Document Detail


Fatty liver, abdominal visceral fat, and cardiometabolic risk factors: the Jackson Heart Study.
MedLine Citation:
PMID:  21885852     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The goal of this study was to examine whether fatty liver and abdominal visceral adipose tissue (VAT) are jointly associated with cardiometabolic abnormalities.
METHODS AND RESULTS: Black participants were from the Jackson Heart Study (n=2882, 65% women) who underwent computed tomography. Fatty liver was measured by liver attenuation in Hounsfield units (LA), and VAT was quantified volumetrically. Cross-sectional associations between LA, VAT, and cardiometabolic risk factors were assessed using linear and logistic regression, and their joint associations were further examined in 4 subgroups: high-LA/low-VAT (n=1704), low-LA/low-VAT (n=422), high-LA/high-VAT (n=436), and low-LA/high-VAT (n=320). Both LA and VAT were associated with most cardiometabolic traits (all P<0.0001), which persisted after additional adjustment for each other (LA, P<0.01-0.0001; VAT, P<0.0001). In bootstrap analyses, the regression coefficient of VAT was significantly greater than LA for triglycerides, high-density lipoprotein cholesterol, impaired glucose, and metabolic syndrome (P=0.009-0.0001). The interaction between LA and VAT was significant for high-density lipoprotein cholesterol (P=0.002), impaired glucose (P=0.003), and metabolic syndrome (P=0.04). Among 4 subgroups, participants with higher VAT and lower LA had higher prevalence of cardiometabolic traits than those with each condition alone.
CONCLUSION: Both fatty liver and VAT are independent correlates of cardiometabolic risk, but the associations are stronger for VAT than for fatty liver.
Authors:
Jiankang Liu; Caroline S Fox; DeMarc Hickson; Aurelian Bidulescu; J Jeffery Carr; Herman A Taylor
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Arteriosclerosis, thrombosis, and vascular biology     Volume:  31     ISSN:  1524-4636     ISO Abbreviation:  Arterioscler. Thromb. Vasc. Biol.     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-20     Completed Date:  2012-01-23     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  9505803     Medline TA:  Arterioscler Thromb Vasc Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2715-22     Citation Subset:  IM    
Affiliation:
Jackson Heart Study, University of Mississippi Medical Center, Jackson State University, Jackson, MS 39213-4505, USA. jliu@umc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
African Continental Ancestry Group / ethnology
Aged
Aged, 80 and over
Cardiovascular Diseases / epidemiology*,  ethnology,  physiopathology
Cholesterol, HDL / blood
Fatty Liver / blood,  complications*,  physiopathology
Female
Humans
Intra-Abdominal Fat* / physiopathology
Male
Metabolic Diseases / epidemiology*,  ethnology,  physiopathology
Metabolic Syndrome X / epidemiology*,  ethnology,  physiopathology
Middle Aged
Mississippi
Regression Analysis
Retrospective Studies
Risk Factors
Triglycerides / blood
Grant Support
ID/Acronym/Agency:
N01 HC095170/HC/NHLBI NIH HHS; N01 HC095171/HC/NHLBI NIH HHS; N01-C-95172//PHS HHS; N01-HC-95170/HC/NHLBI NIH HHS; N01-HC-95171/HC/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Cholesterol, HDL; 0/Triglycerides
Comments/Corrections

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