Author(s): Tsai, CH (Tsai, Chung-Huang); Li, TC (Li, Tsai-Chung); Lin, CC (Lin, Cheng- Chieh)
Title: Metabolic syndrome as a risk factor for nonalcoholic fatty liver disease Source: SOUTHERN MEDICAL JOURNAL, 101 (9): 900-905 SEP 2008 Language: English
Document Type: Article
Author Keywords: metabolic syndrome; nonalcoholic fatty liver disease; screening health examination; waist circumference
KeyWords Plus: INSULIN-RESISTANCE SYNDROME; BRIGHT LIVER;
STEATOHEPATITIS; PREVALENCE; CHOLESTEROL; PANEL
Abstract: Background: Metabolic syndrome has been linked to nonalcoholic fatty liver disease (NAFLD).
Objectives: The purpose of the current study was to evaluate metabolic syndrome as a risk factor for NAFLD in Taiwanese adults.
Methods: A cross-sectional study was conducted in which 876 subjects were enrolled. The diagnosis of NAFLD was made by abdominal ultrasonography. The Asia-Pacific modification of the National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III guideline was used to establish the diagnosis of metabolic syndrome.
Results: NAFLD was diagnosed in 373 (42.6%) of the study population. Metabolic syndrome was diagnosed in 202 (23.1%) of the study population, and it was independently associated with NAFLD (odds ratio [OR] = 2.37; P < 0.001). Among the components of metabolic syndrome, hypertriglyceridemia (OR = 2.24; P < 0.001), hyperglycemia (OR = 2.23; P = 0.001), increased waist circumference (OR = 1.76; P = 0.013), and the diagnostic components of metabolic syndrome were independently associated with NAFLD.
Conclusion: Metabolic syndrome and some of its diagnostic components are independent risk factors for NAFLD.
Addresses: [Tsai, Chung-Huang] Cheng Ching Hosp, Dept Family Med, Taichung 407, Taiwan; Asia Univ, Coll Hlth Sci, Inst Hlth Care Adm, Taichung, Taiwan; China Med Univ, Coll Publ Hlth, Sch & Grad Inst Hlth Care Adm, Taichung, Taiwan; China Med Univ Hosp, Dept Family Med, Taichung, Taiwan; China Med Univ, Ctr Biostat, Coll Chinese Med, Grad Inst Chinese Med Sci, Taichung, Taiwan; Chaoyang Univ Technol, Grad Inst Biochem Sci &
Technol, Taichung, Taiwan
Reprint Address: Tsai, CH, Cheng Ching Hosp, Dept Family Med, 118 Sec 3,Chung Kang RD, Taichung 407, Taiwan.
E-mail Address: [email protected]
Cited References: ARAUJO LMB, 1998, DIABETES METAB, V24, P458.
BACON BR, 1994, GASTROENTEROLOGY, V107, P1103.
BLOOMGARDEN ZT, 2005, DIABETES CARE, V28, P1518.
BUGIANESI E, 2005, DIABETOLOGIA, V48, P634, DOI 10.1007/s00125-005-1682-x.
CAMERON AJ, 2004, ENDOCRIN METAB CLIN, V33, P351, DOI 10.1016/j.ecl.2004.03.005.
CATURELLI E, 1992, J GASTROEN HEPATOL, V7, P469.
CHUANG SY, 2002, ACTA CARDIOL SIN, V18, P16.
CLEEMAN JI, 2001, JAMA-J AM MED ASSOC, V285, P2486.
DAY CP, 1998, GASTROENTEROLOGY, V114, P842.
DIEHL AM, 1988, GASTROENTEROLOGY, V95, P1056.
ELHASSAN AY, 1992, BRIT J RADIOL, V65, P774.
FLETCHER B, 2004, J CARDIOVASC NURS, V19, P339.
FORD ES, 2002, JAMA-J AM MED ASSOC, V287, P359.
GRUNDY SM, 1999, AM J CARDIOL, V83, F25.
HAFFNER SM, 1992, DIABETES, V41, P715.
HAFFNER SM, 1997, DIABETES, V46, P63.
HAMAGUCHI M, 2005, ANN INTERN MED, V143, P722.
HOEFNER DM, 2003, MLO MED LAB OBS, V35, P12.
ISOMAA B, 2001, DIABETES CARE, V24, P683.
KELLEY DE, 2003, AM J PHYSIOL-ENDOC M, V285, E906, DOI 10.1152/ajpendo.00117.2003.
LEE RG, 1989, HUM PATHOL, V20, P594.
LEEVY CM, 1962, MEDICINE, V41, P249.
LONARDO A, 1997, ITAL J GASTROENTEROL, V29, P351.
LUDWIG J, 1980, MAYO CLIN PROC, V55, P434.
MARCHESINI G, 1999, AM J MED, V107, P450.
MARCHESINI G, 2001, DIABETES, V50, P1844.
MEDINA J, 2004, DIABETES CARE, V27, P2057.
NOMURA H, 1988, JPN J MED, V27, P142.
OSAWA H, 1996, J CLIN ULTRASOUND, V24, P25.
PEGANO G, 2002, HEPATOLOGY, V35, P367.
POWELL EE, 1990, HEPATOLOGY, V11, P74.
REAVEN GM, 1988, DIABETES, V37, P1595.
TAN CE, 2004, DIABETES CARE, V27, P1182.
UTZSCHNEIDER KM, 2006, J CLIN ENDOCR METAB, V91, P4753, DOI 10.1210/jc.2006- 0587.
WANLESS IR, 1990, HEPATOLOGY, V12, P1106.
YOUNOSSI Z, 1999, CURRENT GASTROENTERO, V1, P57.
ZIMMET P, 2001, NATURE, V414, P782.
Cited Reference Count: 37 Times Cited: 4
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Publisher Address: 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA ISSN: 0038-4348
29-char Source Abbrev.: SOUTHERN MED J ISO Source Abbrev.: South.Med.J.
Source Item Page Count: 6
Subject Category: Medicine, General & Internal ISI Document Delivery No.: 353QL