Liver fat content is associated with increased carotid atherosclerosis in a Chinese middle-aged and elderly population: The Shanghai Changfeng study
Abstract Background Nonalcoholic fatty liver disease is closely associated with metabolic syndrome and cardiovascular disease (CVD). We investigated whether the liver fat content (LFC) is independently associated with carotid artery intima-media thickness (CIMT) and evaluated the contribution of the...
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| creator | Li, Xiaoming Xia, Mingfeng Ma, Hui Hofman, Albert Hu, Yu Yan, Hongmei He, Wanyuan Lin, Huandong Jeekel, Johannes Zhao, Naiqing Gao, Jian Gao, Xin |
| description | Abstract Background Nonalcoholic fatty liver disease is closely associated with metabolic syndrome and cardiovascular disease (CVD). We investigated whether the liver fat content (LFC) is independently associated with carotid artery intima-media thickness (CIMT) and evaluated the contribution of the LFC to the increased CIMT. Methods We conducted a community-based study among 1809 participants (682 males and 1127 females) from the Changfeng Study who were at least 45 years old. A standard interview, anthropometrics and laboratory parameters were performed for each participant. The CIMT was determined by ultrasonography. A large CIMT value was defined as 75th percentile of the maximum CIMT. A standardised ultrasonographic hepatic-renal ratio was used to assess the LFC. Results The median LFC value was 6% (interquartile range, 3–14%), and 34% of the subjects had hepatic steatosis based on the criteria for diagnosis of steatosis by quantitative ultrasound. The maximum CIMT, average CIMT and plaque score were strongly associated with the LFC ( β = 0.319, 0.324 and 1.361, respectively; all P |
| doi_str_mv | 10.1016/j.atherosclerosis.2012.07.002 |
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We investigated whether the liver fat content (LFC) is independently associated with carotid artery intima-media thickness (CIMT) and evaluated the contribution of the LFC to the increased CIMT. Methods We conducted a community-based study among 1809 participants (682 males and 1127 females) from the Changfeng Study who were at least 45 years old. A standard interview, anthropometrics and laboratory parameters were performed for each participant. The CIMT was determined by ultrasonography. A large CIMT value was defined as 75th percentile of the maximum CIMT. A standardised ultrasonographic hepatic-renal ratio was used to assess the LFC. Results The median LFC value was 6% (interquartile range, 3–14%), and 34% of the subjects had hepatic steatosis based on the criteria for diagnosis of steatosis by quantitative ultrasound. The maximum CIMT, average CIMT and plaque score were strongly associated with the LFC ( β = 0.319, 0.324 and 1.361, respectively; all P < 0.05) after adjustment for age, gender, smoking history, low-density lipoprotein cholesterol and metabolic syndrome. The multiple logistic regression analysis showed that a 1 SD increase in the LFC, the OR for having a large CIMT was 1.350 (95% CI 1.180–1.545; P < 0.001) after adjustment for all potential confounders. Conclusions These results suggest that the LFC is independently associated with carotid atherosclerosis in the Chinese population, and that the risk of atherosclerosis is proportional to the degree of hepatic steatosis.</description><identifier>ISSN: 0021-9150</identifier><identifier>EISSN: 1879-1484</identifier><identifier>DOI: 10.1016/j.atherosclerosis.2012.07.002</identifier><identifier>PMID: 22884916</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Age Factors ; Aged ; Asian Continental Ancestry Group ; atherosclerosis ; Atherosclerosis (AS) ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cardiovascular ; carotid arteries ; Carotid Artery Diseases - diagnostic imaging ; Carotid Artery Diseases - ethnology ; Carotid Intima-Media Thickness ; Carotid intima-media thickness (CIMT) ; China - epidemiology ; cholesterol ; Cross-Sectional Studies ; elderly ; fatty liver ; Fatty Liver - diagnostic imaging ; Fatty Liver - ethnology ; Female ; females ; Humans ; lipid content ; liver ; Liver fat content (LFC) ; Logistic Models ; low density lipoprotein ; Male ; males ; Medical sciences ; metabolic syndrome ; Middle Aged ; middle-aged adults ; Multivariate Analysis ; Neurosurgery ; Non-alcoholic Fatty Liver Disease ; Nonalcoholic fatty liver disease (NAFLD) ; Odds Ratio ; Prevalence ; regression analysis ; risk ; Risk Assessment ; Risk Factors ; Severity of Illness Index ; Skull, brain, vascular surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; ultrasonics ; Ultrasonographic hepatic-renal ratio (US H/R ratio) ; ultrasonography</subject><ispartof>Atherosclerosis, 2012-10, Vol.224 (2), p.480-485</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2012 Elsevier Ireland Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-e914f612339f3c006219d481fa574308dd1a91be0d95aa283f7cb82b7a4add163</citedby><cites>FETCH-LOGICAL-c498t-e914f612339f3c006219d481fa574308dd1a91be0d95aa283f7cb82b7a4add163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.atherosclerosis.2012.07.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26424778$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22884916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Xiaoming</creatorcontrib><creatorcontrib>Xia, Mingfeng</creatorcontrib><creatorcontrib>Ma, Hui</creatorcontrib><creatorcontrib>Hofman, Albert</creatorcontrib><creatorcontrib>Hu, Yu</creatorcontrib><creatorcontrib>Yan, Hongmei</creatorcontrib><creatorcontrib>He, Wanyuan</creatorcontrib><creatorcontrib>Lin, Huandong</creatorcontrib><creatorcontrib>Jeekel, Johannes</creatorcontrib><creatorcontrib>Zhao, Naiqing</creatorcontrib><creatorcontrib>Gao, Jian</creatorcontrib><creatorcontrib>Gao, Xin</creatorcontrib><title>Liver fat content is associated with increased carotid atherosclerosis in a Chinese middle-aged and elderly population: The Shanghai Changfeng study</title><title>Atherosclerosis</title><addtitle>Atherosclerosis</addtitle><description>Abstract Background Nonalcoholic fatty liver disease is closely associated with metabolic syndrome and cardiovascular disease (CVD). We investigated whether the liver fat content (LFC) is independently associated with carotid artery intima-media thickness (CIMT) and evaluated the contribution of the LFC to the increased CIMT. Methods We conducted a community-based study among 1809 participants (682 males and 1127 females) from the Changfeng Study who were at least 45 years old. A standard interview, anthropometrics and laboratory parameters were performed for each participant. The CIMT was determined by ultrasonography. A large CIMT value was defined as 75th percentile of the maximum CIMT. A standardised ultrasonographic hepatic-renal ratio was used to assess the LFC. Results The median LFC value was 6% (interquartile range, 3–14%), and 34% of the subjects had hepatic steatosis based on the criteria for diagnosis of steatosis by quantitative ultrasound. The maximum CIMT, average CIMT and plaque score were strongly associated with the LFC ( β = 0.319, 0.324 and 1.361, respectively; all P < 0.05) after adjustment for age, gender, smoking history, low-density lipoprotein cholesterol and metabolic syndrome. The multiple logistic regression analysis showed that a 1 SD increase in the LFC, the OR for having a large CIMT was 1.350 (95% CI 1.180–1.545; P < 0.001) after adjustment for all potential confounders. Conclusions These results suggest that the LFC is independently associated with carotid atherosclerosis in the Chinese population, and that the risk of atherosclerosis is proportional to the degree of hepatic steatosis.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Asian Continental Ancestry Group</subject><subject>atherosclerosis</subject><subject>Atherosclerosis (AS)</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>carotid arteries</subject><subject>Carotid Artery Diseases - diagnostic imaging</subject><subject>Carotid Artery Diseases - ethnology</subject><subject>Carotid Intima-Media Thickness</subject><subject>Carotid intima-media thickness (CIMT)</subject><subject>China - epidemiology</subject><subject>cholesterol</subject><subject>Cross-Sectional Studies</subject><subject>elderly</subject><subject>fatty liver</subject><subject>Fatty Liver - diagnostic imaging</subject><subject>Fatty Liver - ethnology</subject><subject>Female</subject><subject>females</subject><subject>Humans</subject><subject>lipid