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June 2, 2016The Journal of Clinical Endocrinology & Metabolism

Nonalcoholic Fatty Liver Disease Is Associated With Coronary Artery Calcification Development: A Longitudinal Study

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Key result

NAFLD linked to ~49% higher risk of CAC development or progression.

  • OR 1.49
  • 95% CI 1.01-2.21
  • P<.001
  • n=1,732

Why the study?

Does nonalcoholic fatty liver disease increase the risk of coronary artery calcification development or progression in subjects undergoing serial CAC evaluation?

Population

1732 subjects who underwent serial coronary artery calcification evaluation in a healthcare center…

Comparison

Nonalcoholic fatty liver disease diagnosed via… vs Subjects without NAFLD

Design

Cohort

Authors

HPHyo Eun ParkMKMin‐Sun KwakDKDonghee Kim

Discussion

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Overview

NAFLD is independently associated with the early development of coronary artery calcification in subjects without baseline calcification, but not with its progression.

Study Design

Type

Cohort (n=1,732)

Multicenter

No

Structured PICO

Does nonalcoholic fatty liver disease increase the risk of coronary artery calcification development or progression in subjects undergoing serial CAC evaluation?

P
Population
1,732 subjects who underwent serial coronary artery calcification evaluation, including 846 with NAFLD and 886 without NAFLD.
E
Exposure
Nonalcoholic fatty liver disease (NAFLD) diagnosed via ultrasonography
C
Comparator
Subjects without NAFLD
O
Outcome
Development of CAC (incidental calcification, CAC score >0) in subjects without baseline calcification, or progression of CAC (confirmed aggravation) in subjects with baseline CAC >0surrogate

Main Result

Odds Ratio: 1.49 (95% CI 1.01–2.21)

Absolute Event Rate: 48.8% vs 38.4%

p-value: p=<.001

NAFLD is independently associated with the early development of coronary artery calcification in subjects without baseline calcification, but not with its progression.

Cite This Study

Park et al. (2016) conducted a cohort in Nonalcoholic fatty liver disease (n=1,732). Nonalcoholic fatty liver disease vs. No nonalcoholic fatty liver disease was evaluated on CAC development or progression (OR 1.49, 95% CI 1.01-2.21, p=<.001). Nonalcoholic fatty liver disease was associated with a higher rate of coronary artery calcification development or progression compared to no NAFLD (48.8% vs 38.4%; P<0.001).

synapsesocial.com/papers/6aa450bc863f8286fa1d4251https://doi.org/10.1210/jc.2016-1525
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Nonalcoholic fatty liver disease and vascular risk2012 · 57 citations
  2. 2Risk Factors for the Progression of Coronary Artery Calcification in Asymptomatic Subjects2007 · 565 citations
  3. 3NAFLD: A multisystem disease2015 · 3,159 citations
  4. 4Coronary Artery Calcium Score and Coronary Heart Disease Events in a Large Cohort of Asymptomatic Men and Women2005 · 343 citations
  5. 5Risk of Cardiovascular Disease in Patients with Nonalcoholic Fatty Liver Disease2010 · 1,926 citations