Research Article

Association between Gastroesophageal Reflux Disease and Elastographic Parameters of Liver Steatosis and Fibrosis: Controlled Attenuation Parameter and Liver Stiffness Measurements

Table 1

Demographic, laboratory, elastographic, and endoscopic characteristics of study subjects.

All (n = 937)Group 1 (n = 163), CAP < 238Group 2 (n = 774), CAP ≥ 238 value

Age, years (IQR)49 (46–66)53 (46–74)47 (46–64)0.007
Gender
Male, n (%)431 (46)67 (41)364 (47)0.190
Female, n (%)506 (54)96 (59)410 (53)0.190
Smokers
Nonsmokers, n (%)654 (69.80)113 (69.33)541 (69.89)0.962
Active, n (%)190 (20.28)28 (17.18)162 (20.93)0.329
Ex, n (%)93 (9.92)22 (13.49)71 (9.17)0.125
Body height (cm)169.53 ± 10.15168.15 ± 9.94169.81 ± 10.180.057
Body weight (kg)89.10 ± 17.9278.55 ± 18.2291.28 ± 17.05<0.001
BMI (kg/m2)30.95 ± 5.4527.64 ± 5.1631.62 ± 5.27<0.001
Waist circumference (cm)105.51 ± 14.5696.94 ± 15.17107.14 ± 13.88<0.001
Hip circumference (cm)110.24 ± 12.39104.15 ± 13.51111.4 ± 11.83<0.001
Upper arm circumference (cm)32.86 ± 6.630.28 ± 4.4333.35 ± 6.85<0.001
Haemoglobin (g/L)136.79 ± 18.01129.51 ± 19.45138.38 ± 17.29<0.001
Ferritin (ng/mL)147.30 ± 152.24124.27 ± 141.21151.86 ± 154.040.035
Thrombocytes227.26 ± 64.79225.73 ± 80.60227.60 ± 60.900.738
Serum glucose (mmol/L)7.34 ± 8.156.43 ± 4.047.57 ± 8.870.109
HbA1c (%)7.18 ± 13.475.88 ± 1.27.46 ± 14.830.175
Serum uric acid (mmol/L)352.80 ± 107.07316.34 ± 115.72359.55 ± 104.11<0.001
AST (U/L)30.11 ± 26.4224.49 ± 11.3731.21 ± 28.330.003
ALT (U/L)35.79 ± 26.9826.70 ± 19.9437.59 ± 27.82<0.001
ALP (U/L)78.03 ± 39.1682.20 ± 35.6677.20 ± 39.800.138
GGT (U/L)53.77 ± 58.6648.39 ± 61.9854.82 ± 57.980.204
Total cholesterol (mmol/L)6.04 ± 9.824.82 ± 1.076.31 ± 10.810.079
HDL (mmol/L)1.98 ± 8.671.56 ± 0.42.07 ± 9.510.494
LDL (mmol/L)3.58 ± 8.672.74 ± 0.983.75 ± 9.530.177
Triglyceride (mmol/L)2.34 ± 8.041.36 ± 1.802.54 ± 8.800.089
Albumin (g/L)44.28 ± 7.7344.14 ± 3.9944.31 ± 8.330.799
CRP (mg/L)5.56 ± 15.526.61 ± 17.875.34 ± 14.980.342
Serum insulin (pmol/L)20.32 ± 24.5112.03 ± 8.0222.02 ± 26.34<0.001
Arterial hypertension, n (%)629 (67.13)93 (57.06)536 (69.25)0.004
Diabetes mellitus, n (%)339 (36.18)41 (25.15)298 (38.50)0.002
Hyperlipoproteinemia, n (%)568 (60.62)76 (46.63)492 (63.57)<0.001
CAP (dB/m)297.76 ± 61.56198.28 ± 29.78318.7 ± 43.33<0.001
LSM (kPa)6.72 ± 4.085.13 ± 2.627.06 ± 4.25<0.001
GERD, n (%)293 (31.27)30 (12.88)263 (33.98)<0.001
GERD grade A, n (%)193 (20.59)24 (80)169 (64.25)0.041
GERD grade B, n (%)48 (5.12)2 (6.66)46 (17.49)0.013
GERD grade C, n (%)47 (5.01)2 (6.66)45 (17.11)0.015
GERD grade D, n (%)5 (0.51)2 (6.66)3 (1.14)0.182
Barrett’s esophagus, n (%)14 (1.49)1 (0.61)13 (1.6)0.504
Hiatal hernia, n (%)402 (42.9)40 (24.54)362 (46.77)<0.001
Insufficient cardia, n (%)445 (47.49)53 (32.52)392 (50.65)<0.001

AST: aspartate aminotransferase; ALT: alanine aminotransferase; GGT: gamma-glutamyl transferase; HDL: high-density lipoprotein; LDL: low-density lipoprotein; CRP: C-reactive protein; CAP: controlled attenuation parameter; LSM: liver stiffness measurement; GERD: gastroesophageal reflux disease. .