Type 2 & other diabetes

Association between liver steatosis, fibrosis, and the onset of type 2 diabetes in overweight individuals: A fibroscan-based study in Southern Italy

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Elevated liver steatosis and fibrosis are both linked to type 2 diabetes, independent of traditional risk factors. These findings support screening for diabetes in individuals with significant steatosis and fibrosis and vice versa.

Study context

Population
Medication-free men and women with overweight or obesity (41.4 % male), Southern Italy
Participants
164 men
Exposure
T2D vs no diabetes
  • Diabetesn = 39
Outcome
Liver steatosis (CAP > 275 dBm)
Methodological detailsFibroscan-based
  • Fibroscan-based

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Liver fibrosis (liver stiffness > 8.2 kPa)

P = 0.002

Mean CAP and kPa values

Mean CAP significantly higher with diabetes
P < 0.001
Mean kPa significantly higher with diabetes
P = 0.006

Independent association of CAP and liver stiffness with diabetes

CAP with diabetes, MD 30.87
P = 0.009
Liver stiffness with diabetes, MD 2.454
P = 0.006
  • Independent of other variables

Liver steatosis and HOMA-IR

Liver steatosis independently associated with elevated HOMA-IR
P = 0.001

Original publication

Association between liver steatosis, fibrosis, and the onset of type 2 diabetes in overweight individuals: A fibroscan-based study in Southern Italy. Diabetes Res Clin Pract. Published 7 November 2024. doi:10.1016/j.diabres.2024.111911

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