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Association between body mass index and fatty liver risk: A dose-response analysis.

Abstract
Body mass index (BMI) is associated with fatty liver risk, however, the dose-response relationship between continuous BMI changes and fatty liver risk has not been clearly defined. In this study, a cross-sectional study was conducted and a total of 3202 individuals were included. Unconditional logistic regression and restricted cubic spline model were used to analyze the dose-response association of BMI with fatty liver risk. After adjusting for confounding factors (age, gender, hypertension, total cholesterol, triglycerides, glucose, high-density lipoprotein, low-density lipoprotein, uric acid, homocysteine, creatinine, aspartate aminotransferase and alanine transaminase), overweight (OR = 3.55, 95% CI: 2.49-5.06, P = 2.79 × 10-12), obesity (OR = 7.59, 95% CI: 4.91-11.71, P = 6.56 × 10-20) were significantly related to fatty liver risk. Stratified by gender (male/female), age (<50 years/≥50 years), prevalence of hypertension (yes/no), the above association was still significant (P = 0.004 or lower). In dose-response analysis, BMI was statistically significantly associated with fatty liver risk in a nonlinear fashion (approximately J-shaped fashion, Pnonlinearity = 1.71 × 10-4 or lower) in the total population and all subgroups mentioned above. Findings from this dose-response analysis suggest that higher BMI (overweight/obesity) is an independent, dose-dependent risk factor for fatty liver, and prevention of fatty liver focusing on continuous changes in BMI should be noted.
AuthorsRui Fan, Jufang Wang, Jinman Du
JournalScientific reports (Sci Rep) Vol. 8 Issue 1 Pg. 15273 (10 15 2018) ISSN: 2045-2322 [Electronic] England
PMID30323178 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adiposity (physiology)
  • Adult
  • Body Mass Index
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Non-alcoholic Fatty Liver Disease (epidemiology, etiology, metabolism)
  • Obesity (complications, epidemiology, metabolism)
  • Risk Factors

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