Lipids & metabolic liver disease

Remnant Cholesterol Independently Predicts the Development of Nonalcoholic Fatty Liver Disease

J Clin Endocrinol MetabPublished Cohort study

Main finding · Incident NAFLDResult — go to the resultHazard ratio 2.824 95% CI 2.268–3.517

Authors' conclusion

Serum levels of remnant cholesterol have predictive value for the development of NAFLD beyond traditional lipid profiles.

Study context

Population
Adults undergoing annual physical examination1,339 incident nonalcoholic fatty liver disease (NAFLD) cases
Participants
9,184 adults
Exposure
Remnant cholesterol quartiles
Outcome
Incident NAFLD
Follow-up
31 662 person-years of follow-up
Methodological detailsannual physical examination cohort, Cox proportional hazards regression, multivariable-adjusted
  • Annual physical examination cohort
  • Cox proportional hazards regression
  • Multivariable-adjusted

Main finding

As reported in the abstract

Hazard ratio

2.824

95% CI 2.268–3.517

P < 0.001

Q4vs Q1
HR 2.824 (95% CI 2.268–3.517); P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Incident NAFLD among individuals with normal LDL-C, HDL-C and TGAssociation remained significant1.929 (1.291–2.882)P < 0.001

Incident NAFLD among individuals achieving LDL-C and non-HDL-C treatment targets

Association between remnant cholesterol and incident NAFLD was still significant

Original publication

Remnant Cholesterol Independently Predicts the Development of Nonalcoholic Fatty Liver Disease. J Clin Endocrinol Metab. Published 15 May 2023. doi:10.1210/clinem/dgad272

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