Type 2 & other diabetes

Racial difference in the association between non-alcoholic fatty liver disease and incident type 2 diabetes: findings from the CARDIA study

DiabetologiaPublished Prospective population-based cohort study

Authors' conclusion

NAFLD was associated with a higher risk of type 2 diabetes among White participants but not among Black participants. This finding suggests that the effect of liver fat on impaired glucose metabolism may be smaller in Black than in White individuals.

Study context

Population
Non-Asian adults without T2D at baseline in the CARDIA study; mean age 50.0±3.6 years, 59% women, 55.0% White, 45.0% Black
Participants
1,995 adults
Exposure
Non-alcoholic fatty liver disease (NAFLD) vs no NAFLD, by race
Outcome
Incident T2D
Follow-up
Exam (2015-2016)
Methodological detailstargeted maximum likelihood estimation with machine-learning algorithms, multivariable adjustment
  • Targeted maximum likelihood estimation with machine-learning algorithms
  • Multivariable adjustment

Main finding

As reported in the abstract

Risk difference for T2D by race · follow-up (2015-2016)
Each group vs no NAFLDEstimate (95% CI)
NAFLD
risk difference (White participants) 4.1%(0.3%–7.9%)
NAFLD
risk difference (Black participants) −1.9%(−5.7% to 2.0%)

Observational data: associations, not effects.

Further findings

NAFLD prevalence at baseline, by race

Incident T2D, by race · follow up

Original publication

Racial difference in the association between non-alcoholic fatty liver disease and incident type 2 diabetes: findings from the CARDIA study. Diabetologia. Published 21 March 2023. doi:10.1007/s00125-023-05903-w

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

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