Nonalcoholic fatty liver is not associated with incident chronic kidney disease: a large histology-based comparison with healthy individuals

BACKGROUNDNonalcoholic steatohepatitis or fibrosis is associated with the increased prevalence of impaired kidney function. It is not known whether nonalcoholic fatty liver (NAFL), which is steatosis without inflammation or fibrosis, is associated with renal impairment as these individuals are not c...

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Veröffentlicht in:European journal of gastroenterology & hepatology 2016-04, Vol.28 (4), p.441-443
Hauptverfasser: Choudhary, Narendra S, Saraf, Neeraj, Kumar, Naveen, Rai, Rahul, Saigal, Sanjiv, Gautam, Dheeraj, Lipi, Lipika, Rastogi, Amit, Goja, Sanjay, Bhangui, Prashant, Ramchandra, Sumana K, Soin, Arvinder S
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container_issue 4
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container_title European journal of gastroenterology & hepatology
container_volume 28
creator Choudhary, Narendra S
Saraf, Neeraj
Kumar, Naveen
Rai, Rahul
Saigal, Sanjiv
Gautam, Dheeraj
Lipi, Lipika
Rastogi, Amit
Goja, Sanjay
Bhangui, Prashant
Ramchandra, Sumana K
Soin, Arvinder S
description BACKGROUNDNonalcoholic steatohepatitis or fibrosis is associated with the increased prevalence of impaired kidney function. It is not known whether nonalcoholic fatty liver (NAFL), which is steatosis without inflammation or fibrosis, is associated with renal impairment as these individuals are not candidates for liver biopsy. MATERIALS AND METHODSThe study group included all liver donors who underwent a preoperative liver biopsy for various reasons. NAFL was defined as more than 5% hepatocytes having steatosis and no changes of steatohepatitis and/or fibrosis. Individuals with NAFL were compared with individuals with normal liver histology. Estimated glomerular filtration rate was calculated with the Modification of Diet in Renal Disease and Chronic Kidney Disease Epidemiology Collaboration methods. RESULTSThe mean age of the study group was 35±10.3 years and the mean BMI was 26±3.2 kg/m. A total of 187 adults having NAFL (80 men) were compared with 186 (88 men) individuals with normal liver histology (controls). Individuals with steatosis had significantly higher BMI (26.8±3.5 vs. 25.5±3.8 kg/m, P
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It is not known whether nonalcoholic fatty liver (NAFL), which is steatosis without inflammation or fibrosis, is associated with renal impairment as these individuals are not candidates for liver biopsy. MATERIALS AND METHODSThe study group included all liver donors who underwent a preoperative liver biopsy for various reasons. NAFL was defined as more than 5% hepatocytes having steatosis and no changes of steatohepatitis and/or fibrosis. Individuals with NAFL were compared with individuals with normal liver histology. Estimated glomerular filtration rate was calculated with the Modification of Diet in Renal Disease and Chronic Kidney Disease Epidemiology Collaboration methods. RESULTSThe mean age of the study group was 35±10.3 years and the mean BMI was 26±3.2 kg/m. A total of 187 adults having NAFL (80 men) were compared with 186 (88 men) individuals with normal liver histology (controls). Individuals with steatosis had significantly higher BMI (26.8±3.5 vs. 25.5±3.8 kg/m, P&lt;0.001) and serum alanine transaminase levels (33.8±13.3 vs. 27.2±9.8 IU/l, P&lt;0.000). There was no significant difference in the estimated glomerular filtration rate between the normal histology group and the NAFL group with Modification of Diet in Renal Disease (115±21.8 vs. 114.4±23.2 ml/min, P=0.803) and Chronic Kidney Disease Epidemiology Collaboration methods (113.6±14.8 vs. 113±14.7 ml/min, P=0.668). There was no significant difference as regards serum creatinine (0.73±0.16 vs. 0.74±0.16 mg%, P=0.536), proteinuria (P=0.121), diabetes (1 vs. 4, P=0.372), and hypertension (2 vs. 6, P=0.174) in individuals of both groups. CONCLUSIONPresence of NAFL does not adversely affect renal function.