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Fatty liver predicts the risk for cardiovascular events in middle-aged population: a population-based cohort study.

Identifieur interne : 000B91 ( Ncbi/Merge ); précédent : 000B90; suivant : 000B92

Fatty liver predicts the risk for cardiovascular events in middle-aged population: a population-based cohort study.

Auteurs : Pauliina Pisto [Finlande] ; Merja Santaniemi ; Risto Bloigu ; Olavi Ukkola ; Y Antero Kes Niemi

Source :

RBID : pubmed:24650811

English descriptors

Abstract

We investigated if the differences in liver fat content would predict the development of non-fatal and fatal atherosclerotic endpoints (coronary heart disease and stroke).

DOI: 10.1136/bmjopen-2014-004973
PubMed: 24650811

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pubmed:24650811

Le document en format XML

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<title xml:lang="en">Fatty liver predicts the risk for cardiovascular events in middle-aged population: a population-based cohort study.</title>
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<name sortKey="Pisto, Pauliina" sort="Pisto, Pauliina" uniqKey="Pisto P" first="Pauliina" last="Pisto">Pauliina Pisto</name>
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<nlm:affiliation>Department of Internal Medicine and Biocenter Oulu, Institute of Clinical Medicine, University of Oulu, and Clinical Research Center, Oulu University Hospital, Oulu, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Department of Internal Medicine and Biocenter Oulu, Institute of Clinical Medicine, University of Oulu, and Clinical Research Center, Oulu University Hospital, Oulu</wicri:regionArea>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Kaplan-Meier Estimate</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Non-alcoholic Fatty Liver Disease (complications)</term>
<term>Non-alcoholic Fatty Liver Disease (ultrasonography)</term>
<term>Population Surveillance</term>
<term>Risk Factors</term>
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<term>Non-alcoholic Fatty Liver Disease</term>
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<term>Cardiovascular Diseases</term>
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<term>Cardiovascular Diseases</term>
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<front>
<div type="abstract" xml:lang="en">We investigated if the differences in liver fat content would predict the development of non-fatal and fatal atherosclerotic endpoints (coronary heart disease and stroke).</div>
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<DateCreated>
<Year>2014</Year>
<Month>03</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>01</Month>
<Day>27</Day>
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<Journal>
<ISSN IssnType="Electronic">2044-6055</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>4</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2014</Year>
</PubDate>
</JournalIssue>
<Title>BMJ open</Title>
<ISOAbbreviation>BMJ Open</ISOAbbreviation>
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<ArticleTitle>Fatty liver predicts the risk for cardiovascular events in middle-aged population: a population-based cohort study.</ArticleTitle>
<Pagination>
<MedlinePgn>e004973</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1136/bmjopen-2014-004973</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We investigated if the differences in liver fat content would predict the development of non-fatal and fatal atherosclerotic endpoints (coronary heart disease and stroke).</AbstractText>
<AbstractText Label="DESIGN, SETTING AND PARTICIPANTS" NlmCategory="METHODS">Our study group is a population-based, randomly recruited cohort (Oulu Project Elucidating Risk of Atherosclerosis, OPERA), initiated in 1991. The cohort consisted of 988 middle-aged Finnish participants.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Total mortality and hospital events were followed up to 2009 based on the registry of the National Institute for Health and Welfare and the National death registry.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">The severity of hepatic steatosis was measured by ultrasound and divided into three groups (0-2). Cox regression analysis was used in the statistical analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the follow-up of years 1991-2009, 13.5% of the participants with non-fatty liver, 24.2% of participants having moderate liver fat content and 29.2% of the participants having severe fatty liver experienced a cardiovascular event during the follow-up time (p<0.001). Severe liver fat content predicted the risk for future risk of cardiovascular event even when adjusted for age, gender and study group (HR 1.92, CI 1.32 to 2.80, p<0.01). When further adjustments for smoking, alcohol consumption, low-density lipoprotein-cholesterol, body mass index and systolic blood pressure were conducted, the risk still remained statistically significant (HR 1.74, CI 1.16 to 2.63, p<0.01). Statistical significance disappeared with further adjustment for QUICKI.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Liver fat content increases the risk of future cardiovascular disease event in long-term follow-up but it is seems to be dependent on insulin sensitivity.</AbstractText>
</Abstract>
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<LastName>Pisto</LastName>
<ForeName>Pauliina</ForeName>
<Initials>P</Initials>
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<Affiliation>Department of Internal Medicine and Biocenter Oulu, Institute of Clinical Medicine, University of Oulu, and Clinical Research Center, Oulu University Hospital, Oulu, Finland.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Santaniemi</LastName>
<ForeName>Merja</ForeName>
<Initials>M</Initials>
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<LastName>Bloigu</LastName>
<ForeName>Risto</ForeName>
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<LastName>Kesäniemi</LastName>
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<Language>eng</Language>
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