Diagnosis of Non-Alcoholic Fatty Liver Disease (NAFLD) Is Independently Associated with Cardiovascular Risk in a Large Austrian Screening Cohort.

CVD Framingham risk score NAFLD NAFLD fibrosis score cardiovascular risk metabolic syndrome primary prevention risk prediction secondary prevention

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
09 Apr 2020
Historique:
received: 01 03 2020
revised: 03 04 2020
accepted: 06 04 2020
entrez: 15 4 2020
pubmed: 15 4 2020
medline: 15 4 2020
Statut: epublish

Résumé

Many patients with non-alcoholic fatty liver disease (NAFLD) simultaneously suffer from cardiovascular (CV) disease and often carry multiple CV risk factors. Several CV risk factors are known to drive the progression of fibrosis in patients with NAFLD. To investigate whether an established CV risk score, the Framingham risk score (FRS), is associated with the diagnosis of NAFLD and the degree of fibrosis in an Austrian screening cohort for colorectal cancer. In total, 1965 asymptomatic subjects (59 ± 10 years, 52% females, BMI 27.2 ± 4.9 kg/m Compared to patients without NAFLD ( The presence of NAFLD might independently improve prediction of long-term risk for CV disease and the diagnosis of NAFLD might be a clinically relevant piece in the puzzle of predicting long-term CV outcomes. Due to the significant overlap of advanced NAFLD and high CV risk, aggressive treatment of established CV risk factors could improve prognosis in these patients.

Sections du résumé

BACKGROUND BACKGROUND
Many patients with non-alcoholic fatty liver disease (NAFLD) simultaneously suffer from cardiovascular (CV) disease and often carry multiple CV risk factors. Several CV risk factors are known to drive the progression of fibrosis in patients with NAFLD.
OBJECTIVES OBJECTIVE
To investigate whether an established CV risk score, the Framingham risk score (FRS), is associated with the diagnosis of NAFLD and the degree of fibrosis in an Austrian screening cohort for colorectal cancer.
MATERIAL AND METHODS METHODS
In total, 1965 asymptomatic subjects (59 ± 10 years, 52% females, BMI 27.2 ± 4.9 kg/m
RESULTS RESULTS
Compared to patients without NAFLD (
CONCLUSION CONCLUSIONS
The presence of NAFLD might independently improve prediction of long-term risk for CV disease and the diagnosis of NAFLD might be a clinically relevant piece in the puzzle of predicting long-term CV outcomes. Due to the significant overlap of advanced NAFLD and high CV risk, aggressive treatment of established CV risk factors could improve prognosis in these patients.

Identifiants

pubmed: 32283679
pii: jcm9041065
doi: 10.3390/jcm9041065
pmc: PMC7230765
pii:
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

The authors whose names are listed immediately above certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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Auteurs

David Niederseer (D)

Department of Cardiology, University Heart Center Zurich, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland.

Sarah Wernly (S)

Department of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University Salzburg, 5110 Oberndorf, Austria.

Sebastian Bachmayer (S)

Department of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University Salzburg, 5110 Oberndorf, Austria.

Bernhard Wernly (B)

Department of Internal Medicine II, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria.

Adam Bakula (A)

Department of Cardiology, University Heart Center Zurich, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland.

Ursula Huber-Schönauer (U)

Department of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University Salzburg, 5110 Oberndorf, Austria.

Georg Semmler (G)

Department of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University Salzburg, 5110 Oberndorf, Austria.

Christian Schmied (C)

Department of Cardiology, University Heart Center Zurich, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland.

Elmar Aigner (E)

Department of Internal Medicine I, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria.

Christian Datz (C)

Department of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University Salzburg, 5110 Oberndorf, Austria.

Classifications MeSH