Article ; Online: Diabetes and the risk of cirrhosis and HCC: An analysis of the UK Biobank.
Hepatology communications
2023 Volume 7, Issue 11
Abstract: Background: Diabetes increases the risk of cirrhosis and HCC. We aimed to assess such associations given different diabetes statuses.: Methods: We included 449,497 participants in the UK Biobank cohort (mean age 56.7±8.0 y; 45.5% male) and assessed ... ...
Abstract | Background: Diabetes increases the risk of cirrhosis and HCC. We aimed to assess such associations given different diabetes statuses. Methods: We included 449,497 participants in the UK Biobank cohort (mean age 56.7±8.0 y; 45.5% male) and assessed the association between preclinical diabetes (prediabetes, having a high risk of diabetes), clinical diabetes (presence, duration, or glycemic control of type 2 diabetes), and incident liver cirrhosis and HCC by the Cox regression. Liver diseases were ascertained through inpatient records and national death registration. Gene-environment interaction was examined using the polygenic risk scores of cirrhosis and HCC. Results: Compared with normoglycemia, having <5 years,≥5 years of diabetes showed adjusted HRs (aHRs) of cirrhosis as 2.85 (2.45-3.32) and 3.43 (2.92-4.02), respectively, which was similarly observed in HCC. In diabetes, a level of hemoglobin A1c ≥ 7.5% showed aHRs of 1.37 (1.07-1.76) and 1.89 (1.10-3.25) for cirrhosis and HCC, respectively, compared with hemoglobin A1c < 6.5%. In non-diabetes, prediabetes presented aHRs of 1.41 (1.14-1.73) and 1.80 (1.06-3.04) of cirrhosis and HCC, respectively. Participants with a high risk of diabetes at baseline showed an aHR of 3.31 (2.65-4.13) for cirrhosis and 2.09 (1.15-3.80) for HCC. In those with a high genetic risk of HCC, having an increased risk of diabetes posed a significantly higher risk of HCC (aHR: 1.93, 1.45-2.58, Pinteraction=0.005), compared with those without a high genetic risk of HCC. Conclusions: Not only diabetes but preclinical diabetes, longer diabetes duration, and higher baseline hemoglobin A1c were associated with an increased risk of incident cirrhosis and HCC in the general population. |
---|---|
MeSH term(s) | Humans ; Male ; Middle Aged ; Female ; Carcinoma, Hepatocellular/epidemiology ; Carcinoma, Hepatocellular/genetics ; Carcinoma, Hepatocellular/complications ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/genetics ; Diabetes Mellitus, Type 2/complications ; Liver Neoplasms/epidemiology ; Liver Neoplasms/genetics ; Liver Neoplasms/complications ; Glycated Hemoglobin ; Prediabetic State/complications ; Biological Specimen Banks ; Liver Cirrhosis/complications ; United Kingdom/epidemiology |
Chemical Substances | Glycated Hemoglobin |
Language | English |
Publishing date | 2023-10-18 |
Publishing country | United States |
Document type | Journal Article |
ISSN | 2471-254X |
ISSN (online) | 2471-254X |
DOI | 10.1097/HC9.0000000000000280 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.
Inter-library loan at ZB MED
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.