Lipids & metabolic liver disease

Association between liver fibrosis and decreased myocardial mechano-energetic efficiency in individuals with different degree of glucose tolerance

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Compromised myocardial MEEi is already reported in individuals with high risk of hepatic fibrosis suggesting that its assessment may help to identify among subjects with NAFLD those with worst prognosis.

Study context

Population
Individuals with different degree of glucose tolerance in the CATAMERI study
Participants
2,383 individuals
Exposure
FIB-4 categories of liver fibrosis risk
Outcome
Association between liver fibrosis severity (FIB-4) and echocardiography-derived myocardial MEEi

Main finding

As reported in the abstract

Myocardial MEEi

FIB-4 independently associated with mechano-energetic efficiency (MEEi) (multivariable regression), β

−0.080

P < 0.001

Observational data: associations, not effects.

Further findings

Other independent correlates of MEEi (multivariable regression)

Total cholesterol, β
−0.067, P = 0.01
hsCRP, β
−0.081, P < 0.001
Sex, β
−0.099, P < 0.001
Glucose tolerance status, β
−0.109, <0.001
HOMA-IR, β
−0.143, P < 0.001

Original publication

Association between liver fibrosis and decreased myocardial mechano-energetic efficiency in individuals with different degree of glucose tolerance. Diabetes Res Clin Pract. Published 22 March 2023. doi:10.1016/j.diabres.2023.110639

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