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June 2, 2022Lipids in Health and DiseaseOpen Access

Association between hypertriglyceridemic-waist phenotype and non-alcoholic fatty liver disease: a general population-based study

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Why the study?

The study sought to investigate the relationship between the hypertriglyceridemic-waist phenotype, a screening tool for cardiovascular and glycemic metabolic disease, and non-alcoholic fatty liver disease.

Is the hypertriglyceridemic-waist phenotype associated with an increased risk of non-alcoholic fatty liver disease in the general population?

Population

14,251 subjects who took part in health screening

Comparison

Four phenotypes based on triglyceride and waist circumference levels

Design

Cross-sectional study

Key result

The hypertriglyceridemic-waist phenotype was associated with a 160% increased risk of non-alcoholic fatty liver disease (OR 2.60) compared to individuals with normal waist circumference and triglycerides.

Authors

MYMing YangYXYaqin XuCHChong Hu

Discussion

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Overview

May support NAFLD screening in primary care; hypothesis-generating and requires prospective validation.

Study Design

Type

Cross-Sectional (n=14,251)

Multicenter

No

Structured PICO

Is the hypertriglyceridemic-waist phenotype associated with an increased risk of non-alcoholic fatty liver disease in the general population?

P
Population
14,251 adults from a general population health screening cohort in Japan, free of excessive drinking, viral hepatitis, and diabetes, evaluated cross-sectionally for NAFLD.
E
Exposure
Hypertriglyceridemic-waist (HTGW) phenotype (defined as triglycerides ≥ 1.7 mmol/L and male waist circumference ≥ 90 cm or female waist circumference ≥ 80 cm)
C
Comparator
Normal waist circumference and normal triglyceride levels
O
Outcome
Non-alcoholic fatty liver disease (NAFLD) diagnosed by abdominal ultrasoundsurrogate

Main Result

Odds Ratio: 2.6 (95% CI 1.88–3.58)

Absolute Event Rate: 77.81% vs 10.29%

The hypertriglyceridemic-waist phenotype is strongly associated with non-alcoholic fatty liver disease and may serve as a practical screening indicator.

Limitations

  • Cross-sectional design precludes establishing causal correlation between HTGW phenotype and NAFLD.
  • Lack of follow-up information on cardiovascular disease in the dataset.
  • NAFLD was diagnosed by abdominal ultrasound, which may miss patients with mild hepatic steatosis.
  • Potential for unmeasured or unmeasurable confounding factors.
  • Inability to analyze the correlation between HTGW phenotype and liver fibrosis due to missing parameters for non-invasive fibrosis scores.

Cite This Study

Yang et al. (2022) conducted a cross-sectional in Non-alcoholic fatty liver disease (n=14,251). Hypertriglyceridemic-waist (HTGW) phenotype vs. Normal waist circumference and normal triglyceride levels (NTNW) was evaluated on Non-alcoholic fatty liver disease (NAFLD) (OR 2.60, 95% CI 1.88-3.58). The hypertriglyceridemic-waist phenotype was associated with a 160% increased risk of non-alcoholic fatty liver disease (OR 2.60) compared to individuals with normal waist circumference and triglycerides.

synapsesocial.com/papers/6aa81290ab981def908da9c1https://doi.org/10.1186/s12944-022-01660-8
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