Article ; Online: Association of Hepatic Steatosis and Fibrosis Indices With Insulin Sensitivity and Inflammation in the POP-ABC Study.
Journal of the Endocrine Society
2024 Volume 8, Issue 4, Page(s) bvae020
Abstract: Context: The cardiometabolic significance of subclinical liver fat in otherwise healthy individuals is unclear.: Objective: This work aimed to evaluate the association of hepatic steatosis/fibrosis with cardiometabolic risk markers and incident ... ...
Abstract | Context: The cardiometabolic significance of subclinical liver fat in otherwise healthy individuals is unclear. Objective: This work aimed to evaluate the association of hepatic steatosis/fibrosis with cardiometabolic risk markers and incident prediabetes among healthy adults. Methods: This is a post hoc analysis of data from the Pathobiology of Prediabetes in a Biracial Cohort (POP-ABC) study. The participants underwent assessments, including clinical examination, oral glucose tolerance test, insulin sensitivity, insulin secretion, plasma high-sensitivity C-reactive protein (hsCRP), and adiponectin levels, with the primary outcome of incident prediabetes during 5-year follow-up. Liver steatosis and fibrosis were assessed using the hepatic steatosis index (HSI) and the Fibrosis-4 (Fib-4) index, and participants were stratified by baseline quartiles (Q) of each index. Results: Among 343 (193 African American, 150 European American) participants (mean age 44.2 ± 10.6 years, body mass index 30.2 ± 7.28, fasting glucose 91.8 ± 6.80 mg/dL, and 2-hour glucose 125 ± 26.5 mg/dL), the mean baseline HSI was 39.7 ± 8.21 and Fib-4 index was 0.80 ± 0.41. Baseline HSI correlated with insulin sensitivity ( Conclusion: Among initially normoglycemic individuals, hepatic steatosis predicted progression to prediabetes, probably via mechanisms that involve insulin resistance and inflammation. |
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Language | English |
Publishing date | 2024-02-09 |
Publishing country | United States |
Document type | Journal Article |
ISSN | 2472-1972 |
ISSN (online) | 2472-1972 |
DOI | 10.1210/jendso/bvae020 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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