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/MEG.0000000000000531</identifier><identifier>PMID: 26636408</identifier><language>eng</language><publisher>England: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Biopsy ; Female ; Glomerular Filtration Rate ; Humans ; Incidence ; India - epidemiology ; Kidney - physiopathology ; Liver - pathology ; Male ; Middle Aged ; Non-alcoholic Fatty Liver Disease - diagnosis ; Non-alcoholic Fatty Liver Disease - epidemiology ; Non-alcoholic Fatty Liver Disease - pathology ; Predictive Value of Tests ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - epidemiology ; Renal Insufficiency, Chronic - physiopathology ; Retrospective Studies ; Risk Factors</subject><ispartof>European journal of gastroenterology &amp; hepatology, 2016-04, Vol.28 (4), p.441-443</ispartof><rights>Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3051-3904f16b302aac3f699aae699de8bf0b0a6a6d8759bbb07481ea8610d585e2de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26636408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choudhary, Narendra S</creatorcontrib><creatorcontrib>Saraf, Neeraj</creatorcontrib><creatorcontrib>Kumar, Naveen</creatorcontrib><creatorcontrib>Rai, Rahul</creatorcontrib><creatorcontrib>Saigal, Sanjiv</creatorcontrib><creatorcontrib>Gautam, Dheeraj</creatorcontrib><creatorcontrib>Lipi, Lipika</creatorcontrib><creatorcontrib>Rastogi, Amit</creatorcontrib><creatorcontrib>Goja, Sanjay</creatorcontrib><creatorcontrib>Bhangui, Prashant</creatorcontrib><creatorcontrib>Ramchandra, Sumana K</creatorcontrib><creatorcontrib>Soin, Arvinder S</creatorcontrib><title>Nonalcoholic fatty liver is not associated with incident chronic kidney disease: a large histology-based comparison with healthy individuals</title><title>European journal of gastroenterology &amp; hepatology</title><addtitle>Eur J Gastroenterol Hepatol</addtitle><description>BACKGROUNDNonalcoholic steatohepatitis or fibrosis is associated with the increased prevalence of impaired kidney function. It is not known whether nonalcoholic fatty liver (NAFL), which is steatosis without inflammation or fibrosis, is associated with renal impairment as these individuals are not candidates for liver biopsy. MATERIALS AND METHODSThe study group included all liver donors who underwent a preoperative liver biopsy for various reasons. NAFL was defined as more than 5% hepatocytes having steatosis and no changes of steatohepatitis and/or fibrosis. Individuals with NAFL were compared with individuals with normal liver histology. Estimated glomerular filtration rate was calculated with the Modification of Diet in Renal Disease and Chronic Kidney Disease Epidemiology Collaboration methods. RESULTSThe mean age of the study group was 35±10.3 years and the mean BMI was 26±3.2 kg/m. A total of 187 adults having NAFL (80 men) were compared with 186 (88 men) individuals with normal liver histology (controls). Individuals with steatosis had significantly higher BMI (26.8±3.5 vs. 25.5±3.8 kg/m, P&lt;0.001) and serum alanine transaminase levels (33.8±13.3 vs. 27.2±9.8 IU/l, P&lt;0.000). There was no significant difference in the estimated glomerular filtration rate between the normal histology group and the NAFL group with Modification of Diet in Renal Disease (115±21.8 vs. 114.4±23.2 ml/min, P=0.803) and Chronic Kidney Disease Epidemiology Collaboration methods (113.6±14.8 vs. 113±14.7 ml/min, P=0.668). There was no significant difference as regards serum creatinine (0.73±0.16 vs. 0.74±0.16 mg%, P=0.536), proteinuria (P=0.121), diabetes (1 vs. 4, P=0.372), and hypertension (2 vs. 6, P=0.174) in individuals of both groups. CONCLUSIONPresence of NAFL does not adversely affect renal function.