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Nonalcoholic fatty liver disease is associated with low HDL cholesterol and coronary angioplasty in patients with type 2 diabetes.
- Source :
-
Medical science monitor : international medical journal of experimental and clinical research [Med Sci Monit] 2013 Dec 16; Vol. 19, pp. 1167-72. Date of Electronic Publication: 2013 Dec 16. - Publication Year :
- 2013
-
Abstract
- Background: There is evidence that nonalcoholic fatty liver disease (NAFLD) is associated with increased cardiovascular risk. In this study we examined factors associated with the presence of NAFLD and the prevalence of macroangiopathy in patients with type 2 diabetes.<br />Material and Methods: Subjects were 101 consecutive patients with type 2 diabetes: 72 with NAFLD and 29 free of NAFLD. NAFLD was diagnosed by ultrasonography. Serum lipids were measured enzymatically and glycated hemoglobin HbA1c was measured by HPLC.<br />Results: The mean age of patients was 53.1 ± 10.4 in the NAFLD group and 44.9 ± 10.9 years in patients without NAFLD (p<0.001). The mean duration of diabetes was 10 ± 6.3 years in patients with NAFLD and 15.1 ± 7.8 years in those without NAFLD (p<0.001). Mean values of glycated hemoglobin A1c were similar in both groups. Patients with NAFLD were characterized by a significantly higher prevalence of coronary angioplasty (20.8% vs. 0%, p=0.008). Overweight and obesity were observed in a higher percentage of patients with NAFLD (p<0.001). Patients with NAFLD were characterized by significantly higher values of alanine transaminase (p=0.033), and lower serum concentrations of HDL-cholesterol (p<0.001) and creatinine (p=0.034). Logistic regression analysis (p<0.001) revealed that NAFLD was positively associated with waist circumference above normal (women >80 cm, men >94 cm) (p=0.0083) and alanine transaminase activity (p=0.0164), and negatively with creatinine concentration (p=0.0226). In a second logistic regression model (p<0.001), waist circumference (p<0.007) and total cholesterol (p<0.008) were positive predictors, while HDL-C (p<0.003) was a negative predictor of NAFLD.<br />Conclusions: The results of the study suggest that NAFLD is associated with visceral obesity and low HDL-cholesterol in patients with type 2 diabetes.
- Subjects :
- Adult
Alanine Transaminase blood
Anthropometry
Chromatography, High Pressure Liquid
Creatinine blood
Diabetes Mellitus, Type 2 complications
Fatty Liver complications
Female
Glycated Hemoglobin metabolism
Humans
Logistic Models
Male
Middle Aged
Non-alcoholic Fatty Liver Disease
Obesity, Abdominal complications
Poland epidemiology
Prevalence
Statistics, Nonparametric
Angioplasty, Balloon, Coronary statistics & numerical data
Cholesterol, HDL blood
Diabetes Mellitus, Type 2 epidemiology
Fatty Liver diagnosis
Fatty Liver epidemiology
Obesity, Abdominal epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1643-3750
- Volume :
- 19
- Database :
- MEDLINE
- Journal :
- Medical science monitor : international medical journal of experimental and clinical research
- Publication Type :
- Academic Journal
- Accession number :
- 24336007
- Full Text :
- https://doi.org/10.12659/MSM.889649