content</subject><subject>liver</subject><subject>Liver fat content (LFC)</subject><subject>Logistic Models</subject><subject>low density lipoprotein</subject><subject>Male</subject><subject>males</subject><subject>Medical sciences</subject><subject>metabolic syndrome</subject><subject>Middle Aged</subject><subject>middle-aged adults</subject><subject>Multivariate Analysis</subject><subject>Neurosurgery</subject><subject>Non-alcoholic Fatty Liver Disease</subject><subject>Nonalcoholic fatty liver disease (NAFLD)</subject><subject>Odds Ratio</subject><subject>Prevalence</subject><subject>regression analysis</subject><subject>risk</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Skull, brain, vascular surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>ultrasonics</subject><subject>Ultrasonographic hepatic-renal ratio (US H/R ratio)</subject><subject>ultrasonography</subject><issn>0021-9150</issn><issn>1879-1484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNks-O0zAQxiMEYsvCK4AvK3FJsBMncZBYCVWwIFXi0N2zNbUnjUtqF9tZ1PfggXHUsoeeuPjv75sZz-csu2G0YJQ1H3YFxAG9C2qcRxOKkrKyoG1BafksWzDRdjnjgj_PFumE5R2r6VX2KoQdpZS3TLzMrspSCN6xZpH9WZlH9KSHSJSzEW0kJhAIwSkDETX5beJAjFUeIaStAu-i0eSiiEQQIMvBWAxI9kbrEXPYJgFYTXDU6McjObjDNEI0zn4k9wOS9QB2O4BJwrTo0W5JiJM-vs5e9DAGfHOer7OHr1_ul9_y1Y-778vPq1zxTsQcO8b7hpVV1fWVorQpWae5YD3ULa-o0JpBxzZIdVcDlKLqW7UR5aYFDumuqa6z96e4B-9-TRii3JugcBzBopuCZFRQIWrWzOinE6rSe4PHXh682YM_JkjOxsidvOiJnI2RtJXJhqR_e041bfaon9T_nEjAzRmAoGDsPViVYjxxDS9524rEvTtxPTgJW5-Yh3XKVM_uCsGqRNydCEytezToZVAGrUJtPKootTP_XfTtRSQ1GmtSeT_xiGHnJm-TP5LJkDRyPf-3-buxMtXC67r6C87m1lc</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Li, Xiaoming</creator><creator>Xia, Mingfeng</creator><creator>Ma, Hui</creator><creator>Hofman, Albert</creator><creator>Hu, Yu</creator><creator>Yan, Hongmei</creator><creator>He, Wanyuan</creator><creator>Lin, Huandong</creator><creator>Jeekel, Johannes</creator><creator>Zhao, Naiqing</creator><creator>Gao, Jian</creator><creator>Gao, Xin</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>Liver fat content is associated with increased carotid atherosclerosis in a Chinese middle-aged and elderly population: The Shanghai Changfeng study</title><author>Li, Xiaoming ; Xia, Mingfeng ; Ma, Hui ; Hofman, Albert ; Hu, Yu ; Yan, Hongmei ; He, Wanyuan ; Lin, Huandong ; Jeekel, Johannes ; Zhao, Naiqing ; Gao, Jian ; Gao, Xin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-e914f612339f3c006219d481fa574308dd1a91be0d95aa283f7cb82b7a4add163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Asian Continental Ancestry Group</topic><topic>atherosclerosis</topic><topic>Atherosclerosis (AS)</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>carotid arteries</topic><topic>Carotid Artery Diseases - diagnostic imaging</topic><topic>Carotid Artery Diseases - ethnology</topic><topic>Carotid Intima-Media Thickness</topic><topic>Carotid intima-media thickness (CIMT)</topic><topic>China - epidemiology</topic><topic>cholesterol</topic><topic>Cross-Sectional Studies</topic><topic>elderly</topic><topic>fatty liver</topic><topic>Fatty Liver - diagnostic imaging</topic><topic>Fatty Liver - ethnology</topic><topic>Female</topic><topic>females</topic><topic>Humans</topic><topic>lipid content</topic><topic>liver</topic><topic>Liver fat content (LFC)</topic><topic>Logistic Models</topic><topic>low density lipoprotein</topic><topic>Male</topic><topic>males</topic><topic>Medical sciences</topic><topic>metabolic syndrome</topic><topic>Middle Aged</topic><topic>middle-aged adults</topic><topic>Multivariate Analysis</topic><topic>Neurosurgery</topic><topic>Non-alcoholic Fatty Liver Disease</topic><topic>Nonalcoholic fatty liver disease (NAFLD)</topic><topic>Odds Ratio</topic><topic>Prevalence</topic><topic>regression analysis</topic><topic>risk</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Skull, brain, vascular surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>ultrasonics</topic><topic>Ultrasonographic hepatic-renal ratio (US H/R