Document Detail


The association between fatty liver disease and blood pressure in a population-based prospective longitudinal study.
MedLine Citation:
PMID:  20577126     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of the present study was to investigate the association of fatty liver disease (FLD) with blood pressure (BP) and hypertension in a general population sample with prospective 5-year follow-up examinations.
DESIGN AND METHODS: We used data from the Study of Health in Pomerania, conducted in the northeastern part of Germany. The study population comprised 3191 individuals aged 20-79 years. FLD was defined as the presence of a hyperechogenic pattern of the liver and increased serum alanine transferase (ALT) levels.
RESULTS: Multivariable analyses revealed that FLD was associated with increased DBP and hypertension at baseline and with increased SBP and hypertension at follow-up. In individuals with FLD, the chance of hypertension at baseline and follow-up was three-fold higher [odds ratio (OR) 2.8; 95% confidence interval (CI) 1.3-6.2 and OR 3.1; 95% CI 1.7-5.8, respectively] compared to individuals without FLD. In the subgroup of individuals not receiving antihypertensive medication, FLD was associated with all BP-related variables at baseline and follow-up. Analyses further suggest that these associations were independent of alcohol consumption and further confounders.
CONCLUSION: FLD defined by liver hyperechogenity and increased ALT levels is associated with progression of BP over time and incident hypertension. In individuals with FLD, BP should be checked regularly and interventions addressing behavioural risk factors for FLD and hypertension should be initiated if necessary. Ultrasound should be implemented as a method to detect FLD in individuals with increased ALT levels in routine medical care.
Authors:
Katharina Lau; Roberto Lorbeer; Robin Haring; Carsten O Schmidt; Henri Wallaschofski; Matthias Nauck; Ulrich John; Sebastian E Baumeister; Henry Völzke
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hypertension     Volume:  28     ISSN:  1473-5598     ISO Abbreviation:  J. Hypertens.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-11     Completed Date:  2010-12-07     Revised Date:  2012-06-20    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  1829-35     Citation Subset:  IM    
Affiliation:
Institute for Community Medicine, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany. katharina.lau@uni-greifswald.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure / physiology*
Fatty Liver / complications*,  physiopathology*,  ultrasonography
Female
Germany
Humans
Hypertension / etiology*,  physiopathology*
Longitudinal Studies
Male
Middle Aged
Prospective Studies
Risk Factors
Young Adult
Comments/Corrections
Comment In:
J Hypertens. 2012 Jun;30(6):1260-1   [PMID:  22573082 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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