Additionally, we conducted multivariate analyses including variables that were clinically relevant and had a P-value < 0.1 in univariate analysis, such as Drink, BMI, SBP, WBC, Ghb, ALB, Cre, and Age. Our results indicated a significant association between LSMM and age (OR=1.031, 95% CI 1.015-1.047, P<0.001), BMI (OR=0.553, 95% CI 0.493-0.576, P<0.001), and Cre (OR=0.965, 95% CI 0.947-0.984, P<0.001). Moreover, after adjusting for these variables in the multivariate model, we found no significant association between H. pylori infection and LSMM (OR=1.237; 95% CI 0.937-1.634; P = 0.134). These findings provide further evidence of the importance of age-related factors in the development of LSMM and suggest that H.pylori infection may not be a major risk factor for this condition after accounting for other clinical variables in multivariate analyses.
Overall, our study highlights several important risk factors for LSMM and provides insights into potential interactions among these factors that may contribute to the pathogenesis of this complex condition. Further research is needed to explore these relationships more fully and develop effective strategies for preventing and managing LSMM in at-risk populations




