Lipids & metabolic liver disease

Diagnostic performance of the GGT/high-density lipoprotein cholesterol (HDL-C) ratio for non-alcoholic fatty liver disease (NAFLD) in adults with obesity undergoing bariatric surgery

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

The GGT/HDL-C ratio is a promising biomarker for the diagnosis of NAFLD in an adult population living with obesity.

Study context

Population
Adults with obesity undergoing bariatric surgery
Participants
249 adults
Exposure
GGT/HDL-C ratio for diagnosis of NAFLD
Outcome
Diagnostic performance of the GGT/HDL-C ratio for NAFLD
Methodological detailsanalytical, diagnostic test evaluation, secondary database
  • Analytical
  • Diagnostic test evaluation
  • Secondary database

Main finding

As reported in the abstract

Diagnostic performance for NAFLD
GroupOptimal cut-offAUCSensitivitySpecificity
GGT/HDL-C ratio20.5 U/mmol0.81 (95% CI: 0.64-0.98)82.5%77.8%

GGT/HDL-C ratio

Optimal cut-off20.5 U/mmol
AUC0.81 (95% CI: 0.64-0.98)
Sensitivity82.5%
Specificity77.8%

Observational data: associations, not effects.

Further findings

OutcomePR (95% CI)
Prevalence of NAFLD with elevatedvs normal GGT/HDL-C ratio, overallPrevalence increased by 14%1.14 (1.04–1.33)
Prevalence of NAFLD with elevatedvs normal GGT/HDL-C ratio, women19% increased prevalence1.19 (1.07–1.42)

Original publication

Diagnostic performance of the GGT/HDL-C ratio for NAFLD in adults with obesity undergoing bariatric surgery. Diabetes Res Clin Pract. Published 3 April 2024. doi:10.1016/j.diabres.2024.111649

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