-774
• Epidemiology and Statistical Methods •
Associations of serum vitamin B12 level with chronic liver diseases and the degree of steatosis and fibrosis in Chinese older adults
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Yang LIU1, Xiao WANG1, Lin CAI2, Ye LIAO1, Xin CHEN1, Liang LYU1, Jin-yu XIAO1, Tian-pei MA1, Meng-yu FAN1, Tao ZHANG1, Jia-qiang LIAO1, Chuan WANG1, Xia JIANG1, Juan LIAO2, Jia-yuan LI1, Lu LONG1
Affiliations
  • Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital,Sichuan University, Chengdu, Sichuan 610041, China
Published: 2026-03-10 doi: 10.20043/j.cnki.MPM.202509121
Outline
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Objective

This study aims to explore the relationship between serum vitamin B12 levels and the prevalence of chronic liver diseases in the older adults, and then provide clues for the prevention and treatment of chronic liver diseases.

Methods

This study was based on the data from the baseline of the West China Health and Aging Cohort Study from May 2022 to November 2023. A total of 4 563 subjects were included in the study. Multivariable logistic regression analysis and restricted cubic spline analysis were employed to explore the association between serum vitamin B12, liver steatosis or liver fibrosis, and chronic liver diseases.

Results

Multivariable Logistic regression analysis showed that compared with the Q1 level of serum vitamin B12, the Q4 level of vitamin B12 would increase the risk of viral hepatitis (OR: 1.96, 95% CI: 1.23-3.19). Compared with the Q1 level, the Q4 level was positively correlated with liver stiffness measurement (LSM) level, and this positive correlation was strengthened with the increase of serum vitamin B12 level (OR: 1.55, 95% CI: 1.20-1.99). No significant correlation between serum vitamin B12 level and controlled attenuation parameter (CAP) value (P>0.05). In addition, linear correlations of serum vitamin B12 levels with both the hepatic steatosis group and the hepatic fibrosis group were found in this study.

Conclusion

This study found that an increase in serum vitamin B12 levels was associated with viral hepatitis in chronic liver diseases, and higher levels of serum vitamin B12 were also observed in patients with liver fibrosis, suggesting a possible complex relationship between vitamin B12 and liver diseases and providing new clues for further exploring the pathogenesis of liver disease.

Vitamin B12  /  Chronic liver diseases  /  Liver steatosis  /  Liver fibrosis
刘杨, 王筱, 蔡琳, 廖叶, 陈馨, 吕良, 肖金雨, 马天佩, 樊萌语, 张韬, 廖加强, 汪川, 姜侠, 廖娟, 李佳圆, 龙璐. 中国老年人血清维生素B12水平与慢性肝病及其脂肪变性和纤维化程度的关系. 现代预防医学, 2026 , 53 (5) : 769 -774 . DOI: 10.20043/j.cnki.MPM.202509121
Yang LIU, Xiao WANG, Lin CAI, Ye LIAO, Xin CHEN, Liang LYU, Jin-yu XIAO, Tian-pei MA, Meng-yu FAN, Tao ZHANG, Jia-qiang LIAO, Chuan WANG, Xia JIANG, Juan LIAO, Jia-yuan LI, Lu LONG. Associations of serum vitamin B12 level with chronic liver diseases and the degree of steatosis and fibrosis in Chinese older adults[J]. Modern Preventive Medicine, 2026 , 53 (5) : 769 -774 . DOI: 10.20043/j.cnki.MPM.202509121
Year 2026 volume 53 Issue 5
26
13
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doi: 10.20043/j.cnki.MPM.202509121
  • Receive Date:2025-09-10
  • Online Date:2026-11-02
  • Published:2026-03-10
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  • Received:2025-09-10
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    Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital,Sichuan University, Chengdu, Sichuan 610041, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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