Type 2 & other diabetes

Body weight variability and the risk of liver‐related outcomes in type 2 diabetes and steatotic liver disease: a cohort study

Obesity (Silver Spring)Published Cohort study

Authors' conclusion

Increased BWV was associated with adverse liver outcomes in individuals with T2D and MASLD; however, in those who were physically active, it was not hazardous.

Study context

Population
Patients with T2D and MASLD with body weight variability (BWV) assessed during the first 2 years of follow-up
Participants
549 patients
Exposure
Increasing body weight variability
Outcome
Adverse liver outcomes: clinical cirrhosis or liver stiffness on transient elastography > 15 kPa
Follow-up
Median 7 years after cohort entry
Methodological detailsmultivariable logistic regression, interaction/subgroup analyses by physical activity
  • Multivariable logistic regression
  • Interaction/subgroup analyses by physical activity

Main finding

As reported in the abstract

Higher odds of adverse liver outcome per 1-SD increase in weight SD and average real variability

52%

95% CI 4%–128%

Liver outcomes occurred (14 clinical cirrhosis, 20 liver stiffness > 15 kPa) over median 9.7 years

34

Observational data: associations, not effects.

Further findings

Subgroups by physical activity

Increased BWV associated with higher likelihood of outcomes only in sedentary individuals

Original publication

Body weight variability and the risk of liver‐related outcomes in type 2 diabetes and steatotic liver disease: a cohort study. Obesity (Silver Spring). Published 25 April 2024. doi:10.1002/oby.24035

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