Hepatic fat, not visceral fat, is associated with gallbladder polyps: a study of 2643 healthy subjects.

作者: Seon Hee Lim , Donghee Kim , Jin Hwa Kang , Ji Hyun Song , Sun Young Yang

DOI: 10.1111/JGH.12841

关键词:

摘要: Background and Aim Gallbladder polyps (GBPs) appear to be strongly associated with obesity metabolic disease. To date, the relationship between GBPs fatty liver has not been adequately evaluated. The aim of present study was investigate whether are liver, which is an ectopic regional fat deposit, independent visceral adipose tissue (VAT). Methods A cross-sectional using 2643 health checkup subjects (961 patients GBP 1682 age- sex-matched healthy controls) conducted. underwent various laboratory tests, abdominal computed tomography (CT), hepatic ultrasonography. Results The mean age 51.4 ± 8.3 years, 74.1% were male. significantly liver. Multivariate regression analysis revealed that presence (odds ratio [OR] 1.23, 95% confidence interval [CI]: 1.02–1.48), adjusting for homeostatic assessment index had little effect on this association (OR CI: 1.02–1.48). Additionally, remained after adjustments CT-measured VAT subcutaneous 1.24, 1.03–1.50). degree showed 1.37 1.03–1.80) dose-dependent (moderate-severe liver: OR 1.55 1.07–2.23, P trend = 0.014) large (≥ 5 mm). Conclusion Fatty found closely known risk factors, insulin resistance, VAT, confirming a relevant clinical two diseases.

参考文章(38)
Lee Sd, Chang Fy, Chen Cy, Lu Cl, Risk factors for gallbladder polyps in the Chinese population. The American Journal of Gastroenterology. ,vol. 92, pp. 2066- 2068 ,(1997)
Woo Jin Chung, Byoung Kuk Jang, Kwang Bum Cho, Kyung Sik Park, Yeong Seok Lee, Seong Yeol Kim, Kang Wook Chung, Hong Sug Lee, Jae Seok Hwang, Prevalence and risk factors of gallbladder polyp in adults living in Daegu and Gyeongbuk provinces The Korean Journal of Gastroenterology. ,vol. 48, pp. 344- 350 ,(2006)
Paola Loria, Luigi Elio Adinolfi, S Bellentani, Elisabetta Bugianesi, Alessandro Grieco, S Fargion, Antonio Gasbarrini, Carmelina Loguercio, A Lonardo, G Marchesini, Fabio Marra, Marcello Persico, D Prati, Gianluca Svegliati-Baroni, NAFLD Expert Committee of the Associazione Italiana per lo Studio del Fegato, None, Practice guidelines for the diagnosis and management of nonalcoholic fatty liver disease. A decalogue from the Italian Association for the Study of the Liver (AISF) Expert Committee. Digestive and Liver Disease. ,vol. 42, pp. 272- 282 ,(2010) , 10.1016/J.DLD.2010.01.021
P. ANGULO, GI Epidemiology: nonalcoholic fatty liver disease Alimentary Pharmacology & Therapeutics. ,vol. 25, pp. 883- 889 ,(2007) , 10.1111/J.1365-2036.2007.03246.X
G. Vernon, A. Baranova, Z. M. Younossi, Systematic review: the epidemiology and natural history of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in adults. Alimentary Pharmacology & Therapeutics. ,vol. 34, pp. 274- 285 ,(2011) , 10.1111/J.1365-2036.2011.04724.X
Joel E. Lichtenstein, The gallbladder: what if it's not stone disease? Seminars in Roentgenology. ,vol. 26, pp. 209- 215 ,(1991) , 10.1016/0037-198X(91)90015-G
Sherif Saadeh, Zobair M. Younossi, Erick M. Remer, Terry Gramlich, Janus P. Ong, Maja Hurley, Kevin D. Mullen, James N. Cooper, Michael J. Sheridan, The utility of radiological imaging in nonalcoholic fatty liver disease Gastroenterology. ,vol. 123, pp. 745- 750 ,(2002) , 10.1053/GAST.2002.35354
Constance E. Ruhl, James E. Everhart, Association of diabetes, serum insulin, and C-peptide with gallbladder disease. Hepatology. ,vol. 31, pp. 299- 303 ,(2000) , 10.1002/HEP.510310206
Wolfgang Kratzer, , Mark M Haenle, Andrea Voegtle, Richard A Mason, Atilla S Akinli, Klaus Hirschbuehl, Andreas Schuler, Volker Kaechele, Ultrasonographically detected gallbladder polyps: A reason for concern? A seven-year follow-up study BMC Gastroenterology. ,vol. 8, pp. 41- 41 ,(2008) , 10.1186/1471-230X-8-41
Caroline S. Fox, Joseph M. Massaro, Udo Hoffmann, Karla M. Pou, Pal Maurovich-Horvat, Chun-Yu Liu, Ramachandran S. Vasan, Joanne M. Murabito, James B. Meigs, L. Adrienne Cupples, Ralph B. D’Agostino, Christopher J. O’Donnell, Abdominal visceral and subcutaneous adipose tissue compartments: association with metabolic risk factors in the Framingham Heart Study. Circulation. ,vol. 116, pp. 39- 48 ,(2007) , 10.1161/CIRCULATIONAHA.106.675355