Dynamic Chronological Changes in Serum Triglycerides Are Associated With the Time Point for Non-alcoholic Fatty Liver Disease Development in the Nationwide Korean Population Cohort

John Hoon Rim, Taemi Youk, Heon Yung Gee, Jooyoung Cho, Jongha Yoo

Research output: Contribution to journalArticlepeer-review

Abstract

Background: We investigated the effects of anthropometric, laboratory, and lifestyle factors on the development of non-alcoholic fatty liver disease (NAFLD) in a nationwide, population-based, 4-year retrospective cohort. Methods: The propensity score-matched study and control groups contained 1,474 subjects who had data in the Korean National Health Insurance Service-National Sample Cohort in 2009, 2011, and 2013. NAFLD was defined using medical records of a diagnosis confirmed by primary clinicians and meeting two previously validated fatty liver prediction models. Chronological changes in anthropometric variables, laboratory results, and lifestyle factors during two periods were compared between patient and control groups in order to find out parameters with consistent dynamics in pre-NAFLD stage which was defined as period just before the NAFLD development. Results: Among the 5 anthropometric, 10 laboratory, and 3 lifestyle factors, prominent chronological decremental changes in serum triglycerides were consistently observed during the pre-NAFLD stage, although the degrees of changes were more predominant in men (−9.46 mg/dL) than women (−5.98 mg/dL). Furthermore, weight and waist circumference changes during the pre-NAFLD stage were noticeable only in women (+0.36 kg and +0.9 cm for weight and waist circumference, respectively), which suggest gender difference in NAFLD. Conclusion: Early screening strategies for people with abrupt chronological changes in serum triglycerides to predict NAFLD development before the progression is recommended.

Original languageEnglish
Article number637241
JournalFrontiers in Medicine
Volume8
DOIs
Publication statusPublished - 2021 Mar 10

Bibliographical note

Funding Information:
This research was supported by a faculty research grant of the National Health Insurance Service, Ilsan Hospital (NHIMC2016CR015). Also, this study used National Health Insurance Service National Sample Cohort (NHIS-NSC) data (NHIS-2016-2-029), collected by the NHIS.

Publisher Copyright:
© Copyright © 2021 Rim, Youk, Gee, Cho and Yoo.

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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