Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.

<h4>Background</h4>Lean individual with non-alcoholic fatty liver disease (L-NAFLD) is a prominent area of research, yet its pathogenesis and association with other diseases such as atherosclerotic cardiovascular disease remain uncertain.<h4>Object</h4>A retrospective study,...

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Main Authors: Jiangfeng Xue, Lun Zhao, Liang Shao, Huiwang Zhang, Yewei Feng, Ping Shuai
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0316997
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author Jiangfeng Xue
Lun Zhao
Liang Shao
Huiwang Zhang
Yewei Feng
Ping Shuai
author_facet Jiangfeng Xue
Lun Zhao
Liang Shao
Huiwang Zhang
Yewei Feng
Ping Shuai
author_sort Jiangfeng Xue
collection DOAJ
description <h4>Background</h4>Lean individual with non-alcoholic fatty liver disease (L-NAFLD) is a prominent area of research, yet its pathogenesis and association with other diseases such as atherosclerotic cardiovascular disease remain uncertain.<h4>Object</h4>A retrospective study, investigate the association between non-alcoholic fatty liver disease (NAFLD) and carotid plaque (CP) in lean [body mass index (BMI) <24Kg/m2] and non-lean (BMI≥24Kg/m2) populations, as well as identify the related influence factors.<h4>Method</h4>3,587 participants were eligible and categorized into 4 groups based on the presence with CP and BMI, binary logistic regression analysis was utilized alongside other statistical methods.<h4>Results</h4>L-NAFLD participants had a 1.395-fold higher risk of CP compared to lean individuals without NAFLD. Age, gender, systolic blood pressure, low-density lipoprotein cholesterol, fasting blood glucose, and Fibrosis-4 index (FIB-4) were identified as independent risk factors with cutoff values lower than the normal upper limits. However, this association was not observed among non-lean participants, regardless of confounding factors adjustment. Moreover, the impact of FIB-4 on the association of NAFLD and CP was more significant in lean CP participants (OR = 1.360 for 1.30 ~ 2.67, and OR = 2.002 for >2.67~<3.48) than in non-lean CP ones.<h4>Conclusion</h4>The L-NAFLD population had a higher risk of CP, while lean CP individuals experienced more severe liver fibrosis. Implementing stricter management of risk factors may improve the health status of high-risk populations.
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spelling doaj-art-5bafcb70c96048cf8d68a6cc6cf350fb2025-02-07T05:30:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031699710.1371/journal.pone.0316997Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.Jiangfeng XueLun ZhaoLiang ShaoHuiwang ZhangYewei FengPing Shuai<h4>Background</h4>Lean individual with non-alcoholic fatty liver disease (L-NAFLD) is a prominent area of research, yet its pathogenesis and association with other diseases such as atherosclerotic cardiovascular disease remain uncertain.<h4>Object</h4>A retrospective study, investigate the association between non-alcoholic fatty liver disease (NAFLD) and carotid plaque (CP) in lean [body mass index (BMI) <24Kg/m2] and non-lean (BMI≥24Kg/m2) populations, as well as identify the related influence factors.<h4>Method</h4>3,587 participants were eligible and categorized into 4 groups based on the presence with CP and BMI, binary logistic regression analysis was utilized alongside other statistical methods.<h4>Results</h4>L-NAFLD participants had a 1.395-fold higher risk of CP compared to lean individuals without NAFLD. Age, gender, systolic blood pressure, low-density lipoprotein cholesterol, fasting blood glucose, and Fibrosis-4 index (FIB-4) were identified as independent risk factors with cutoff values lower than the normal upper limits. However, this association was not observed among non-lean participants, regardless of confounding factors adjustment. Moreover, the impact of FIB-4 on the association of NAFLD and CP was more significant in lean CP participants (OR = 1.360 for 1.30 ~ 2.67, and OR = 2.002 for >2.67~<3.48) than in non-lean CP ones.<h4>Conclusion</h4>The L-NAFLD population had a higher risk of CP, while lean CP individuals experienced more severe liver fibrosis. Implementing stricter management of risk factors may improve the health status of high-risk populations.https://doi.org/10.1371/journal.pone.0316997
spellingShingle Jiangfeng Xue
Lun Zhao
Liang Shao
Huiwang Zhang
Yewei Feng
Ping Shuai
Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.
PLoS ONE
title Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.
title_full Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.
title_fullStr Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.
title_full_unstemmed Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.
title_short Higher risk of carotid plaque among lean individuals with non-alcoholic fatty liver disease: A retrospective study.
title_sort higher risk of carotid plaque among lean individuals with non alcoholic fatty liver disease a retrospective study
url https://doi.org/10.1371/journal.pone.0316997
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