</description><subject>Adult</subject><subject>Biopsy</subject><subject>Female</subject><subject>Glomerular Filtration Rate</subject><subject>Humans</subject><subject>Incidence</subject><subject>India - epidemiology</subject><subject>Kidney - physiopathology</subject><subject>Liver - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Non-alcoholic Fatty Liver Disease - diagnosis</subject><subject>Non-alcoholic Fatty Liver Disease - epidemiology</subject><subject>Non-alcoholic Fatty Liver Disease - pathology</subject><subject>Predictive Value of Tests</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - epidemiology</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><issn>0954-691X</issn><issn>1473-5687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcFu1TAQtBAVfS38AUI-ckmxnxPb4Yaq0lYq9AISt2hjbxpTv_hhO33KP_DRNUpBiAN72JFWM7PSDCGvOTvjrFXvPl1cnrG_pxH8GdnwWomqkVo9JxvWNnUlW_7tmJyk9J0xrgRXL8jxVkoha6Y35OfnMIE3YQzeGTpAzgv17gEjdYlOIVNIKRgHGS09uDxSNxlnccrUjDFMRXPv7IQLtS4hJHxPgXqId0hHl3Lw4W6p-nK31ITdHqJLYVqNRgSfx6UYWvfg7Aw-vSRHQwF89YSn5OvHiy_nV9XN7eX1-YebygjW8Eq0rB647AXbAhgxyLYFwLIt6n5gPQMJ0mrVtH3fM1VrjqAlZ7bRDW4tilPydvXdx_BjxpS7nUsGvYcJw5w6rhTTUnFRF2q9Uk0MKUUcun10O4hLx1n3q4eu9ND920ORvXn6MPc7tH9Ev4MvBL0SDsFnjOnezweM3RrK_70fAXLDl6M</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Choudhary, Narendra S</creator><creator>Saraf, Neeraj</creator><creator>Kumar, Naveen</creator><creator>Rai, Rahul</creator><creator>Saigal, Sanjiv</creator><creator>Gautam, Dheeraj</creator><creator>Lipi, Lipika</creator><creator>Rastogi, Amit</creator><creator>Goja, Sanjay</creator><creator>Bhangui, Prashant</creator><creator>Ramchandra, Sumana K</creator><creator>Soin, Arvinder S</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><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>201604</creationdate><title>Nonalcoholic fatty liver is not associated with incident chronic kidney disease: a large histology-based comparison with healthy individuals</title><author>Choudhary, Narendra S ; Saraf, Neeraj ; Kumar, Naveen ; Rai, Rahul ; Saigal, Sanjiv ; Gautam, Dheeraj ; Lipi, Lipika ; Rastogi, Amit ; Goja, Sanjay ; Bhangui, Prashant ; Ramchandra, Sumana K ; Soin, Arvinder S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3051-3904f16b302aac3f699aae699de8bf0b0a6a6d8759bbb07481ea8610d585e2de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Biopsy</topic><topic>Female</topic><topic>Glomerular Filtration Rate</topic><topic>Humans</topic><topic>Incidence</topic><topic>India - epidemiology</topic><topic>Kidney - physiopathology</topic><topic>Liver - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Non-alcoholic Fatty Liver Disease - diagnosis</topic><topic>Non-alcoholic Fatty Liver Disease - epidemiology</topic><topic>Non-alcoholic Fatty Liver Disease - pathology</topic><topic>Predictive Value of Tests</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - epidemiology</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choudhary, Narendra S</creatorcontrib><creatorcontrib>Saraf, Neeraj</creatorcontrib><creatorcontrib>Kumar, Naveen</creatorcontrib><creatorcontrib>Rai, Rahul</creatorcontrib><creatorcontrib>Saigal, Sanjiv</creatorcontrib><creatorcontrib>Gautam, Dheeraj</creatorcontrib><creatorcontrib>Lipi, Lipika</creatorcontrib><creatorcontrib>Rastogi, Amit</creatorcontrib><creatorcontrib>Goja, Sanjay</creatorcontrib><creatorcontrib>Bhangui, Prashant</creatorcontrib><creatorcontrib>Ramchandra, Sumana