Lipids & metabolic liver disease

Low levels of osteocalcin, but not CTX or P1NP, are associated with nonalcoholic hepatic steatosis and steatohepatitis

Diabetes MetabPublished Cohort study

Main finding · CTX and P1NP notResult — go to the resultOdds ratio 0.755 95% CI 0.668–0.855

Authors' conclusion

Low level of osteocalcin, but not CTX or P1NP, was associated with NAFLD and NASH, indicating its potential role as an important endocrine regulator of hepatic energy metabolism.

Study context

Population
Cohort 1: participants without nonalcoholic fatty liver disease (NAFLD) followed for incident NAFLD by US; cohort 2: subjects undergoing liver biopsy, grouped as non-NAFLD, non-NASH or NASH (NASH Clinical Research Network)370 + 562 in two cohorts
Exposure
Bone turnover markers in relation to NAFLD and NASH
Outcome
Incident NAFLD (US) in relation to baseline bone turnover markers
Follow-up
Median 26.4 months
Methodological detailstwo cohorts, retrospective, liver biopsy cohort
  • Two cohorts
  • Retrospective
  • Liver biopsy cohort

Main finding

CTX and P1NP not · median 26.4 months

Odds ratio

0.755

95% CI 0.668–0.855

P < 0.001

Osteocalcin
OR 0.755 (95% CI 0.668–0.855); P < 0.001

As reported in the abstract

Baseline osteocalcin significantly lower in subjects who developed NAFLD (median [IQR])
13.93 [11.03;16.39] versus 18.24 [15.45;22.47] ng/ml, P < 0.001

Observational data: associations, not effects.

Further findings

Osteocalcin in biopsy cohort — NASH vs Non-NASH and non-NAFLD · lower with NASH

all P < 0.001

OutcomeOR (CI)P value
Low osteocalcin as risk factor for NASHHighest osteocalcin quartilevs Lowest quartile0.282 (0.147–0.543)P < 0.001

Osteocalcin and degree of liver steatosis

Osteocalcin negatively associated with degree of liver steatosis

Original publication

Low levels of osteocalcin, but not CTX or P1NP, are associated with nonalcoholic hepatic steatosis and steatohepatitis. Diabetes Metab. Published 22 October 2022. doi:10.1016/j.diabet.2022.101397

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