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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Prevalence of nonalcoholic fatty liver disease and its association with age in patients with type 2 diabetes mellitus
Ryosuke Yamane, Kentaro Yoshioka, Kazuhiko Hayashi, Yuko Shimizu, Yuki Ito, Komei Matsushita, Michiyo Yoshizaki, Go Kajikawa, Taro Mizutani, Atsuko Watarai, Kosuke Tachi, Hidemi Goto
Ryosuke Yamane, Kazuhiko Hayashi, Yuko Shimizu, Yuki Ito, Komei Matsushita, Michiyo Yoshizaki, Go Kajikawa, Taro Mizutani, Kosuke Tachi, Hidemi Goto, Department of Gastroenterology and Hepatology, Federation of National Public Service Personnel Mutual Aid Associations Meijo Hospital, Nagoya 460-0001, Aichi, Japan
Kentaro Yoshioka, Center for Liver Diseases, Federation of National Public Service Personnel Mutual Aid Associations Meijo Hospital, Nagoya 460-0001, Aichi, Japan
Atsuko Watarai, Department of Diabetes and Endocrinology, Federation of National Public Service Personnel Mutual Aid Associations Meijo Hospital, Nagoya 460-0001, Aichi, Japan
Author contributions: All authors contributed to the conception and design of this study; Yamane R and Yoshioka K performed data collection and analysis; Yamane R wrote the first draft of the manuscript; All the authors commented the previous versions of the manuscript and read and approved the final manuscript.
Institutional review board statement: The study was conducted according to the Declaration of Helsinki and approved by the Ethics Committee of Federation of National Public Service Personnel Mutual Aid Associations Meijo Hospital (Approval No. 166).
Informed consent statement: Written informed consent was waived because the data were analyzed anonymously based on information in the hospital database.
Conflict-of-interest statement: Kentaro Yoshioka is a consultant to Sanwa Kagaku Kenkyusho Co., Ltd. and received a research grant from Sumitomo Dainippon Pharma Co., Ltd. and scholarship grants from Otsuka Pharmaceutical Co., Ltd., and AbbVie GK. The remaining authors declare no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
https://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Kentaro Yoshioka, MD, PhD, Director, Center for Liver Diseases, Federation of National Public Service Personnel Mutual Aid Associations Meijo Hospital, 1-3-1 Sannomaru, Naka-ku, Nagoya 460-0001, Aichi, Japan. kyoshiok@fujita-hu.ac.jp
Received: January 10, 2022
Peer-review started: January 10, 2022
First decision: March 8, 2022
Revised: March 24, 2022
Accepted: May 14, 2022
Article in press: May 14, 2022
Published online: June 27, 2022
ARTICLE HIGHLIGHTS
Research background
Type 2 diabetes mellitus (T2DM) is an established risk factor for the development of nonalcoholic fatty liver disease (NAFLD). Both synergistically increase adverse outcomes.
Research motivation
The prevalence of NAFLD assessed by computed tomography (CT) was reported only in a few studies. The clinical correlates of NAFLD are often ambiguous.
Research objectives
To determine the prevalence and clinical correlates of NAFLD assessed by CT in a large cohort of T2DM patients.
Research methods
Four hundred thirty-seven participants with T2DM who consulted at Meijo Hospital from April 2019 to September 2020 and underwent CT were assessed.
Research results
The prevalence of NAFLD as detected by CT was 25.2% in T2DM patients, and NAFLD was associated with a younger age, higher hemoglobin levels, lower high density lipoprotein cholesterol levels, and absence of dialysis treatment.
Research conclusions
The prevalence of NAFLD in T2DM is higher than in the general population considering older age and decreases with age.
Research perspectives
The association of NAFLD with age has to be clarified by prospective cohort studies.
