Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome
This study investigated differences in the clinical data and prevalence of lean and non-lean patients with non-alcoholic fatty liver disease (NAFLD) and metabolic syndrome (MetS). Data on patients with MetS who had results of ultrasonography or transient elastography were collected from a Thai unive...
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th-mahidol.745722022-08-04T11:23:19Z Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome Punyisa Boonchai Chayanis Kositamongkol Suchanart Jitrukthai Sukumal Phothirat Euarat Mepramoon Pongpol Nimitpunya Weerachai Srivanichakorn Thanet Chaisathaphol Chaiwat Washirasaksiri Chonticha Auesomwang Tullaya Sitasuwan Rungsima Tinmanee Naruemit Sayabovorn Phunchai Charatcharoenwitthaya Pochamana Phisalprapa Siriraj Hospital Medicine This study investigated differences in the clinical data and prevalence of lean and non-lean patients with non-alcoholic fatty liver disease (NAFLD) and metabolic syndrome (MetS). Data on patients with MetS who had results of ultrasonography or transient elastography were collected from a Thai university hospital database. Patients with exclusion criteria for NAFLD diagnosis were excluded. Patients’ clinical characteristic and the performances of three non-invasive scoring systems (fatty liver index [FLI], fibrosis-4 [FIB-4] index, and NAFLD fibrosis score [NFS]) were evalu-ated. The 743 subjects were classified into two groups: lean MetS (131 patients) and non-lean MetS (612 patients). The NAFLD prevalence in the non-lean group (62.6%) was higher than that in the lean group (31.3%). The age-adjusted odds ratio was 3.43. Advanced fibrosis was detected in 7.6% of lean patients and 10.8% of non-lean patients. FLI was not sensitive enough to detect NAFLD in the lean group at a high cutoff, but it performed acceptably at a low cutoff. FIB-4 performed better than NFS in determining advanced fibrosis. NAFLD was more common in non-lean than lean pa-tients. Lean patients with MetS had a relatively higher risk of NAFLD than the general population. FLI and FIB-4 index performed acceptably in both groups. 2022-08-04T04:23:19Z 2022-08-04T04:23:19Z 2022-05-01 Article Journal of Clinical Medicine. Vol.11, No.9 (2022) 10.3390/jcm11092445 20770383 2-s2.0-85128737793 https://repository.li.mahidol.ac.th/handle/123456789/74572 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85128737793&origin=inward |
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Medicine Punyisa Boonchai Chayanis Kositamongkol Suchanart Jitrukthai Sukumal Phothirat Euarat Mepramoon Pongpol Nimitpunya Weerachai Srivanichakorn Thanet Chaisathaphol Chaiwat Washirasaksiri Chonticha Auesomwang Tullaya Sitasuwan Rungsima Tinmanee Naruemit Sayabovorn Phunchai Charatcharoenwitthaya Pochamana Phisalprapa Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome |
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This study investigated differences in the clinical data and prevalence of lean and non-lean patients with non-alcoholic fatty liver disease (NAFLD) and metabolic syndrome (MetS). Data on patients with MetS who had results of ultrasonography or transient elastography were collected from a Thai university hospital database. Patients with exclusion criteria for NAFLD diagnosis were excluded. Patients’ clinical characteristic and the performances of three non-invasive scoring systems (fatty liver index [FLI], fibrosis-4 [FIB-4] index, and NAFLD fibrosis score [NFS]) were evalu-ated. The 743 subjects were classified into two groups: lean MetS (131 patients) and non-lean MetS (612 patients). The NAFLD prevalence in the non-lean group (62.6%) was higher than that in the lean group (31.3%). The age-adjusted odds ratio was 3.43. Advanced fibrosis was detected in 7.6% of lean patients and 10.8% of non-lean patients. FLI was not sensitive enough to detect NAFLD in the lean group at a high cutoff, but it performed acceptably at a low cutoff. FIB-4 performed better than NFS in determining advanced fibrosis. NAFLD was more common in non-lean than lean pa-tients. Lean patients with MetS had a relatively higher risk of NAFLD than the general population. FLI and FIB-4 index performed acceptably in both groups. |
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Siriraj Hospital |
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Siriraj Hospital Punyisa Boonchai Chayanis Kositamongkol Suchanart Jitrukthai Sukumal Phothirat Euarat Mepramoon Pongpol Nimitpunya Weerachai Srivanichakorn Thanet Chaisathaphol Chaiwat Washirasaksiri Chonticha Auesomwang Tullaya Sitasuwan Rungsima Tinmanee Naruemit Sayabovorn Phunchai Charatcharoenwitthaya Pochamana Phisalprapa |
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Punyisa Boonchai Chayanis Kositamongkol Suchanart Jitrukthai Sukumal Phothirat Euarat Mepramoon Pongpol Nimitpunya Weerachai Srivanichakorn Thanet Chaisathaphol Chaiwat Washirasaksiri Chonticha Auesomwang Tullaya Sitasuwan Rungsima Tinmanee Naruemit Sayabovorn Phunchai Charatcharoenwitthaya Pochamana Phisalprapa |
author_sort |
Punyisa Boonchai |
title |
Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome |
title_short |
Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome |
title_full |
Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome |
title_fullStr |
Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome |
title_full_unstemmed |
Clinical Differences and Non-Alcoholic Fatty Liver Disease-Related Factors of Lean and Non-Lean Patients with Metabolic Syndrome |
title_sort |
clinical differences and non-alcoholic fatty liver disease-related factors of lean and non-lean patients with metabolic syndrome |
publishDate |
2022 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/74572 |
_version_ |
1763495976436236288 |