ratio)</topic><topic>ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Xiaoming</creatorcontrib><creatorcontrib>Xia, Mingfeng</creatorcontrib><creatorcontrib>Ma, Hui</creatorcontrib><creatorcontrib>Hofman, Albert</creatorcontrib><creatorcontrib>Hu, Yu</creatorcontrib><creatorcontrib>Yan, Hongmei</creatorcontrib><creatorcontrib>He, Wanyuan</creatorcontrib><creatorcontrib>Lin, Huandong</creatorcontrib><creatorcontrib>Jeekel, Johannes</creatorcontrib><creatorcontrib>Zhao, Naiqing</creatorcontrib><creatorcontrib>Gao, Jian</creatorcontrib><creatorcontrib>Gao, Xin</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Atherosclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Xiaoming</au><au>Xia, Mingfeng</au><au>Ma, Hui</au><au>Hofman, Albert</au><au>Hu, Yu</au><au>Yan, Hongmei</au><au>He, Wanyuan</au><au>Lin, Huandong</au><au>Jeekel, Johannes</au><au>Zhao, Naiqing</au><au>Gao, Jian</au><au>Gao, Xin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Liver fat content is associated with increased carotid atherosclerosis in a Chinese middle-aged and elderly population: The Shanghai Changfeng study</atitle><jtitle>Atherosclerosis</jtitle><addtitle>Atherosclerosis</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>224</volume><issue>2</issue><spage>480</spage><epage>485</epage><pages>480-485</pages><issn>0021-9150</issn><eissn>1879-1484</eissn><abstract>Abstract Background Nonalcoholic fatty liver disease is closely associated with metabolic syndrome and cardiovascular disease (CVD). We investigated whether the liver fat content (LFC) is independently associated with carotid artery intima-media thickness (CIMT) and evaluated the contribution of the LFC to the increased CIMT. Methods We conducted a community-based study among 1809 participants (682 males and 1127 females) from the Changfeng Study who were at least 45 years old. A standard interview, anthropometrics and laboratory parameters were performed for each participant. The CIMT was determined by ultrasonography. A large CIMT value was defined as 75th percentile of the maximum CIMT. A standardised ultrasonographic hepatic-renal ratio was used to assess the LFC. Results The median LFC value was 6% (interquartile range, 3–14%), and 34% of the subjects had hepatic steatosis based on the criteria for diagnosis of steatosis by quantitative ultrasound. The maximum CIMT, average CIMT and plaque score were strongly associated with the LFC ( β = 0.319, 0.324 and 1.361, respectively; all P < 0.05) after adjustment for age, gender, smoking history, low-density lipoprotein cholesterol and metabolic syndrome. The multiple logistic regression analysis showed that a 1 SD increase in the LFC, the OR for having a large CIMT was 1.350 (95% CI 1.180–1.545; P < 0.001) after adjustment for all potential confounders. Conclusions These results suggest that the LFC is independently associated with carotid atherosclerosis in the Chinese population, and that the risk of atherosclerosis is proportional to the degree of hepatic steatosis.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>22884916</pmid><doi>10.1016/j.atherosclerosis.2012.07.002</doi><tpages>6</tpages></addata></record> |
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| subjects | Age Factors Aged Asian Continental Ancestry Group atherosclerosis Atherosclerosis (AS) Atherosclerosis (general aspects, experimental research) Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Cardiovascular carotid arteries Carotid Artery Diseases - diagnostic imaging Carotid Artery Diseases - ethnology Carotid Intima-Media Thickness Carotid intima-media thickness (CIMT) China - epidemiology cholesterol Cross-Sectional Studies elderly fatty liver Fatty Liver - diagnostic imaging Fatty Liver - ethnology Female females Humans lipid content liver Liver fat content (LFC) Logistic Models low density lipoprotein Male males Medical sciences metabolic syndrome Middle Aged middle-aged adults Multivariate Analysis Neurosurgery Non-alcoholic Fatty Liver Disease Nonalcoholic fatty liver disease (NAFLD) Odds Ratio Prevalence regression analysis risk Risk Assessment Risk Factors Severity of Illness Index Skull, brain, vascular surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ultrasonics Ultrasonographic hepatic-renal ratio (US H/R ratio) ultrasonography |
| title | Liver fat content is associated with increased carotid atherosclerosis in a Chinese middle-aged and elderly population: The Shanghai Changfeng study |
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