Sex Difference in the Association between Serum Homocysteine Level and Non-Alcoholic Fatty Liver Disease.
10.4082/kjfm.2016.37.4.242
- Author:
Bo Youn WON
1
;
Kyung Chae PARK
;
Soo Hyun LEE
;
Sung Hwan YUN
;
Moon Jong KIM
;
Kye Seon PARK
;
Young Sang KIM
;
Ji Hee HAAM
;
Hyung Yuk KIM
;
Hye Jung KIM
;
Ki Hyun PARK
Author Information
1. Department of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. kc829@cha.ac.kr
- Publication Type:Original Article
- Keywords:
Non-Alcoholic Fatty Liver Disease;
Homocysteine;
Sex Characteristics;
Men;
Fatty Liver
- MeSH:
Cross-Sectional Studies;
Fatty Liver;
Female;
Homocysteine*;
Humans;
Korea;
Logistic Models;
Male;
Non-alcoholic Fatty Liver Disease*;
Odds Ratio;
Prevalence;
Sex Characteristics*;
Ultrasonography
- From:Korean Journal of Family Medicine
2016;37(4):242-247
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The relationship between serum homocysteine levels and non-alcoholic fatty liver disease is poorly understood. This study aims to investigate the sex-specific relationship between serum homocysteine level and non-alcoholic fatty liver disease in the Korean population. METHODS: This cross-sectional study included 150 men and 132 women who participated in medical examination programs in Korea from January 2014 to December 2014. Patients were screened for fatty liver by abdominal ultrasound and patient blood samples were collected to measure homocysteine levels. Patients that consumed more than 20 grams of alcohol per day were excluded from this study. RESULTS: The homocysteine level (11.56 vs. 8.05 nmol/L) and the proportion of non-alcoholic fatty liver disease (60.7% vs. 19.7%) were significantly higher in men than in women. In men, elevated serum homocysteine levels were associated with a greater prevalence of non-alcoholic fatty liver disease (quartile 1, 43.6%; quartile 4, 80.6%; P=0.01); however, in females, there was no significant association between serum homocysteine levels and the prevalence of non-alcoholic fatty liver disease. In the logistic regression model adjusted for age and potential confounding parameters, the odds ratio for men was significantly higher in the uppermost quartile (model 3, quartile 4: odds ratio, 6.78; 95% confidential interval, 1.67 to 27.56); however, serum homocysteine levels in women were not associated with non-alcoholic fatty liver disease in the crude model or in models adjusted for confounders. CONCLUSION: Serum homocysteine levels were associated with the prevalence of non-alcoholic fatty liver disease in men.
