Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma Glucose

Objective: We examined the association between non-alcoholic fatty liver disease (NAFLD) markers and fasting serum immunoreactive insulin (FIRI) and urinary albumin excretion (UAE). Subjects and methods: This study comprised Periods I and II from January 2007 to May 2009, and from June 2009 to Decem...

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Main Authors: Shuichi Katoh, Markku Peltonen, Mikio Zeniya, Yoichi Sakamoto, Kazunori Utsunomiya, Rimei Nishimura, Jaakko Tuomilehto
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/10/3161
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author Shuichi Katoh
Markku Peltonen
Mikio Zeniya
Yoichi Sakamoto
Kazunori Utsunomiya
Rimei Nishimura
Jaakko Tuomilehto
author_facet Shuichi Katoh
Markku Peltonen
Mikio Zeniya
Yoichi Sakamoto
Kazunori Utsunomiya
Rimei Nishimura
Jaakko Tuomilehto
author_sort Shuichi Katoh
collection DOAJ
description Objective: We examined the association between non-alcoholic fatty liver disease (NAFLD) markers and fasting serum immunoreactive insulin (FIRI) and urinary albumin excretion (UAE). Subjects and methods: This study comprised Periods I and II from January 2007 to May 2009, and from June 2009 to December 2011, respectively. After excluding people with ethanol intake ≥210 g/week in men and ≥140 g/week in women, 961 people (613 men, 348 women; mean age: 44 years) were included. We evaluated the fatty liver using ultrasonography score (FLUS) and measured liver enzymes. Results: The mean observation period was 25 ± 9 months. We stratified people into two groups by fasting plasma glucose (FPG) in Period I. The cutoff point between the lower FPG and higher FPG was 100 mg/dL. In regression analysis, serum alanine aminotransferase (ALT) (<i>p</i> < 0.001), FLUS (<i>p</i> < 0.001) and γ-glutamyl transpeptidase (GGTP) (<i>p</i> = 0.022) in Period I were independently associated with FIRI in Period II, whereas in all participants FPG was not. ALT (<i>p</i> < 0.001) and GGTP (<i>p</i> = 0.001) were also independently associated with UAE in people with FPG < 100 mg/dL in Period II. Conclusions: Some NAFLD markers were associated with FIRI and UAE independently of fasting plasma glucose.
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spelling doaj.art-6d58fff14796482a8ad6e6c07eb789112023-11-20T15:33:32ZengMDPI AGJournal of Clinical Medicine2077-03832020-09-01910316110.3390/jcm9103161Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma GlucoseShuichi Katoh0Markku Peltonen1Mikio Zeniya2Yoichi Sakamoto3Kazunori Utsunomiya4Rimei Nishimura5Jaakko Tuomilehto6Division of Diabetes, Metabolism & Endocrinology, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo 105-8461, JapanPublic Health Promotion Unit, Finnish Institute for Health and Welfare, Mannerheimintie 166, FI-00271 Helsinki, FinlandGastroenterology, Akasaka Sanno Medical Center, 4-1-26W Akasaka, Minato-ku, Tokyo 107-8402, JapanThe Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Health-Care Center, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo 105-8461, JapanDivision of Diabetes, Metabolism & Endocrinology, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo 105-8461, JapanPublic Health Promotion Unit, Finnish Institute for Health and Welfare, Mannerheimintie 166, FI-00271 Helsinki, FinlandObjective: We examined the association between non-alcoholic fatty liver disease (NAFLD) markers and fasting serum immunoreactive insulin (FIRI) and urinary albumin excretion (UAE). Subjects and methods: This study comprised Periods I and II from January 2007 to May 2009, and from June 2009 to December 2011, respectively. After excluding people with ethanol intake ≥210 g/week in men and ≥140 g/week in women, 961 people (613 men, 348 women; mean age: 44 years) were included. We evaluated the fatty liver using ultrasonography score (FLUS) and measured liver enzymes. Results: The mean observation period was 25 ± 9 months. We stratified people into two groups by fasting plasma glucose (FPG) in Period I. The cutoff point between the lower FPG and higher FPG was 100 mg/dL. In regression analysis, serum alanine aminotransferase (ALT) (<i>p</i> < 0.001), FLUS (<i>p</i> < 0.001) and γ-glutamyl transpeptidase (GGTP) (<i>p</i> = 0.022) in Period I were independently associated with FIRI in Period II, whereas in all participants FPG was not. ALT (<i>p</i> < 0.001) and GGTP (<i>p</i> = 0.001) were also independently associated with UAE in people with FPG < 100 mg/dL in Period II. Conclusions: Some NAFLD markers were associated with FIRI and UAE independently of fasting plasma glucose.https://www.mdpi.com/2077-0383/9/10/3161non-alcoholic fatty liver diseasefasting serum insulinurinary albumin excretionserum alanine aminotransferasediabetesimpaired fasting glucose
spellingShingle Shuichi Katoh
Markku Peltonen
Mikio Zeniya
Yoichi Sakamoto
Kazunori Utsunomiya
Rimei Nishimura
Jaakko Tuomilehto
Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma Glucose
Journal of Clinical Medicine
non-alcoholic fatty liver disease
fasting serum insulin
urinary albumin excretion
serum alanine aminotransferase
diabetes
impaired fasting glucose
title Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma Glucose
title_full Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma Glucose
title_fullStr Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma Glucose
title_full_unstemmed Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma Glucose
title_short Non-Alcoholic Fatty Liver Disease Markers Associated with Fasting Serum Insulin and Urinary Albumin Excretion Independent of Fasting Plasma Glucose
title_sort non alcoholic fatty liver disease markers associated with fasting serum insulin and urinary albumin excretion independent of fasting plasma glucose
topic non-alcoholic fatty liver disease
fasting serum insulin
urinary albumin excretion
serum alanine aminotransferase
diabetes
impaired fasting glucose
url https://www.mdpi.com/2077-0383/9/10/3161
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