Lipids & metabolic liver disease

Endotoxin biomarkers, hepatic fat fraction, liver volume and liver stiffness among adolescents at high‐risk for non‐alcoholic fatty liver disease: The HEROES study

Pediatr ObesPublished Cross-sectional pilot study

Authors' conclusion

While additional research is warranted, our results support LBP as a biomarker of NAFLD risk/progression in high-risk youth.

Study context

Population
Latino/Latina adolescents (11–19 years) with obesity at high risk for non-alcoholic fatty liver disease (NAFLD)
Participants
99 adolescents
Exposure
Endotoxin biomarkers per 1-SD vs liver outcomes
Outcome
Associations of LBP and EndoCab (per 1-SD) with hepatic fat fraction (HFF), liver volume and liver stiffness
Methodological detailslinear regression
  • Linear regression

Main finding

As reported in the abstract

Associations of endotoxin biomarkers with liver outcomes

Per 1-SD increment in LBP: higher hepatic fat fraction (HFF)

2.35%

adjusted for age, sex, maternal education; 95% CI 0.46%, 4.23%

Per 1-SD increment in LBP: greater liver volume (adjusted; 0.06, 0.23)

0.14 L

Observational data: associations, not effects.

Further findings

LBP associations excluding 72 participants with NAFLD

Association of LBP with liver volume persisted (per 1-SD; 0.01, 0.21)
0.11 L
Association of LBP with HFF attenuated

Original publication

Endotoxin biomarkers, hepatic fat fraction, liver volume and liver stiffness among adolescents at high‐risk for non‐alcoholic fatty liver disease: The HEROES study. Pediatr Obes. Published 12 December 2023. doi:10.1111/ijpo.13091

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