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August 27, 2026AntioxidantsOpen Access

Red Cell Distribution Width as an Independent Prognostic Biomarker in MASLD

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Authors

TRTom RyuSoonchunhyang UniversityJLJaejun LeeCatholic University of KoreaJHJi Won HanSeoul National University Bundang Hospital

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Overview

Cohort study reveals red cell distribution width predicts mortality and vascular complications in MASLD, highlighting its value as an accessible prognostic biomarker.

Key Points

  • To evaluate whether red cell distribution width (RDW), a routine hematologic marker, independently predicts adverse clinical outcomes and mortality in individuals with metabolic dysfunction-associated steatotic liver disease (MASLD).
  • Analyzed 352,623 UK Biobank participants, including 165,700 individuals with MASLD, over a median follow-up of 13.6 years.
  • Evaluated RDW continuously and categorically using Cox proportional hazards regression, restricted cubic splines, inverse probability treatment weighting, landmark, competing risk, and mediation analyses.
  • Each 1% increase in RDW was independently associated with higher all-cause mortality (HR 1.14, p < 0.001).
  • Each 1% increase in RDW also predicted elevated risks of cardiovascular disease (HR 1.07, p < 0.001), cerebrovascular disease (HR 1.07, p < 0.001), and chronic kidney disease (HR 1.09, p < 0.001).

Cite This Study

Ryu et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe99e10c91c1e926215ebhttps://doi.org/10.3390/antiox15091065
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association of red blood cell distribution width to albumin ratio with all-cause and cardiovascular mortality among adults with MASLD2026
  2. 2Association between the red blood cell distribution width to albumin ratio and cardiovascular outcomes in MASLD patients: a national cohort study integrating machine learning2026
  3. 3Red cell distribution width and common disease onsets in 240,477 healthy volunteers followed for up to 9 years2018 · 89 citations
  4. 4Red cell distribution width is associated with long-term prognosis in patients with stable coronary artery disease2013 · 86 citations
  5. 5Red blood cell distribution width as a predictor of mortality and poor functional outcome after acute ischemic stroke: a meta-analysis and meta-regression2024 · 11 citations