Research Article

Intrahepatic Lipid Content and Insulin Resistance Are More Strongly Associated with Impaired NEFA Suppression after Oral Glucose Loading Than with Fasting NEFA Levels in Healthy Older Individuals

Table 1

Anthropometric and metabolic characteristics of study participants and their associations (after standardization) with intrahepatic lipid as the outcome measure.

VariableMean ± SDRangeStandardised betaa95% C.I.P

Weight (Kg)b76.0 ± 13.848.6–111.72.51 1.86, 3.38 <0.001
BMI (kg m−2)b26.6 ± 3.520.7–37.82.03 1.56, 2.64 <0.001
Waist (cm)b96.7 ± 11.972.3–120.52.70 2.05, 3.55 <0.001
Total fat (%)b32.8 ± 7.515.9–48.22.26 1.59, 3.22 <0.001
MRI VAT (cm2)b127.7 ± 65.929.2–285.32.64 2.02, 3.44 <0.001
Alcohol (units/week)6.5 ± 9.70–420.86 0.67, 1.11 0.24
ALT (iu/L)28.0 ± 19.911–1751.28 1.03, 1.60 0.029
Fasting NEFA (mmol/L)684.6 ± 208.9286–13321.01 0.77, 1.33 0.94
AUCNEFA (mmol/L min)35435 ± 1035319680–661801.35 1.06, 1.74 0.018
NEFA Suppression at 30 minutes (%)38.6 ± 19.5−11.2–81.90.75 0.59, 0.96 0.020
NEFA Suppression at 60 minutes (%)67.8 ± 15.225.2–89.20.75 0.58, 0.96 0.023
Leptin (ng/mL)15.3 ± 13.80.1–65.31.45 1.002, 2.09 0.049
Adiponectin (ug/mL)7.7 ± 4.92.2–24.10.52 0.40, 0.69 <0.001
LAR (ng/ug)3.0 ± 3.60.01–16.31.49 1.05, 2.10 0.026
Fasting glucose (mmol/L)5.0 ± 0.54.1–6.41.49 1.19, 1.85 0.001
2-hour glucose (mmol/L)7.3 ± 2.03.9–12.31.44 1.15, 1.80 0.002
HbA1c (%)5.7 ± 0.34.9–6.41.11 0.88, 1.39 0.39
Fasting insulin (pmol/L)64.7 ± 40.318.1–2881.46 1.13, 1.90 0.005
HOMA-IR (%)1.2 ± 0.70.4–5.01.50 1.16, 1.92 0.002
OGIS (mL min−1 m−2)409.3 ± 62.7223–5480.56 0.43, 0.72 <0.001

Intrahepatic lipid was log transformed in all analyses, and then beta coefficients and confidence intervals were back transformed.
aBeta represents the ratio of geometric mean IHL per 1 standard deviation increase in relevant exposure. Therefore, standardized beta values > 1 represent a positive association, and values < 1 represent a negative association. All analyses are adjusted for age, gender, alcohol consumption, and MRI-derived visceral fat area (MRI VAT).
bThese analyses are not adjusted for MRI VAT.
HOMA: homeostasis model assessment.
LAR: leptin : adiponectin ratio.
NEFA: nonesterified fatty acids.
OGIS: oral glucose insulin sensitivity.