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February 21, 2017Journal of DiabetesOpen Access

Type 1 diabetic patients with NAFLD had a significantly greater carotid intima-media thickness compared to those without NAFLD (0.65 vs 0.55 mm; P=0.029), despite a low overall NAFLD prevalence of 12%.

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Why the study?

Is the presence of NAFLD associated with increased subclinical cardiovascular disease markers in patients with type 1 diabetes?

Population

100 patients with type 1 diabetes (mean age 39.4 ± 7.8 years, disease duration 21.7 ± 8.6 years)

Comparison

Presence of non-alcoholic fatty liver disease vs Absence of non-alcoholic fatty liver disease

Design

Cross-sectional

Key result

Type 1 diabetic patients with NAFLD had a significantly greater carotid intima-media thickness compared to those without NAFLD (0.65 vs 0.55 mm; P=0.029), despite a low overall NAFLD prevalence of 12%.

Authors

ESEnric Serra‐PlanasEAEva AguileraLCLaura M. De Castro

Discussion

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Member takes

Overview

NAFLD may flag higher subclinical atherosclerosis risk in T1D; leaves open whether screening or intervention improves outcomes.

Study Design

Type

Cross-Sectional (n=100)

Structured PICO

Is the presence of NAFLD associated with increased subclinical cardiovascular disease markers in patients with type 1 diabetes?

P
Population
100 patients with type 1 diabetes (mean age 39.4 ± 7.8 years, disease duration 21.7 ± 8.6 years)
I
Intervention
Presence of non-alcoholic fatty liver disease (NAFLD)
C
Comparator
Absence of non-alcoholic fatty liver disease (NAFLD)
O
Outcome
Subclinical cardiovascular disease markers including carotid intima-media thickness (CIMT), atheroma plaques, and coronary artery calcium score (CACS)surrogate

Main Result

Absolute Event Rate: 0.65% vs 0.55%

p-value: p=0.029

In patients with type 1 diabetes, the presence of NAFLD is associated with increased carotid intima-media thickness, suggesting a link to subclinical cardiovascular disease.

Cite This Study

Serra‐Planas et al. (2017) conducted a cross-sectional in Type 1 diabetes (n=100). Non-alcoholic fatty liver disease (NAFLD) vs. No NAFLD was evaluated on Carotid intima-media thickness (CIMT) (p=0.029). Type 1 diabetic patients with NAFLD had a significantly greater carotid intima-media thickness compared to those without NAFLD (0.65 vs 0.55 mm; P=0.029), despite a low overall NAFLD prevalence of 12%.

synapsesocial.com/papers/6a1788025fdf2a7b88aa1ef8https://doi.org/10.1111/1753-0407.12539
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Also Consider

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  1. 1Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease2005 · 3,539 citations
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