Metabolic traits affecting the relationship between liver fat and intrapancreatic fat: a mediation analysis

DiabetologiaPublished Mediation analysis

Authors' conclusion

At least one-quarter of the association between liver fat and IPFD is mediated by specific blood biomarkers (triacylglycerol, HDL-cholesterol and glucose), after accounting for potential confounding by age, sex, ethnicity and BMI. This unveils the complexity of the association between the two fat depots and presents specific targets for intervention.

Study context

Population
Individuals with MRI-measured liver fat and intrapancreatic fat deposition (IPFD); 16 blood metabolic traits measured
Participants
353 individuals
Outcome
Proportion of the association between liver fat and IPFD mediated by metabolic traits
Methodological detailsMRI/magnetic resonance spectroscopy on the same 3.0 T scanner, adjusted for age, sex, ethnicity and BMI, bias-corrected bootstrap CIs with 5000 repetitions, IPFD quantified manually by two independent raters in duplicate
  • MRI/magnetic resonance spectroscopy on the same 3.0 T scanner
  • Adjusted for age, sex, ethnicity and BMI
  • Bias-corrected bootstrap CIs with 5000 repetitions
  • IPFD quantified manually by two independent raters in duplicate

Main finding

As reported in the abstract

Mediation of liver fat–IPFD association

Mediated by plasma glucose

6.8%

Mediated by HDL-C

17.9%

Mediated by triacylglycerol

24.3%

Original publication

Metabolic traits affecting the relationship between liver fat and intrapancreatic fat: a mediation analysis. Diabetologia. Published 4 October 2022. doi:10.1007/s00125-022-05793-4

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