Type 2 & other diabetes

Liver fat is superior to visceral and pancreatic fat as a risk biomarker of impaired glucose regulation in overweight/obese subjects

Diabetes Obes MetabPublished Cross-sectional study

Main finding · IGRResult — go to the resultMultivariate-adjusted OR 2.842 95% CI 1.205–6.704

Authors' conclusion

Compared with visceral and pancreatic fat content, LFC is a superior risk biomarker for IGR in overweight/obese subjects.

Study context

Population
Overweight/obese subjects with BMI ≥23 kg/m² who underwent an OGTT
Participants
257 subjects
Exposure
Liver, pancreatic and visceral fat (MRI-proton density fat fraction) in relation to impaired glucose regulation
Outcome
Impaired glucose regulation (IGR): prediabetes or diabetes

Main finding

IGR

Multivariate-adjusted OR

2.842

95% CI 1.205–6.704

Highest LFC tertilevs Lowest LFC tertile
multivariate-adjusted OR 2.842 (95% CI 1.205–6.704)

As reported in the abstract

Liver fat content (LFC) an independent risk factor of impaired glucose regulation (IGR), OR per SD unit
1.824 (95% CI 1.242-2.679, p = .002)

Observational data: associations, not effects.

Further findings

LFC and visceral adipose tissue (VAT) by glucose status

LFC and VAT higher in subjects with diabetes than with normal glucose tolerance (NGT)

Prevalence of IGR by discordant visceral and liver fat phenotypes

High LFC-low VAT and high LFC-high VAT had higher IGR prevalence than low LFC-low VAT
No difference in IGR prevalence between low LFC-low VAT and low LFC-high VAT

Original publication

Liver fat is superior to visceral and pancreatic fat as a risk biomarker of impaired glucose regulation in overweight/obese subjects. Diabetes Obes Metab. Published 24 November 2022. doi:10.1111/dom.14918

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