Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk Factors

Introduction: Non-alcoholic fatty liver disease (NAFLD) is increasingly seen to be associated with metabolic syndrome and is considered a risk factor for coronary artery disease (CAD). Aim: To assess the prevalence of NAFLD among type 2 diabetics and assess correlation between risk factors of C...

Full description

Bibliographic Details
Main Authors: Raminderpal Singh Sibia, Sandeep Dhoot, Preetkanwal Sibia, Sourabh Murarka, Harnoor Bhardwaj, Akash Deep Aggarwal
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2016-10-01
Series:National Journal of Laboratory Medicine
Subjects:
Online Access:http://www.njlm.net/articles/PDF/2168/20612_F(GH)_PF1(P_VSU)_PFA(GH)_PF2(VsuGH).pdf
_version_ 1818757909235892224
author Raminderpal Singh Sibia
Sandeep Dhoot
Preetkanwal Sibia
Sourabh Murarka
Harnoor Bhardwaj
Akash Deep Aggarwal
author_facet Raminderpal Singh Sibia
Sandeep Dhoot
Preetkanwal Sibia
Sourabh Murarka
Harnoor Bhardwaj
Akash Deep Aggarwal
author_sort Raminderpal Singh Sibia
collection DOAJ
description Introduction: Non-alcoholic fatty liver disease (NAFLD) is increasingly seen to be associated with metabolic syndrome and is considered a risk factor for coronary artery disease (CAD). Aim: To assess the prevalence of NAFLD among type 2 diabetics and assess correlation between risk factors of CAD and NAFLD in these patients. Materials and Methods: This cross-sectional study was conducted among 100 consecutive patients of type 2 diabetes coming to our institution. A detailed history, physical examination and laboratory investigations including fasting plasma glucose (FPG), renal and liver function tests, lipid profile, glycated haemoglobin and ultrasound abdomen were carried out. NAFLD was diagnosed on the basis of ultrasonic assessment of the liver. The study group was then divided into NAFLD and non-NAFLD group and the two groups were compared for presence of risk factors for CAD. Results: The prevalence of NAFLD in diabetics was 61% and CAD was found to be more prevalent in this group. Also, the NAFLD subgroup had higher prevalence of hypertension, microalbuminuria, Metabolic syndrome and raised total cholesterol, Low Density Lipoproteins (LDL) and triglycerides. Conclusion: NAFLD as a disease is fairly prevalent among type-2 diabetics and both these diseases occur simultaneously in patients with other known coronary risk factors. Hence, the presence of NAFLD can be considered as an important marker of coronary artery disease amongst type 2 diabetics. It is noninvasive, economical, easily assessable and reproducible parameter for coronary risk stratification in type 2 diabetics.
first_indexed 2024-12-18T06:18:25Z
format Article
id doaj.art-953ce10246f7419cb23df931285bb819
institution Directory Open Access Journal
issn 2277-8551
2455-6882
language English
last_indexed 2024-12-18T06:18:25Z
publishDate 2016-10-01
publisher JCDR Research and Publications Pvt. Ltd.
record_format Article
series National Journal of Laboratory Medicine
spelling doaj.art-953ce10246f7419cb23df931285bb8192022-12-21T21:18:12ZengJCDR Research and Publications Pvt. Ltd.National Journal of Laboratory Medicine2277-85512455-68822016-10-0154IO11IO1310.7860/NJLM/2016/20612:2168Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk FactorsRaminderpal Singh Sibia0Sandeep Dhoot1Preetkanwal Sibia2Sourabh Murarka3Harnoor Bhardwaj4Akash Deep Aggarwal5Associate Professor, Department of Medicine, Govt. Medical College, Patiala, Punjab, India.Junior Resident, Department of Medicine, Govt. Medical College, Patiala, Punjab, India.Associate Professor, Department of Obstetrics and Gynaecology, Govt. Medical College, Patiala, Punjab, India.Junior Resident, Department of Medicine, Govt. Medical College, Patiala, Punjab, India.House Physician, Department of Medicine, Govt. Medical College, Patiala, Punjab, India.Associate Professor, Department of Forensic Medicine, Govt. Medical College, Patiala, Punjab, India.Introduction: Non-alcoholic fatty liver disease (NAFLD) is increasingly seen to be associated with metabolic syndrome and is considered a risk factor for coronary artery disease (CAD). Aim: To assess the prevalence of NAFLD among type 2 diabetics and assess correlation between risk factors of CAD and NAFLD in these patients. Materials and Methods: This cross-sectional study was conducted among 100 consecutive patients of type 2 diabetes coming to our institution. A detailed history, physical examination and laboratory investigations including fasting plasma glucose (FPG), renal and liver function tests, lipid profile, glycated haemoglobin and ultrasound abdomen were carried out. NAFLD was diagnosed on the basis of ultrasonic assessment of the liver. The study group was then divided into NAFLD and non-NAFLD group and the two groups were compared for presence of risk factors for CAD. Results: The prevalence of NAFLD in diabetics was 61% and CAD was found to be more prevalent in this group. Also, the NAFLD subgroup had higher prevalence of hypertension, microalbuminuria, Metabolic syndrome and raised total cholesterol, Low Density Lipoproteins (LDL) and triglycerides. Conclusion: NAFLD as a disease is fairly prevalent among type-2 diabetics and both these diseases occur simultaneously in patients with other known coronary risk factors. Hence, the presence of NAFLD can be considered as an important marker of coronary artery disease amongst type 2 diabetics. It is noninvasive, economical, easily assessable and reproducible parameter for coronary risk stratification in type 2 diabetics.http://www.njlm.net/articles/PDF/2168/20612_F(GH)_PF1(P_VSU)_PFA(GH)_PF2(VsuGH).pdfcholesterolhearthypertension
spellingShingle Raminderpal Singh Sibia
Sandeep Dhoot
Preetkanwal Sibia
Sourabh Murarka
Harnoor Bhardwaj
Akash Deep Aggarwal
Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk Factors
National Journal of Laboratory Medicine
cholesterol
heart
hypertension
title Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk Factors
title_full Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk Factors
title_fullStr Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk Factors
title_full_unstemmed Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk Factors
title_short Prevalence of Non-Alcoholic Fatty Liver Disease in Patients with Type 2 Diabetes and its Correlation with Coronary Risk Factors
title_sort prevalence of non alcoholic fatty liver disease in patients with type 2 diabetes and its correlation with coronary risk factors
topic cholesterol
heart
hypertension
url http://www.njlm.net/articles/PDF/2168/20612_F(GH)_PF1(P_VSU)_PFA(GH)_PF2(VsuGH).pdf
work_keys_str_mv AT raminderpalsinghsibia prevalenceofnonalcoholicfattyliverdiseaseinpatientswithtype2diabetesanditscorrelationwithcoronaryriskfactors
AT sandeepdhoot prevalenceofnonalcoholicfattyliverdiseaseinpatientswithtype2diabetesanditscorrelationwithcoronaryriskfactors
AT preetkanwalsibia prevalenceofnonalcoholicfattyliverdiseaseinpatientswithtype2diabetesanditscorrelationwithcoronaryriskfactors
AT sourabhmurarka prevalenceofnonalcoholicfattyliverdiseaseinpatientswithtype2diabetesanditscorrelationwithcoronaryriskfactors
AT harnoorbhardwaj prevalenceofnonalcoholicfattyliverdiseaseinpatientswithtype2diabetesanditscorrelationwithcoronaryriskfactors
AT akashdeepaggarwal prevalenceofnonalcoholicfattyliverdiseaseinpatientswithtype2diabetesanditscorrelationwithcoronaryriskfactors