Nonalcoholic fatty liver disease is associated with coronary artery calcium score in diabetes patients with higher HbA1c View Full Text


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Article Info

DATE

2015-03-28

AUTHORS

Min-Sun Kwak, Jeong Yoon Yim, Donghee Kim, Min Jung Park, Seon Hee Lim, Jong In Yang, Goh Eun Chung, Young Sun Kim, Sun Young Yang, Mi Na Kim, Chang-Hoon Lee, Jung-Hwan Yoon, Hyo-Suk Lee

ABSTRACT

BackgroundIn patients with diabetes, studies investigating the association between nonalcoholic fatty liver disease (NAFLD) and coronary artery calcium score (CACS) have shown conflicting results. The aim of this study was to evaluate the association between NAFLD and CACS in diabetic patients.MethodsThis is the cohort study performed in Seoul National University Hospital Gangnam Healthcare Center. NAFLD was defined as cases with the typical ultrasonographic findings without excessive alcohol consumption, medications causing hepatic steatosis or other chronic liver diseases. CACS was evaluated using the Agatston method. Diabetes was defined as cases with fasting serum glucose ≥ 126 mg/dl, glycated hemoglobin (HbA1c) ≥ 6.5%, or those taking anti-diabetic medications. Multivariate linear regression analyses were performed with use of the interaction term of NAFLD × glycemic level and other confounders of CACS such as age, sex, hypertension, body mass index, waist circumference, HDL cholesterol and triglyceride.ResultsA total of 213 participants with diabetes were included in the study. As 77 subjects (36.2%) had CACS 0, causing left sided skewness, CACS was analyzed after log transformation to Ln (CACS + 1). A statistically significant interaction was observed between NAFLD and HbA1c ≥ 7% (P for interaction = 0.014). While NAFLD was not associated with CACS in the group with HbA1c < 7% (P = 0.229), it was significantly associated in the group with HbA1c ≥ 7% (P = 0.010) after adjusting for covariates in multivariate analyses.ConclusionsThis study demonstrated an effect modification of glycemic level on the association between NAFLD and CACS. NAFLD was independently associated with CACS only in diabetes patients with higher HbA1c, after adjustment for confounders. More... »

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28

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http://scigraph.springernature.com/pub.10.1186/s13098-015-0025-4

DOI

http://dx.doi.org/10.1186/s13098-015-0025-4

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PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25844093


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71 log transformation
72 mass index
73 medications
74 method
75 modification
76 multivariate analysis
77 nonalcoholic fatty liver disease
78 participants
79 patients
80 regression analysis
81 results
82 scores
83 serum glucose
84 sex
85 significant interaction
86 skewness
87 steatosis
88 study
89 subjects
90 terms
91 total
92 transformation
93 triglycerides
94 typical ultrasonographic findings
95 ultrasonographic findings
96 use
97 waist circumference
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