Lipids & metabolic liver disease

Low Serum Insulin-Like Growth Factor-1 as a Predictor of Fibrosis Burden in Metabolic-Associated Fatty Liver Disease

Endocr PractPublished Cross-sectional study

Authors' conclusion

Circulating IGF-1 levels are inversely associated with liver fibrosis risk in adults with MAFLD, exhibiting a nonlinear relationship characterized by a threshold effect.

Study context

Population
US adults with MAFLD, NHANES III (1988–1994)
Participants
1,473 adults
Outcome
Association of serum IGF-1 with liver fibrosis severity by log-transformed FIB-4 index
Methodological detailsNHANES III (1988-1994), generalized additive models, segmented linear regression
  • NHANES III (1988-1994)
  • Generalized additive models
  • Segmented linear regression

Main finding

As reported in the abstract

Higher IGF-1 independently associated with lower log FIB-4 (adjusted β; 95% CI −0.0016 to −0.0010)

β = −0.0013

Nonlinear threshold effect; threshold IGF-1

283.4 ng/mL

Below threshold, stronger inverse association (P < .001)

β = −0.0024

Observational data: associations, not effects.

Further findings

Subgroups (sex, age, diabetes, obesity, hypertension)

Similar inverse associations across subgroups; significant interaction for diabetes status
P for interaction = 0.004

Original publication

Low Serum Insulin-Like Growth Factor-1 as a Predictor of Fibrosis Burden in Metabolic-Associated Fatty Liver Disease. Endocr Pract. Published 10 March 2026. doi:10.1016/j.eprac.2026.03.002

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