Evidence mapPaperPMID 38664879Full record

ArticleJournal of diabetes2024

Prevalence of nonalcoholic fatty liver disease and liver cirrhosis in Chinese adults with type 2 diabetes mellitus.

Xinyu Han, Xin Zhang, Zhenqiu Liu, Hong Fan, Chengnan Guo, Haili Wang, Yu Gu, Tiejun Zhang

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Xinyu HanDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, China.ORCID https://orcid.org/0009-0009-5561-0926
Xin ZhangDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, China.
Zhenqiu LiuState Key Laboratory of Genetic Engineering, Human Phenome Institute, School of Life Sciences, Fudan University, Shanghai, China.
Hong FanDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, China.
Chengnan GuoDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, China.
Haili WangDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, China.
Yu GuDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, China.
Tiejun ZhangDepartment of Epidemiology, School of Public Health, Fudan University, Shanghai, China.
Fudan University · CN

Funding

the Local High-Level Discipline Construction Project of Shanghaithe Three-Year Action Plan for Strengthening Public Health System in Shanghai GWVI-11.1-23
6 · The paper itself

Abstract

backgroundNonalcoholic fatty liver disease (NAFLD) and liver cirrhosis are significant clinical concerns, especially among individuals with type 2 diabetes mellitus (T2DM). However, in China, there is a paucity of reliable evidence detailing the characteristics of NAFLD and liver cirrhosis in T2DM. Furthermore, the relationship between blood glucose levels and NAFLD prevalence remains unclear.

methodsData from the Shanghai Suburban Adult Cohort and Biobank were analyzed, including 6621 participants with T2DM. NAFLD was diagnosed by ultrasonography and liver cirrhosis was performed according to the health information systems. Logistic regression and restricted cubic spline analysis were used to explore the potential risk factors for NAFLD and liver cirrhosis.

resultsThe prevalence of NAFLD was 59.36%, and liver cirrhosis was 1.43% among T2DM patients. In these patients, factors like age, being female, marital status, and obesity significantly increased the risk of NAFLD. Specifically, obesity had a strong positive association with NAFLD (odds ratio [OR] = 4.70, 95% confidence interval [CI]: 4.13-5.34). The higher glycated hemoglobin (HbA1c) quartile was associated with a heightened NAFLD risk compared to the lowest quartile (all p < .001). The HbA1c-NAFLD relationship displayed a linear that mimicked an inverted L-shaped pattern. A significant positive association existed between HbA1c levels and NAFLD for HbA1c <8.00% (OR = 1.59, 95% CI: 1.44-1.75), but this was not observed for HbA1c >8.00% (OR = 1.03, 95% CI: 0.92-1.15).

conclusionSystematic screening for NAFLD is essential in T2DM patients, especially with poor glucose control and obesity in female.

Indexed as

Diabetes Mellitus, Type 2Liver CirrhosisNon-alcoholic Fatty Liver DiseaseAdultAgedBlood GlucoseChinaEast Asian PeopleFemaleGlycated HemoglobinHumansMaleMiddle AgedObesityPrevalenceRisk FactorsBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humancirrhosisHbA1cnonalcoholic fatty liver diseasetype 2 diabetes

Identifiers

PMID38664879
PMCPMC11045916
OpenAlexW4395670491

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.