Remnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver disease

Abstract Background Remnant cholesterol/high-density lipoprotein cholesterol (RC/HDL-C) ratio has been shown to be a good predictor of metabolic disease risk, but no studies have further investigated the role of RC/HDL-C ratio in non-alcoholic fatty liver disease (NAFLD) patients. Methods The partic...

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Main Authors: Yang Zou, Chong Hu, Maobin Kuang, Yuliang Chai
Format: Article
Language:English
Published: BMC 2022-03-01
Series:BMC Gastroenterology
Subjects:
Online Access:https://doi.org/10.1186/s12876-022-02216-x
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author Yang Zou
Chong Hu
Maobin Kuang
Yuliang Chai
author_facet Yang Zou
Chong Hu
Maobin Kuang
Yuliang Chai
author_sort Yang Zou
collection DOAJ
description Abstract Background Remnant cholesterol/high-density lipoprotein cholesterol (RC/HDL-C) ratio has been shown to be a good predictor of metabolic disease risk, but no studies have further investigated the role of RC/HDL-C ratio in non-alcoholic fatty liver disease (NAFLD) patients. Methods The participants were 14,251 adults who underwent a physical examination, all of whom underwent abdominal ultrasonography to determine whether they had NAFLD. Receiver operating characteristic curve analysis and multivariate logistic regression models were used to assess the association between the RC/HDL-C ratio and the risk of NAFLD. Results Multivariate logistic regression analysis showed that after fully adjusting the confounding factors, the higher RC/HDL-C ratio was independently positively correlated with the risk of NAFLD. Interaction tests suggested that the effect of RC/HDL-C ratio on NAFLD was significantly affected by sex. Additionally, receiver operating characteristic curve analysis showed that the area under the curve of RC/HDL-C ratio for identifying NAFLD was 0.82, which was significantly higher than that of other conventional lipid parameters. Conclusions This study indicates for the first time that the higher RC/HDL-C ratio in the general population may be closely related to the increased risk of NAFLD.
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spelling doaj.art-852349f44e444539b0e3b2f00332d99e2022-12-21T23:32:28ZengBMCBMC Gastroenterology1471-230X2022-03-012211910.1186/s12876-022-02216-xRemnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver diseaseYang Zou0Chong Hu1Maobin Kuang2Yuliang Chai3Jiangxi Cardiovascular Research Institute, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical CollegeGastroenterology Department, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical CollegeJiangxi Cardiovascular Research Institute, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical CollegeCardiology Department, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical CollegeAbstract Background Remnant cholesterol/high-density lipoprotein cholesterol (RC/HDL-C) ratio has been shown to be a good predictor of metabolic disease risk, but no studies have further investigated the role of RC/HDL-C ratio in non-alcoholic fatty liver disease (NAFLD) patients. Methods The participants were 14,251 adults who underwent a physical examination, all of whom underwent abdominal ultrasonography to determine whether they had NAFLD. Receiver operating characteristic curve analysis and multivariate logistic regression models were used to assess the association between the RC/HDL-C ratio and the risk of NAFLD. Results Multivariate logistic regression analysis showed that after fully adjusting the confounding factors, the higher RC/HDL-C ratio was independently positively correlated with the risk of NAFLD. Interaction tests suggested that the effect of RC/HDL-C ratio on NAFLD was significantly affected by sex. Additionally, receiver operating characteristic curve analysis showed that the area under the curve of RC/HDL-C ratio for identifying NAFLD was 0.82, which was significantly higher than that of other conventional lipid parameters. Conclusions This study indicates for the first time that the higher RC/HDL-C ratio in the general population may be closely related to the increased risk of NAFLD.https://doi.org/10.1186/s12876-022-02216-xRemnant cholesterol/high-density lipoprotein cholesterol ratioRemnant cholesterolHigh-density lipoprotein cholesterolNon-alcoholic fatty liver diseaseRC/HDL-C ratio
spellingShingle Yang Zou
Chong Hu
Maobin Kuang
Yuliang Chai
Remnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver disease
BMC Gastroenterology
Remnant cholesterol/high-density lipoprotein cholesterol ratio
Remnant cholesterol
High-density lipoprotein cholesterol
Non-alcoholic fatty liver disease
RC/HDL-C ratio
title Remnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver disease
title_full Remnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver disease
title_fullStr Remnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver disease
title_full_unstemmed Remnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver disease
title_short Remnant cholesterol/high-density lipoprotein cholesterol ratio is a new powerful tool for identifying non-alcoholic fatty liver disease
title_sort remnant cholesterol high density lipoprotein cholesterol ratio is a new powerful tool for identifying non alcoholic fatty liver disease
topic Remnant cholesterol/high-density lipoprotein cholesterol ratio
Remnant cholesterol
High-density lipoprotein cholesterol
Non-alcoholic fatty liver disease
RC/HDL-C ratio
url https://doi.org/10.1186/s12876-022-02216-x
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