Type 1 diabetes

Increased prevalence and risk of atherosclerotic cardiovascular disease in individuals with Type 1 diabetes and metabolic dysfunction-associated steatotic liver disease

Cardiovasc DiabetolPublished Cross-sectional study

Main finding · Prevalent ASCVDResult — go to the resultAdjusted odds ratio 4.26 95% CI 1.79–10.11

Authors' conclusion

MASLD is associated with both an increased prevalence of ASCVD and an increased calculated risk of fatal/nonfatal ASCVD in people with T1D.

Study context

Population
Adults with T1D consecutively screened for liver steatosis via abdominal US
Participants
659 adults
Exposure
MASLD vs no MASLD
Outcome
Prevalence of ASCVD (CAD, PAD or ischaemic stroke) by MASLD status
Methodological detailsconsecutive screening
  • Consecutive screening

Main finding

Prevalent ASCVD

Adjusted odds ratio

4.26

95% CI 1.79–10.11

P < 0.001

By group

MASLDvs No MASLD
adjusted OR 4.26 (95% CI 1.79–10.11); P < 0.001

As reported in the abstract

MASLD prevalence
16.8%
Composite atherosclerotic cardiovascular disease (ASCVD) prevalence difference
P < 0.001

Observational data: associations, not effects.

Further findings

CAD prevalence

P = 0.031

PAD prevalence

P < 0.001

Ischaemic stroke (CVA) prevalence

P = 0.002

5-year risk of fatal/nonfatal ASCVD (Steno Type 1 Risk Engine) · spread kind not named in abstract

P = 0.034

10-year risk of fatal/nonfatal ASCVD (Steno Type 1 Risk Engine) · spread kind not named in abstract

P = 0.035

Original publication

Increased prevalence and risk of atherosclerotic cardiovascular disease in individuals with Type 1 diabetes and metabolic dysfunction-associated steatotic liver disease. Cardiovasc Diabetol. Published 29 May 2025. doi:10.1186/s12933-025-02764-y

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