Lipids & metabolic liver disease

Remnant cholesterol has a non-linear association with non-alcoholic fatty liver disease

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Elevated RC levels were found to be linked to NAFLD, even after controlling for traditional risk factors. Moreover, non-linear pattern in the relationship between RC and NAFLD was also identified.

Study context

Population
National Health and Nutrition Examination Survey 2017–2020 participants; Nonalcoholic fatty liver disease (NAFLD) diagnosed by ultrasonography
Participants
3,370 participants
Exposure
Remnant cholesterol level and NAFLD
Outcome
NAFLD (ultrasonography-based) in relation to RC

Main finding

As reported in the abstract

Non-linear association; inflection point

0.96 mmol/l

Effect size left of inflection point (interval)

3.88

2.43 to 6.2

Effect size right of inflection point (interval)

0.59

0.21 to 1.71

Observational data: associations, not effects.

Further findings

Subgroup analysis: interaction factors

Age, P for interaction
0.0309
Waist circumference, P for interaction
0.0071

Original publication

Remnant cholesterol has a non-linear association with non-alcoholic fatty liver disease. Diabetes Res Clin Pract. Published 26 May 2023. doi:10.1016/j.diabres.2023.110733

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