Lipids & metabolic liver disease

Independent and joint relationships of cardiorespiratory fitness and body mass index with liver fat content

Diabetes Obes MetabPublished Cohort study

Authors' conclusion

There was a significant negative association between CRF and LFC, and this association was independent of BMI. The results of this study strongly recommend improving CRF to mitigate LFC.

Study context

Population
Community-based UK Biobank participants; mean age 55.57 years; Cardiorespiratory fitness (CRF) by bicycle ergometer, liver fat content (LFC) by MRI liver proton density fat fraction (PDFF)
Participants
5,765 participants
Exposure
Highest vs lowest PWC75% tertile
Outcome
Absolute reduction and percentage change in liver PDFF (%)
Follow-up
Median (range) 10.7 (4.0-17.7) years
Methodological detailsUK Biobank, community-based
  • UK Biobank
  • Community-based

Main finding

As reported in the abstract

Liver PDFF
Each group vs lowest PWC75% tertileEstimate (95% CI)
Highest PWC75% tertile
absolute reduction in PDFF −0.450(−0.699 to −0.192)
Highest PWC75% tertile
percentage change in PDFF −4.152(−6.044 to −2.104)

Observational data: associations, not effects.

Further findings

CRF–LFC association by BMI category

Largest absolute reduction in LFC with obesity; largest percentage change with normal weight
P for interaction < 0.001

Joint analysis of PWC75% and BMI

Negative dose-response relationship of PWC75% and BMI with PDFF

Sex and age subgroups

Associations consistent across sex and age subgroups
P for interaction > 0.05

Original publication

Independent and joint relationships of cardiorespiratory fitness and body mass index with liver fat content. Diabetes Obes Metab. Published 20 August 2024. doi:10.1111/dom.15847

Composed by AI from the published abstract and checked against it. How Briefs are made →

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