The Association of Nonalcoholic Fatty Liver Disease with Metabolic Syndrome.
- Author:
Su Yun KIM
1
;
Kyung Won SHIM
;
Hong Soo LEE
;
Sang Hwa LEE
;
Hai Lim KIM
;
Young A OH
Author Information
1. Department of Family Medicine, Ewha Womans University College of Medicine, Korea. ewhashim@hitel.net
- Publication Type:Original Article
- Keywords:
non-alcoholic fatty liver disease;
metabolic syndrome;
ultrasonography;
obesity
- MeSH:
Alcohol Drinking;
Blood Pressure;
Body Mass Index;
Body Weight;
Cholesterol;
Diagnosis;
Drug-Induced Liver Injury;
Dyslipidemias;
Fasting;
Fatty Liver*;
Glucose;
Hypertension;
Liver;
Mass Screening;
Obesity;
Odds Ratio;
Prevalence;
Thyroid Diseases;
Triglycerides;
Ultrasonography;
Waist Circumference
- From:Journal of the Korean Academy of Family Medicine
2007;28(9):667-674
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Recently, the diagnosis of non-alcoholic fatty liver disease (NAFLD) has been made more frequently, as the use of ultrasonography on health screening has been on the rise. The aim of this study was to elucidate the relationship between NAFLD and the metabolic syndrome defined by NCEP-ATP III criteria. METHODS: A total of 1,675 subjects, who attended for routine physical check?ups, were screened. Among those, 401 subjects were selected after excluding the subjects with either significant alcohol consumption, evidence of viral or toxic hepatitis, significant liver or renal dysfunction, or overt thyroid disease. NAFLD was diagnosed if the subjects had a "bright liver" on ultrasonographic examination. The diagnosis of metabolic syndrome was made according to the criteria of NCEP-ATP III established in 2001. RESULTS: The prevalence of NAFLD was 27.2%. Blood pressure, body weight, body mass index, waist circumference, and serum levels of total cholesterol, triglyceride, fasting glucose and liver enzymes were higher among the subjects with NAFLD than the control. The prevalence of obesity, IFG/DM, dyslipidemia and hypertension was higher in the NAFLD group. The prevalence of the metabolic syndrome was 19.2%, which was higher in the NAFLD group than the control group. The odds ratio of NAFLD for the metabolic syndrome was 6.458 (95% C.I. 3.178~13.124). CONCLUSION: NAFLD was closely associated with the metabolic syndrome regardless of the presence of obesity.
