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. 2005 Mar 28;11(12):1848-53.
doi: 10.3748/wjg.v11.i12.1848.

Hepatic steatosis is associated with an increased risk of carotid atherosclerosis

Henry Volzke  1 , Daniel-M Robinson, Volker Kleine, Roland Deutscher, Wolfgang Hoffmann, Jan Ludemann, Ulf Schminke, Christof Kessler, Ulrich John
Affiliations

Hepatic steatosis is associated with an increased risk of carotid atherosclerosis

Henry Volzke et al. World J Gastroenterol. .

Abstract

Aim: Although an association between hepatic steatosis and vascular risk factors has been described, direct relationships between fatty liver and atherosclerosis have not yet been investigated. The aim of the present study has been to investigate those relationships.

Methods: The Study of Health in Pomerania examined a random population sample aged between 20 and 79 years. A study population of 4 222 subjects without hepatitis B and C infections and without liver cirrhosis was available for the present analysis. Hepatic steatosis was defined sonographically and intima-media thickness (IMT) as well as plaque prevalence were estimated by carotid ultrasound.

Results: The prevalence rate of hepatic steatosis was 29.9%. Among subjects aged > or =45 years, an association between hepatic steatosis and IMT of the carotid arteries was found in bivariate analysis, but not after adjustment for atherosclerotic risk factors. Individuals with fatty liver had more often carotid plaques than persons without fatty liver (plaque prevalence rate 76.8% vs 66.6%; P<0.001). This association persisted after adjustment for confounding factors and was predominantly present in subjects with no to mild alcohol consumption.

Conclusion: There is an independent association between hepatic steatosis and carotid atherosclerotic plaques. Metabolic changes due to nonalcoholic fatty liver disease may explain this relationship.

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Figures

Figure 1
Figure 1
The prevalence of carotid plaques with respect to the absence and presence of hepatic steatosis. aP<0.05 vs Steatosis.
See this image and copyright information in PMC

References

    1. Teli MR, James OF, Burt AD, Bennett MK, Day CP. The natural history of nonalcoholic fatty liver: a follow-up study. Hepatology. 1995;22:1714–1719. - PubMed
    1. Evans CD, Oien KA, MacSween RN, Mills PR. Non-alcoholic steatohepatitis: a common cause of progressive chronic liver injury? J Clin Pathol. 2002;55:689–692. - PMC - PubMed
    1. Joseph AE, Saverymuttu SH, al-Sam S, Cook MG, Maxwell JD. Comparison of liver histology with ultrasonography in assessing diffuse parenchymal liver disease. Clin Radiol. 1991;43:26–31. - PubMed
    1. Akahoshi M, Amasaki Y, Soda M, Tominaga T, Ichimaru S, Nakashima E, Seto S, Yano K. Correlation between fatty liver and coronary risk factors: a population study of elderly men and women in Nagasaki, Japan. Hypertens Res. 2001;24:337–343. - PubMed
    1. Osono Y, Nakajima K, Hata Y. Hypertriglyceridemia and fatty liver: clinical diagnosis of fatty liver and lipoprotein profiles in hypertriglyceridemic patients with fatty liver. J Atheroscler Thromb. 1995;2 Suppl 1:S47–S52. - PubMed

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