Smoking and Risk of Hepatic Steatosis Within the MASLD Spectrum in Korean Young Adults - Report - MDSpire

Association Between Smoking and Hepatic Steatosis Risk in Young Korean Adults Within the MASLD Framework

  • By

  • Yongho Jee

  • Sun Ju Lee

  • Ho Soo Chun

  • Hyun-Young Shin

  • July 9, 2026

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Association Between Smoking and Hepatic Steatosis Risk in Young Korean Adults

Overview

This study investigates the longitudinal association between smoking exposure and the risk of hepatic steatosis in young Korean adults, utilizing data from the Korean National Health Insurance Service.

Background

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a significant public health issue, especially in Asian populations, with its prevalence linked to lifestyle factors such as smoking. This study addresses the gap in knowledge regarding smoking's effects on hepatic steatosis in young adults.

Data Highlights

The study analyzed data from 3,496,144 individuals aged 20-39 years, followed until December 31, 2022.

Key Findings

  • Smoking exposure is significantly associated with increased odds of hepatic steatosis.
  • The relationship between smoking and hepatic steatosis varies according to obesity status.
  • Longitudinal data from the Korean National Health Insurance Service was utilized for the analysis.
  • Previous studies have shown a pooled odds ratio of 1.110 for smoking and fatty liver disease, as reported in a meta-analysis.
  • Insulin resistance is a central factor in hepatic lipid accumulation.

Clinical Implications

Healthcare professionals should consider smoking cessation as a critical component of managing and preventing hepatic steatosis in young adults. Understanding the varying impacts of smoking based on obesity status may inform targeted interventions.

Conclusion

The study highlights the association between smoking and the risk of hepatic steatosis in young Korean adults.

Related Resources & Content

  1. Frontiers in Endocrinology, 2026 -- Metabolic-dimension CKM staging and cardiometabolic components predict incident MASLD: a longitudinal community-based cohort study
  2. the new gastroenterologist, 2026 -- Heavy drinking tied to increased fibrosis risk in MASLD
  3. The Journal of Clinical Endocrinology & Metabolism, 2026 -- Frequency of Metabolic Dysfunction-Related Steatotic Liver Disease and Associated Cardiometabolic Risk Factors in American Adolescents
  4. Frontiers in Medicine — Divergent risk profiles for cause-specific mortality in MASLD and MetALD: a nationwide population-based study
  5. KASL Guidelines for MASLD
  6. AASLD Practice Guidelines on MASLD
  7. Phase 3 Trial of Semaglutide in MASH
  8. FDA Approves Treatment for Serious Liver Disease Known as ‘MASH’ | FDA
  9. REZDIFFRA (resmetirom) tablets, for oral use — Highlights of Prescribing Information
  10. Smoking and Risk of Fatty Liver Disease: A Meta-Analysis of Cohort Studies | MDPI
  11. Smoking and the Risk of Non-Alcoholic Fatty Liver Disease: A Cohort Study - PubMed

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