Gewählte Publikation:
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Lerchbaum, E; Pilz, S; Grammer, TB; Boehm, BO; Stojakovic, T; Obermayer-Pietsch, B; März, W.
The fatty liver index is associated with increased mortality in subjects referred to coronary angiography.
Nutr Metab Cardiovasc Dis. 2013; 23(12):1231-1238
Doi: 10.1016/j.numecd.2013.02.004
[OPEN ACCESS]
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Lerchbaum Elisabeth
- Co-Autor*innen der Med Uni Graz
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März Winfried
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Obermayer-Pietsch Barbara
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Pilz Stefan
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Stojakovic Tatjana
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- Abstract:
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Fatty liver index (FLI), a surrogate parameter for nonalcoholic fatty liver disease, is an emerging risk factor for cardiovascular diseases and mortality. We aimed to evaluate whether FLI is associated with all-cause, cardiovascular, and non-cardiovascular mortality as well as fatal cancer in a cohort of subjects routinely referred to coronary angiography.
FLI was calculated using BMI (body mass index), waist circumference (WC), triglycerides (TG) and gamma-glutamyl transferase (GGT) in 3270 subjects who were referred to coronary angiography (1997-2000). The main outcome measures were Cox proportional hazard ratios (HRs) for mortality from all causes, cardiovascular causes, non-cardiovascular causes, and fatal cancer. After a median follow-up time of 7.7 years, 740 subjects (22.6%) had died. There were 437 deaths due to cardiovascular disease and 303 deaths due to non-cardiovascular disease. Age-, sex-, and BMI-adjusted HRs (with 95% confidence intervals) for all-cause, cardiovascular, and non-cardiovascular mortality in the highest compared to the lowest FLI quartile were 2.56 (1.90-3.43; p < 0.001), 2.17 (1.47-3.22; p < 0.001), and 3.49 (2.16-5.66; p < 0.001), respectively. In age-, sex-, and BMI-adjusted analyzes, we found no significant association of FLI with fatal cancer. Multivariate adjusted HRs for all-cause, cardiovascular, non-cardiovascular mortality, and fatal cancer in the highest compared to the lowest FLI quartile were 2.17 (1.58-2.99; p < 0.001), 1.64 (1.07-2.51; p = 0.023), 3.72 (2.22-6.24; p < 0.001), and 2.33 (1.01-5.41; p = 0.048) respectively.
In subjects referred to coronary angiography, high FLI levels are independently associated with increased all-cause, cardiovascular, and non-cardiovascular mortality as well as fatal cancer.
© 2013 Elsevier B.V. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
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Aged -
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Body Mass Index -
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Cardiovascular Diseases - blood
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Cerebrovascular Disorders - blood
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Coronary Angiography -
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Fatty Liver - complications
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Female -
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Follow-Up Studies -
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Humans -
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Logistic Models -
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Male -
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Middle Aged -
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Multivariate Analysis -
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Non-alcoholic Fatty Liver Disease -
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Prospective Studies -
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Risk Factors -
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Triglycerides - blood
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Waist Circumference -
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gamma-Glutamyltransferase - blood
- Find related publications in this database (Keywords)
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Nonalcoholic fatty liver disease
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Hepatic steatosis
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Cardiovascular disease
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All-cause mortality
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Non-cardiovascular mortality