Research Article

Ultrasound Grade of Liver Steatosis Is Independently Associated with the Risk of Metabolic Syndrome

Table 2

Relationship between ultrasound grade of liver steatosis and clinical features of patients from the final cohort (N=159).

Normal liverMild steatosisModerate to severe steatosisP-value for trend

Number715236-
Age, years (median, IQR)60 (47 - 69.5)56.5 (48 - 67.5)59.5 (53.25 - 65.25)0.862
Sex (Male) (N, %)23 (32.4%)22 (42.3%)15 (41.7%)0.281
BMI, kg/m2 (median, IQR)25.4 (22.9 - 27.8)28.5 (25.2 - 32)32.6 (28.02 - 35.85)<0.001
Obesity (N, %)11 (15.5%)21 (40.4%)22 (61.1%)<0.001
IGM (N, %)8 (11.3%)14 (26.9%)12 (33.3%)0.005
Atherogenic dyslipidaemia (N, %)18 (25.4%)25 (48.1%)22 (61.1%)<0.001
Raised blood pressure (N, %)24 (33.8%)33 (63.5%)23 (63.9%)0.001
Presence of MS (N, %)3 (4.2%)12 (23.1%)16 (44.4%)<0.001
Number of components of MS (median, IQR)1 (0 - 1)2 (1 - 2)2 (1 - 3)<0.001
AST (IU/L) (median, IQR)22 (17.5 - 24)21 (15.8 - 26.5)24 (20 - 30.25)0.096
ALT (IU/L) (median, IQR)19 (13 - 24.5)20.5 (16 - 26.8)20.5 (17 - 29.5)0.051
Bilirubin (mmol/L)12 (10 - 14)13.4 (10.3 -13.1 (10.05 -0.115
(median, IQR)15.2)15.375)
GGT (IU/L) (median, IQR)22 (15 - 35)24.5 (17.8 - 38.5)25.5 (18.75 - 33.5)0.083
ALP (IU/L) (median, IQR)68 (57.5 - 78)71.5 (60 - 84)71.5 (56 - 86.25)0.334
Plt (x109/L) (median, IQR)234 (198.5 - 274)244 (200.3 - 318)251 (218.25 - 301)0.169
FIB4 (IU/L) (median, IQR)1.2 (0.9 - 1.7)1 (0.8 - 1.5)1.2 (1.026 - 1.587)0.739

statistically significant at P<0.05
BMI: body mass index; dyslipidemia: triglycerides>upper limit of normal or high-density lipoprotein (HDL)<lower limit of normal; MS: metabolic syndrome; obesity: BMI>30 kg/m2; IQR: interquartile range; IGM: impaired glucose metabolism; AST: aspartate aminotransferase; ALT: alanine aminotransferase; GGT: gamma-glutamyl transferase; ALP: alkaline phosphatase; Plt: platelet count, FIB4: fibrosis-4 index, RBP: raised blood pressure. Mild steatosis: ultrasound grade 1; moderate to severe steatosis: ultrasound grades 2 and 3.