title: The severity of Fatty liver disease relating to metabolic abnormalities independently predicts coronary calcification.
abstract: Background. Nonalcoholic fatty liver disease (NAFLD) is one of the metabolic disorders presented in liver. The relationship between severity of NAFLD and coronary atherosclerotic burden remains largely unknown. Methods and Materials. We analyzed subjects undergoing coronary calcium score evaluation by computed tomography (MDCT) and fatty liver assessment using abdominal ultrasonography. Framingham risk score (FRS) and metabolic risk score (MRS) were obtained in all subjects. A graded, semiquantitative score was established to quantify the severity of NAFLD. Multivariate logistic regression analysis was used to depict the association between NAFLD and calcium score. Results. Of all, 342 participants (female: 22.5%, mean age: 48.7 ± 7.0 years) met the sufficient information rendering detailed analysis. The severity of NAFLD was positively associated with MRS (X(2) = 6.12, trend P < 0.001) and FRS (X(2) = 5.88, trend P < 0.001). After multivariable adjustment for clinical variables and life styles, the existence of moderate to severe NAFLD was independently associated with abnormal calcium score (P < 0.05). Conclusion. The severity of NAFLD correlated well with metabolic abnormality and was independently predict coronary calcification beyond clinical factors. Our data suggests that NAFLD based on ultrasonogram could positively reflect the burden of coronary calcification.
authors.affiliation: Cardiovascular Medicine, Department of Internal Medicine, Mackay Memorial Hospital, Taipei 10449, Taiwan.
authors.forename: Ying-Hsiang
authors.initials: YH
authors.lastname: Lee
authors.forename: Yih-Jer
authors.initials: YJ
authors.lastname: Wu
authors.forename: Chuan-Chuan
authors.initials: CC
authors.lastname: Liu
authors.forename: Charles Jia-Yin
authors.initials: CJ
authors.lastname: Hou
authors.forename: Hung-I
authors.initials: HI
authors.lastname: Yeh
authors.forename: Cheng-Ho
authors.initials: CH
authors.lastname: Tsai
authors.forename: Shou-Chuan
authors.initials: SC
authors.lastname: Shih
authors.forename: Chung-Lieh
authors.initials: CL
authors.lastname: Hung