Evidence mapPaperPMID 40775613Full record

ArticleBMC gastroenterology2025

Association between glycated hemoglobin/high-density lipoprotein ratio and nonalcoholic fatty liver disease in a U.S. nondiabetic population: a cross-sectional study based on NHANES 2017-2020 data.

Xiaowei Zheng, Huimin Wang

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Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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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

2 authors.

Xiaowei ZhengDepartment of Infection, The First Affiliated Hospital of USTC, Hefei, 230000, Anhui, China. sainwell@163.com.
Huimin WangDepartment of Endocrinology, Hefei Hospital Affiliated to Anhui Medical University, Hefei, 230000, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe purpose of this research was to explore the relationship between the glycated hemoglobin/high-density lipoprotein (HbA1c/HDL-C) ratio and nonalcoholic fatty liver disease (NAFLD) in non-diabetic adults in the United States.

methodsUsing pertinent variables gathered from the 2017-2020 National Health and Nutrition Examination Survey (NHANES) database, we performed a cross-sectional study including 5,485 adult U.S. citizens. Data were analyzed using multifactor logistic regression, smoothed curve fitting, subgroup, and interaction analyses.

resultsAmong the 5485 individuals included, there was a significant positive correlation between NAFLD and HbA1c/HDL-C ratio. After adjusting for all covariates, the probability of having NAFLD increased significantly for each unit increase in the log-transformed ratio of this [2.39 (1.94, 2.93)]. Furthermore, we discovered a nonlinear relationship with an inflection point of 1.43 between the ratio and NAFLD. In the end, subgroup analyses revealed a significant interaction between the correlation of this ratio and NAFLD, stratified by the presence or absence of comorbid coronary artery disease (interaction P < 0.05).

conclusionOur study demonstrated a significant positive correlation between the HbA1c/HDL-C ratio and NAFLD risk in non-diabetic individuals. Thus, the ratio may be a useful correlate of NAFLD risk. Monitoring this ratio through routine physical examination may help to identify high-risk individuals early and then take lifestyle interventions (e.g., dietary modification, increased exercise, etc.) or pharmacological treatments to prevent the development of NAFLD.

Indexed as

Cholesterol, HDLGlycated HemoglobinLipoproteins, HDLNon-alcoholic Fatty Liver DiseaseAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysRisk FactorsUnited StatesCholesterol, HDLGlycated Hemoglobinhemoglobin A1c protein, humanLipoproteins, HDLCross-sectional studyGlycated hemoglobin/High-density lipoproteinNHANESNonalcoholic fatty liver diseaseNon-diabetic

Identifiers

PMID40775613
PMCPMC12333052

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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.