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May 13, 2010Journal of Hypertension

Increased arterial stiffness in nonalcoholic fatty liver disease: the Cardio-GOOSE study

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Key result

Isolated nonalcoholic fatty liver disease was associated with significantly higher arterial stiffness compared to controls (pulse wave velocity 7.98 vs 7.40 m/s, P < 0.05).

Why the study?

Does nonalcoholic fatty liver disease (NAFLD) increase arterial stiffness and preclinical atherosclerosis in adults aged 30-70 years?

Population

220 participants, aged between 30 and 70 years, from the GOOSE population-based cohort study.

Comparison

Nonalcoholic fatty liver disease with or without… vs Controls without NAFLD

Design

Cohort

Authors

PSPaolo SalviVascular MedicineRRR RuffiniOspedale “M. Bufalini” di CesenaDADavide AgnolettiPreventive Cardiology

Discussion

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Overview

Should not yet change practice; leaves open whether NAFLD screening refines CV risk stratification.

Study Design

Type

Cohort (n=220)

Structured PICO

Does nonalcoholic fatty liver disease (NAFLD) increase arterial stiffness and preclinical atherosclerosis in adults aged 30-70 years?

P
Population
220 participants aged 30 to 70 years from a population-based cohort evaluated for the relationship between NAFLD, subclinical vascular damage, and arterial stiffness.
E
Exposure
Nonalcoholic fatty liver disease (NAFLD) with or without metabolic syndrome
C
Comparator
Controls without NAFLD
O
Outcome
Arterial stiffness measured by carotid-femoral pulse wave velocity (PWV) and preclinical atherosclerosis measured by carotid intima-media thickness (IMT)surrogate

Main Result

Absolute Event Rate: 7.98% vs 7.4%

p-value: p=< 0.05

NAFLD is independently associated with increased arterial stiffness, suggesting a direct role in early vascular damage even in the absence of metabolic syndrome.

Cite This Study

Salvi et al. (2010) conducted a cohort in Nonalcoholic fatty liver disease (n=220). Nonalcoholic fatty liver disease (NAFLD) vs. Controls (without NAFLD) was evaluated on Carotid-femoral pulse wave velocity (PWV) (p=< 0.05). Isolated nonalcoholic fatty liver disease was associated with significantly higher arterial stiffness compared to controls (pulse wave velocity 7.98 vs 7.40 m/s, P < 0.05).

synapsesocial.com/papers/6a20aba9ac4c2e2edfeb83dchttps://doi.org/10.1097/hjh.0b013e32833a7de6
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