Lipids & metabolic liver disease

Association of nonalcoholic fatty liver disease with new-onset atrial fibrillation stratified by age groups

Cardiovasc DiabetolPublished Population-based cohort study

Authors' conclusion

Patients with NAFLD had a higher risk of new-onset AF, which increased progressively with NAFLD severity, particularly in those aged 20-29 years.

Study context

Population
Participants of the 2009 Korean National Health Screening Program
Participants
3,179,582 participants
Exposure
Nonalcoholic fatty liver disease (NAFLD) grades with or without advanced fibrosis vs no NAFLD
Outcome
Incident AF
Follow-up
Median 9.3 years

Main finding

As reported in the abstract

New-onset AF
Each group vs no NAFLDHazard ratio (95% CI)
Grade 1 NAFLD without advanced fibrosis
1.120(1.081–1.161)
Grade 1 NAFLD with advanced fibrosis
1.275(1.251–1.300)
Grade 2 NAFLD without advanced fibrosis
1.305(1.252–1.360)
Grade 2 NAFLD with advanced fibrosis
1.627(1.586–1.670)
Patients diagnosed with new-onset atrial fibrillation (AF)
62,542

Observational data: associations, not effects.

Further findings

New-onset AF in multivariate model, by age

Excess AF risk with NAFLD and advanced fibrosis remained significant, even in participants aged 20-39 years
  • Multivariate model

Original publication

Association of nonalcoholic fatty liver disease with new-onset atrial fibrillation stratified by age groups. Cardiovasc Diabetol. Published 12 September 2024. doi:10.1186/s12933-024-02408-7

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