K</creatorcontrib><creatorcontrib>Soin, Arvinder S</creatorcontrib><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>European journal of gastroenterology &amp; hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choudhary, Narendra S</au><au>Saraf, Neeraj</au><au>Kumar, Naveen</au><au>Rai, Rahul</au><au>Saigal, Sanjiv</au><au>Gautam, Dheeraj</au><au>Lipi, Lipika</au><au>Rastogi, Amit</au><au>Goja, Sanjay</au><au>Bhangui, Prashant</au><au>Ramchandra, Sumana K</au><au>Soin, Arvinder S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonalcoholic fatty liver is not associated with incident chronic kidney disease: a large histology-based comparison with healthy individuals</atitle><jtitle>European journal of gastroenterology &amp; hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2016-04</date><risdate>2016</risdate><volume>28</volume><issue>4</issue><spage>441</spage><epage>443</epage><pages>441-443</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>BACKGROUNDNonalcoholic steatohepatitis or fibrosis is associated with the increased prevalence of impaired kidney function. It is not known whether nonalcoholic fatty liver (NAFL), which is steatosis without inflammation or fibrosis, is associated with renal impairment as these individuals are not candidates for liver biopsy. MATERIALS AND METHODSThe study group included all liver donors who underwent a preoperative liver biopsy for various reasons. NAFL was defined as more than 5% hepatocytes having steatosis and no changes of steatohepatitis and/or fibrosis. Individuals with NAFL were compared with individuals with normal liver histology. Estimated glomerular filtration rate was calculated with the Modification of Diet in Renal Disease and Chronic Kidney Disease Epidemiology Collaboration methods. RESULTSThe mean age of the study group was 35±10.3 years and the mean BMI was 26±3.2 kg/m. A total of 187 adults having NAFL (80 men) were compared with 186 (88 men) individuals with normal liver histology (controls). Individuals with steatosis had significantly higher BMI (26.8±3.5 vs. 25.5±3.8 kg/m, P&lt;0.001) and serum alanine transaminase levels (33.8±13.3 vs. 27.2±9.8 IU/l, P&lt;0.000). There was no significant difference in the estimated glomerular filtration rate between the normal histology group and the NAFL group with Modification of Diet in Renal Disease (115±21.8 vs. 114.4±23.2 ml/min, P=0.803) and Chronic Kidney Disease Epidemiology Collaboration methods (113.6±14.8 vs. 113±14.7 ml/min, P=0.668). There was no significant difference as regards serum creatinine (0.73±0.16 vs. 0.74±0.16 mg%, P=0.536), proteinuria (P=0.121), diabetes (1 vs. 4, P=0.372), and hypertension (2 vs. 6, P=0.174) in individuals of both groups. CONCLUSIONPresence of NAFL does not adversely affect renal function.</abstract><cop>England</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>26636408</pmid><doi>10.1097/MEG.0000000000000531</doi><tpages>3</tpages></addata></record>
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subjects Adult
Biopsy
Female
Glomerular Filtration Rate
Humans
Incidence
India - epidemiology
Kidney - physiopathology
Liver - pathology
Male
Middle Aged
Non-alcoholic Fatty Liver Disease - diagnosis
Non-alcoholic Fatty Liver Disease - epidemiology
Non-alcoholic Fatty Liver Disease - pathology
Predictive Value of Tests
Renal Insufficiency, Chronic - diagnosis
Renal Insufficiency, Chronic - epidemiology
Renal Insufficiency, Chronic - physiopathology
Retrospective Studies
Risk Factors
title Nonalcoholic fatty liver is not associated with incident chronic kidney disease: a large histology-based comparison with healthy individuals
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