Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-Analysis

Background: non-alcoholic fatty liver disease (NAFLD) is known to be associated with some metabolic disorders. Recent studies suggested the role of uric acid in NAFLD through oxidative stress and inflammatory process. This study is aimed to evaluate the association between serum uric acid and NAFLD....

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Main Authors: Guntur Darmawan, Laniyati Hamijoyo, Irsan Hasan
Format: Article
Language:English
Published: Interna Publishing 2017-08-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:https://www.actamedindones.org/index.php/ijim/article/view/381
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author Guntur Darmawan
Laniyati Hamijoyo
Irsan Hasan
author_facet Guntur Darmawan
Laniyati Hamijoyo
Irsan Hasan
author_sort Guntur Darmawan
collection DOAJ
description Background: non-alcoholic fatty liver disease (NAFLD) is known to be associated with some metabolic disorders. Recent studies suggested the role of uric acid in NAFLD through oxidative stress and inflammatory process. This study is aimed to evaluate the association between serum uric acid and NAFLD. Methods: a systematic literature review was conducted using Pubmed and Cochrane library. The quality of all studies was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). All data were analyzed using REVIEW MANAGER 5.3. Results: eleven studies from America and Asia involving 100,275 subjects were included. The pooled adjusted OR for NAFLD was 1.92 (95% CI: 1.66-2.23; p<0.00001). Subgroup analyses were done based on study design, gender, non-diabetic subjects, non-obese subjects. All subgroup analyses showed statistically significant adjusted OR and most of which having low to moderate heterogeneity. Two studies revealed relationship between increased serum uric acid levels and severity of NAFLD. No publication bias was observed. Conclusion: our study demonstrated association between serum uric acid level and NAFLD. This finding brings a new insight of uric acid in clinical practice. Increased in serum uric acid levels might serve as a trigger for physician to screen for NAFLD.
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spelling doaj-art-5f5bb2dd30ff4f31aee50cc7cb25f6b12025-08-20T03:55:54ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322017-08-01492201Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-AnalysisGuntur Darmawan0Laniyati Hamijoyo1Irsan Hasan2Department of Internal Medicine, Faculty of Medicine, Padjadjaran University-Hasan Sadikin Hospital, Bandung, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, Padjadjaran University-Hasan Sadikin Hospital, Bandung, IndonesiaDivision of Hepatology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, IndonesiaBackground: non-alcoholic fatty liver disease (NAFLD) is known to be associated with some metabolic disorders. Recent studies suggested the role of uric acid in NAFLD through oxidative stress and inflammatory process. This study is aimed to evaluate the association between serum uric acid and NAFLD. Methods: a systematic literature review was conducted using Pubmed and Cochrane library. The quality of all studies was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE). All data were analyzed using REVIEW MANAGER 5.3. Results: eleven studies from America and Asia involving 100,275 subjects were included. The pooled adjusted OR for NAFLD was 1.92 (95% CI: 1.66-2.23; p<0.00001). Subgroup analyses were done based on study design, gender, non-diabetic subjects, non-obese subjects. All subgroup analyses showed statistically significant adjusted OR and most of which having low to moderate heterogeneity. Two studies revealed relationship between increased serum uric acid levels and severity of NAFLD. No publication bias was observed. Conclusion: our study demonstrated association between serum uric acid level and NAFLD. This finding brings a new insight of uric acid in clinical practice. Increased in serum uric acid levels might serve as a trigger for physician to screen for NAFLD.https://www.actamedindones.org/index.php/ijim/article/view/381uric acidnon-alcoholic fatty liver diseasemeta-analysis
spellingShingle Guntur Darmawan
Laniyati Hamijoyo
Irsan Hasan
Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-Analysis
Acta Medica Indonesiana
uric acid
non-alcoholic fatty liver disease
meta-analysis
title Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-Analysis
title_full Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-Analysis
title_fullStr Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-Analysis
title_full_unstemmed Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-Analysis
title_short Association between Serum Uric Acid and Non-Alcoholic Fatty Liver Disease: A Meta-Analysis
title_sort association between serum uric acid and non alcoholic fatty liver disease a meta analysis
topic uric acid
non-alcoholic fatty liver disease
meta-analysis
url https://www.actamedindones.org/index.php/ijim/article/view/381
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AT irsanhasan associationbetweenserumuricacidandnonalcoholicfattyliverdiseaseametaanalysis