title: The Correlation and Risk Factors between Carotid Intima-Media Thickening and Alcoholic Liver Disease Coupled with Helicobacter pylori Infection.
abstract: The aim of this study was to explore the associations and differences in influencing factors between alcoholic liver disease (ALD) coupled with Helicobacter pylori infection and atherosclerosis and to determine whether there is a "double hit phenomenon" in atherosclerosis patients with ALD and H. pylori infections. Included cases (n = 160) were categorized into 4 groups: 41 cases of ALD coupled with H. pylori infections (group A), 35 cases of H. pylori infections without ALD (group B), 37 cases of ALD without H. pylori infections (group C), and 47 normal control cases (group D). CIMT was significantly greater in group A than in groups B and D (P = 0.005 and P = 0.001, respectively). The GLM univariate analysis found that CIMT was significantly greater in group A than in groups B, C and D (P = 0.018, P = 0.001 and P = 0.009, respectively). We found that BMI and ALT, AST and ApoB levels were independent predictors of CIMT (P = 0.000, P = 0.000, P = 0.012 and P = 0.014, respectively). ALD coupled with H. pylori infection may result in significant CIMT thickening, but H. pylori infection without ALD and ALD without H. pylori infection does not, suggesting that a "double hit phenomenon" occurs. Additionally, BMI, and ALT, AST and ApoB levels were independent risk factors for increased CIMT.
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.
authors.forename: Qu
authors.initials: Q
authors.lastname: Bao-Ge
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.|Taishan Medical College, Taian, Shandong, 271000, P. R. China.
authors.forename: Wang
authors.initials: W
authors.lastname: Hui
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.|Taishan Medical College, Taian, Shandong, 271000, P. R. China.
authors.forename: Jia
authors.initials: J
authors.lastname: Yi-Guo
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.
authors.forename: Su
authors.initials: S
authors.lastname: Ji-Liang
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.
authors.forename: Wang
authors.initials: W
authors.lastname: Zhong-Dong
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.
authors.forename: Wang
authors.initials: W
authors.lastname: Ya-Fei
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.
authors.forename: Han
authors.initials: H
authors.lastname: Xing-Hai
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.|Taishan Medical College, Taian, Shandong, 271000, P. R. China.
authors.forename: Liu
authors.initials: L
authors.lastname: Yuan-Xun
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.
authors.forename: Pan
authors.initials: P
authors.lastname: Jin-Dun
authors.affiliation: Taishan Hospital, Taian, Shandong 271000, P. R. China.
authors.forename: Ren
authors.initials: R
authors.lastname: Guang-Ying
mesh_terms: D000328:Adult; D050197:Atherosclerosis / Q000453:epidemiology / Q000209:etiology* / Q000473:pathology; D002340:Carotid Artery Diseases / Q000453:epidemiology / Q000209:etiology; D059168:Carotid Intima-Media Thickness; D005260:Female; D016481:Helicobacter Infections / Q000150:complications* / Q000473:pathology; D016480:Helicobacter pylori; D006801:Humans; D008108:Liver Diseases, Alcoholic / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012307:Risk Factors