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Comparison of laboratory indices of non-alcoholic fatty liver disease for the detection of incipient kidney dysfunction

Title
Comparison of laboratory indices of non-alcoholic fatty liver disease for the detection of incipient kidney dysfunction
Author
박준성
Keywords
Fibrosis-4; Non-alcoholic fatty liver disease; Chronic kidney disease
Issue Date
2019-03
Publisher
PEERJ INC
Citation
PEERJ, v. 7, no. e6524
Abstract
Non-alcoholic fatty liver disease (NAFLD) is closely linked to insulin resistance and related adverse health outcomes. We investigated the non-invasive index of NAFLD that has the best performance in estimating the renal manifestations of metabolic disturbances. This nation-wide, cross-sectional study included 11,836 subjects, using various non-invasive assessments comprising routinely measured clinical and laboratory variables. The subjects were native Koreans aged 20 years or older and had no diabetes, history of liver or kidney disease. All participants were divided into quintiles according to their fibrosis-4 (FIB-4) results. Participants in the highest quintile were more hypertensive and obese with greater glycemic exposure, poor lipid profiles, and impaired kidney function, than those in the other quintiles. Multiple logistic regression, adjusted for age, sex, smoking, systolic blood pressure, white blood cell, platelet, fasting plasma glucose, and triglyceride, demonstrated that FIB-4, the hepatic steatosis index, the aspartate aminotransferase/alanine aminotransferase (AST/ALT) ratio, Gholam's model for non-alcoholic steatohepatitis, and the BARD score were independently associated with kidney dysfunction. ROC curve analysis revealed that FIB-4 (AUC = 0.6227, 95% CI [0.5929-0.6526], p = 0.0258) was the most precise in predicting kidney dysfunction. Our findings suggest that FIB-4 may be a favorable screening tool for the renal manifestation of hepatic metabolic disturbances.
URI
https://peerj.com/articles/6524/http://repository.hanyang.ac.kr/handle/20.500.11754/109976
ISSN
2167-8359
DOI
10.7717/peerj.6524
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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