Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic Population
Background. Nonalcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver disease and is closely associated with cardiometabolic disorders, being insulin resistance (IR) the common pathogenic mechanism. The triglycerides/glucose (TyG) index and triglycerides/HDL-c (TG/HDL) r...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2022/1782221 |
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| author | Maritza Pérez-Mayorga Jose P. Lopez-Lopez Maria A. Chacon-Manosalva Maria G Castillo Johanna Otero Daniel Martinez-Bello Diego Gomez-Arbelaez Daniel D. Cohen Patricio Lopez-Jaramillo |
| author_facet | Maritza Pérez-Mayorga Jose P. Lopez-Lopez Maria A. Chacon-Manosalva Maria G Castillo Johanna Otero Daniel Martinez-Bello Diego Gomez-Arbelaez Daniel D. Cohen Patricio Lopez-Jaramillo |
| author_sort | Maritza Pérez-Mayorga |
| collection | DOAJ |
| description | Background. Nonalcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver disease and is closely associated with cardiometabolic disorders, being insulin resistance (IR) the common pathogenic mechanism. The triglycerides/glucose (TyG) index and triglycerides/HDL-c (TG/HDL) ratio are markers correlated with IR. We compared the capacity of these two indexes, alongside IR, to detect NAFLD. Methods. In a cross-sectional cohort study, we examined 263 active military personnel from the Colombian Air Force, aged between 29 and 54 years. Anthropometric measurements and biochemical determinations (glycemia, lipid profile, and insulin) were obtained, and ultrasound studies were performed to evaluate the presence of NAFLD. HOMA-IR index was calculated as (fasting insulin (µIU/mL) × fasting glucose (mmol/L)/22.5), the TyG index as Ln (triglycerides (mg/dL) × fasting glucose (mg/dL)/2), and the TG/HDL ratio as (triglycerides (mg/dL)/HDL-c (mg/dL)). Results. NAFLD ultrasound criteria were met in 70 individuals (26.6%). Subjects with NAFLD had significantly higher values of HOMA-IR (2.55 ± 1.36 vs. 1.51 ± 0.91), TyG (9.17 ± 0.53 vs. 8.7 ± 0.51), and TG/HDL (6.6 ± 4.54 vs. 3.52 ± 2.32) compared to those without NAFLD p<0.001. A TyG cutoff point of 8.92 showed an AUC of 0.731, while cutoff points of 3.83 for TG/HDL and 1.68 for HOMA-IR showed an AUC of 0.766 and 0.781, respectively. Conclusion. Our study shows that novel and lower-cost markers of IR are useful for detecting NALFD, with a performance comparable to the HOMA-IR index. These markers should be used as the first step when screening patients for NAFLD. |
| format | Article |
| id | doaj-art-4663619a76f343e4834dcd46ee60679b |
| institution | Kabale University |
| issn | 2291-2797 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-4663619a76f343e4834dcd46ee60679b2025-02-03T01:06:58ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27972022-01-01202210.1155/2022/1782221Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic PopulationMaritza Pérez-Mayorga0Jose P. Lopez-Lopez1Maria A. Chacon-Manosalva2Maria G Castillo3Johanna Otero4Daniel Martinez-Bello5Diego Gomez-Arbelaez6Daniel D. Cohen7Patricio Lopez-Jaramillo8Instituto MasiraInstituto MasiraInstituto MasiraUniversidad deInstituto MasiraInstituto MasiraInstituto MasiraInstituto MasiraInstituto MasiraBackground. Nonalcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver disease and is closely associated with cardiometabolic disorders, being insulin resistance (IR) the common pathogenic mechanism. The triglycerides/glucose (TyG) index and triglycerides/HDL-c (TG/HDL) ratio are markers correlated with IR. We compared the capacity of these two indexes, alongside IR, to detect NAFLD. Methods. In a cross-sectional cohort study, we examined 263 active military personnel from the Colombian Air Force, aged between 29 and 54 years. Anthropometric measurements and biochemical determinations (glycemia, lipid profile, and insulin) were obtained, and ultrasound studies were performed to evaluate the presence of NAFLD. HOMA-IR index was calculated as (fasting insulin (µIU/mL) × fasting glucose (mmol/L)/22.5), the TyG index as Ln (triglycerides (mg/dL) × fasting glucose (mg/dL)/2), and the TG/HDL ratio as (triglycerides (mg/dL)/HDL-c (mg/dL)). Results. NAFLD ultrasound criteria were met in 70 individuals (26.6%). Subjects with NAFLD had significantly higher values of HOMA-IR (2.55 ± 1.36 vs. 1.51 ± 0.91), TyG (9.17 ± 0.53 vs. 8.7 ± 0.51), and TG/HDL (6.6 ± 4.54 vs. 3.52 ± 2.32) compared to those without NAFLD p<0.001. A TyG cutoff point of 8.92 showed an AUC of 0.731, while cutoff points of 3.83 for TG/HDL and 1.68 for HOMA-IR showed an AUC of 0.766 and 0.781, respectively. Conclusion. Our study shows that novel and lower-cost markers of IR are useful for detecting NALFD, with a performance comparable to the HOMA-IR index. These markers should be used as the first step when screening patients for NAFLD.http://dx.doi.org/10.1155/2022/1782221 |
| spellingShingle | Maritza Pérez-Mayorga Jose P. Lopez-Lopez Maria A. Chacon-Manosalva Maria G Castillo Johanna Otero Daniel Martinez-Bello Diego Gomez-Arbelaez Daniel D. Cohen Patricio Lopez-Jaramillo Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic Population Canadian Journal of Gastroenterology and Hepatology |
| title | Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic Population |
| title_full | Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic Population |
| title_fullStr | Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic Population |
| title_full_unstemmed | Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic Population |
| title_short | Insulin Resistance Markers to Detect Nonalcoholic Fatty Liver Disease in a Male Hispanic Population |
| title_sort | insulin resistance markers to detect nonalcoholic fatty liver disease in a male hispanic population |
| url | http://dx.doi.org/10.1155/2022/1782221 |
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