Association of metabolic dysfunction-associated fatty liver disease, type 2 diabetes mellitus, and metabolic goal achievement with risk of chronic kidney disease
Bibliographic Data
| ID | 22091014 |
|---|---|
| Authors | Weitao Su (0000-0002-7831-1955, Fujian Medical University), Minhui Chen (0000-0001-5684-2504), Ling Xiao (0000-0003-0199-5137, Fujian Medical University), Shanshan Du (0009-0003-2340-9394, Fujian Medical University), Lihua Xue (0000-0002-8293-6771), Ruimei Feng (0000-0001-8020-2654, Fujian Medical University), Weimin Ye (0000-0002-6859-4648, Fujian Medical University, corresponding author) |
| Year | 2022 |
| Volume | 10 |
| Pages | 1047794-1047794 |
| Publication date | 2022-11-07 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.1047794 |
| PMID | 36420005 |
| OpenAlex | W4308452510 |
| Language | EN |
| Citations received | 1 |
| References cited | 41 |
Background Although type 2 diabetes mellitus (T2DM) plays a significant role in the association between metabolic dysfunction-associated fatty liver disease (MAFLD) and chronic kidney disease (CKD), how T2DM development and glycemic deterioration affect CKD and its renal function indicators, estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR), remains unknown. We aimed to assess the association between MAFLD, along with T2DM, and risk of CKD, and then evaluate the effect of metabolic goal achievement in MAFLD on the risk of CKD. Methods In this cross-sectional study, 5,594 participants were included. Multivariate logistic regression and linear regression were used to examine the association between MAFLD with its T2DM status and metabolic goal achievement and risk of CKD, as well as eGFR and UACR. Results The MAFLD group had a higher prevalence of CKD (16.2 vs. 7.6%, P < 0.001) than the non-MAFLD group. MAFLD was independently associated with an increased risk of CKD (odds ratio [OR]: 1.35, 95% CI: 1.09–1.67) and increased eGFR and UACR. Among the three MAFLD subtypes, only the T2DM subtype exhibited significant associations with increased risk of CKD (OR: 2.85, 95% CI: 2.24–3.63), as well as increased eGFR and UACR. Glycemic deterioration in MAFLD was dose-dependently associated with an increased risk of CKD ( P -trend < 0.001). Achieved metabolic goals in MAFLD decreased the risk of CKD, eGFR, and UACR; MAFLD with 2 or 3 achieved metabolic goals was not significantly associated with the risk of CKD (OR: 0.81, 95% CI: 0.59–1.12) and albuminuria. Conclusion MAFLD was independently associated with an increased risk of CKD, as well as increased eGFR and UACR. This association is strongly driven by T2DM status. Glycemic deterioration in MAFLD was dose-dependently associated with an increased risk of CKD. Achieved metabolic goals in MAFLD decreased the risk of CKD by reducing the risk of albuminuria
Albuminuria · Creatinine · Diabetes mellitus · Disease · Fatty liver · Glycemic · Insulin resistance · Kidney disease · Odds ratio · Renal function · Type 2 diabetes · Type 2 Diabetes Mellitus · Chronic Kidney Disease and Diabetes · Diabetes, Cardiovascular Risks, and Lipoproteins · Liver Disease Diagnosis and Treatment · Medicine · Endocrinology · Internal Medicine
| Citations per year | 0.5 |
|---|---|
| Citation span | 2024 - 2024 (1) |
| Highly cited | No |