Female Sex is Protective Against MASLD With Clinically Significant Fibrosis in a Large Cross-sectional Cohort of Persons With HIV - Takeaways - MDSpire

Female Sex is Protective Against MASLD With Clinically Significant Fibrosis in a Large Cross-sectional Cohort of Persons With HIV

  • By

  • Kara Wegermann

  • Ayako Suzuki

  • Elisa Sarmiento

  • LaKeisha Boyd

  • Yang Li

  • Laura A Wilson

  • Audrey Lloyd

  • Paula Debroy

  • Jennifer C Price

  • Tinsay Woreta

  • Holly Crandall

  • Richard K Sterling

  • Rohit Loomba

  • Naga Chalasani

  • Jordan E Lake

  • October 14, 2025

  • 0 min

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  • 1

    Men with HIV have a higher prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) with clinically significant fibrosis (CSF) than women.

  • 2

    Diabetes, hyperlipidemia, and high waist circumference are associated with increased odds of MASLD-CSF in men with HIV.

  • 3

    Female sex assigned at birth is protective against MASLD-CSF in individuals living with HIV.

  • 4

    The study highlights the need for targeted screening for MASLD in men with HIV, particularly those with specific comorbidities.

  • 5

    Further research is needed to explore the impact of menopause on MASLD prevalence and severity in women living with HIV.

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