Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient Elastography
Life’s Simple 7 (LS7) is the American Heart Association’s (AHA) proposal for a healthy lifestyle, also known as cardiovascular health (CVH) metrics. However, the association between CVH metrics and the severity of hepatic steatosis and liver fibrosis detected by transient elastography is unknown. We...
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| Format: | Article |
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MDPI AG
2022-12-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/24/5344 |
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| author | Heze Fan Chenbo Xu Wenyuan Li Yuzhi Huang Rui Hua Ying Xiong Yuxuan Yang Xueying Feng Zihao Wang Zuyi Yuan Juan Zhou |
| author_facet | Heze Fan Chenbo Xu Wenyuan Li Yuzhi Huang Rui Hua Ying Xiong Yuxuan Yang Xueying Feng Zihao Wang Zuyi Yuan Juan Zhou |
| author_sort | Heze Fan |
| collection | DOAJ |
| description | Life’s Simple 7 (LS7) is the American Heart Association’s (AHA) proposal for a healthy lifestyle, also known as cardiovascular health (CVH) metrics. However, the association between CVH metrics and the severity of hepatic steatosis and liver fibrosis detected by transient elastography is unknown. We performed a cross-sectional study using the data from the 2017–2018 National Health and Nutrition Examination Survey (NHANES) cycle. The controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) were used to evaluate the severity of hepatic steatosis and liver fibrosis and to define NAFLD, advanced liver fibrosis, and cirrhosis. A total of 2679 participants were included. Multivariate linear regression analysis revealed that per 1-unit increase in the CVH metric, CAP and LSM decreased by 8.565 units and 0.274 units, respectively. In the multivariate logistic regression analysis, the risk of NAFLD, advanced liver fibrosis, and cirrhosis were 7, 10, and 6 times higher in the poor CVH group than in the ideal CVH group. Subgroup analysis indicated that CVD patients and non-Hispanic whites could benefit more from ideal CVH. In conclusion, adherence to ideal CVH metrics, as proposed by the AHA, can significantly reduce the risk of hepatic steatosis and liver fibrosis. |
| first_indexed | 2024-03-09T16:00:01Z |
| format | Article |
| id | doaj.art-1ec21d3fc1d84ad4a5acd9daeece65c5 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T16:00:01Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-1ec21d3fc1d84ad4a5acd9daeece65c52023-11-24T17:09:42ZengMDPI AGNutrients2072-66432022-12-011424534410.3390/nu14245344Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient ElastographyHeze Fan0Chenbo Xu1Wenyuan Li2Yuzhi Huang3Rui Hua4Ying Xiong5Yuxuan Yang6Xueying Feng7Zihao Wang8Zuyi Yuan9Juan Zhou10Cardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaCardiovascular Department, First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an 710061, ChinaLife’s Simple 7 (LS7) is the American Heart Association’s (AHA) proposal for a healthy lifestyle, also known as cardiovascular health (CVH) metrics. However, the association between CVH metrics and the severity of hepatic steatosis and liver fibrosis detected by transient elastography is unknown. We performed a cross-sectional study using the data from the 2017–2018 National Health and Nutrition Examination Survey (NHANES) cycle. The controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) were used to evaluate the severity of hepatic steatosis and liver fibrosis and to define NAFLD, advanced liver fibrosis, and cirrhosis. A total of 2679 participants were included. Multivariate linear regression analysis revealed that per 1-unit increase in the CVH metric, CAP and LSM decreased by 8.565 units and 0.274 units, respectively. In the multivariate logistic regression analysis, the risk of NAFLD, advanced liver fibrosis, and cirrhosis were 7, 10, and 6 times higher in the poor CVH group than in the ideal CVH group. Subgroup analysis indicated that CVD patients and non-Hispanic whites could benefit more from ideal CVH. In conclusion, adherence to ideal CVH metrics, as proposed by the AHA, can significantly reduce the risk of hepatic steatosis and liver fibrosis.https://www.mdpi.com/2072-6643/14/24/5344National Health and Nutrition Examination Surveycardiovascular health metricsliver stiffness measurementcontrolled attenuation parameterhealthy lifestyle |
| spellingShingle | Heze Fan Chenbo Xu Wenyuan Li Yuzhi Huang Rui Hua Ying Xiong Yuxuan Yang Xueying Feng Zihao Wang Zuyi Yuan Juan Zhou Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient Elastography Nutrients National Health and Nutrition Examination Survey cardiovascular health metrics liver stiffness measurement controlled attenuation parameter healthy lifestyle |
| title | Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient Elastography |
| title_full | Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient Elastography |
| title_fullStr | Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient Elastography |
| title_full_unstemmed | Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient Elastography |
| title_short | Ideal Cardiovascular Health Metrics Are Associated with Reduced Severity of Hepatic Steatosis and Liver Fibrosis Detected by Transient Elastography |
| title_sort | ideal cardiovascular health metrics are associated with reduced severity of hepatic steatosis and liver fibrosis detected by transient elastography |
| topic | National Health and Nutrition Examination Survey cardiovascular health metrics liver stiffness measurement controlled attenuation parameter healthy lifestyle |
| url | https://www.mdpi.com/2072-6643/14/24/5344 |
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