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Kantartzis, K. ; Rettig, I.* ; Staiger, H. ; Machann, J. ; Schick, F. ; Scheja, L.* ; Gastaldelli, A.* ; Bugianesi, E.* ; Peter, A. ; Schulze, M.B. ; Fritsche, A. ; Häring, H.-U. ; Stefan, N.

An extended fatty liver index to predict non-alcoholic fatty liver disease.

Diabetes Metab. 43, 229-239 (2017)
Postprint DOI PMC
Open Access Green
Background. In clinical practice, there is a strong interest in non-invasive markers of non-alcoholic fatty liver disease (NAFLD). Our hypothesis was that the fold-change in plasma triglycerides (TG) during a 2-h oral glucose tolerance test (fold-change TG(OGTT)) in concert with blood glucose and lipid parameters, and the rs738409 C > G single nucleotide polymorphism (SNP) in PNPLA3 might improve the power of the widely used fatty liver index (FLI) to predict NAFLD. Methods. The liver fat content of 330 subjects was quantified by H-1-magnetic resonance spectroscopy. Blood parameters were measured during fasting and after a 2-h OGTT. A subgroup of 213 subjects underwent these measurements before and after 9 months of a lifestyle intervention. Results. The fold-change TG(OGTT) was closely associated with liver fat content (r=0.51, P < 0.0001), but had less power to predict NAFLD (AUROC = 0.75) than the FLI (AUROC = 0.79). Not only was the fold-change TG(OGTT) independently associated with liver fat content and NAFLD, but so also were the 2-h blood glucose level and rs738409 C>G SNP in PNPLA3. In fact, a novel index (extended FLI) generated from these and the usual FLI parameters considerably increased its power to predict NAFLD (AUROC = 0.79-0.86). The extended FLI also increased the power to predict changes in liver fat content with a lifestyle intervention (n = 213; standardized beta coefficient: 0.23-0.29). Conclusion. This study has provided novel data confirming that the OGTT-derived fold-change TG(OGTT) and 2-h glucose level, together with the rs738409 C>G SNP in PNPLA3, allow calculation of an extended FLI that considerably improves its power to predict NAFLD. (C) 2017 Elsevier Masson SAS. All rights reserved.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Fatty Liver ; Lifestyle Intervention ; Nafld ; Ogtt ; Prediction ; Triglycerides; Life-style Intervention; Magnetic-resonance-spectroscopy; Hepatic Triglyceride Content; Insulin-resistance; General-population; Follow-up; Steatosis; Risk; Glucose; Inhibition
Sprache englisch
Veröffentlichungsjahr 2017
HGF-Berichtsjahr 2017
ISSN (print) / ISBN 1262-3636
e-ISSN 1878-1780
Zeitschrift Diabetes & metabolism
Quellenangaben Band: 43, Heft: 3, Seiten: 229-239 Artikelnummer: , Supplement: ,
Verlag Elsevier
Verlagsort Issy-les-Moulineaux
POF Topic(s) 90000 - German Center for Diabetes Research
Forschungsfeld(er) Helmholtz Diabetes Center
PSP-Element(e) G-502400-002
G-502400-001
Scopus ID 85009812505
PubMed ID 28089502
Erfassungsdatum 2017-07-27