Objectives. To assess the relationship between nonalcoholic fatty liver disease (NAFLD) and arterial stiffness according to metabolic syndrome(MetS) in non-diabetic, non-hypertensive individuals.
Methods. Hepatic ultrasound and brachial–ankle pulse wave velocity(baPWV) were investigated among 4,467 individuals (3,444 men, mean age 52±11.4 years) from Kangbuk Samsung Health Promotion Center between 2008 and 2009. The subjects were classified into normal PWV and increased PWV(≥1366cm/s) groups, and divided into 2 groups (non-NAFLD vs. NAFLD groups) and 3 groups (non-, mild, and moderate to severe NAFLD groups), respectively.
Results. The overall prevalence of NAFLD based on ultrasound findings was 37.3% and NAFLD group had higher level of baPWV (controls vs. NAFLD, 1363±210.3 cm/sec vs. 1388±235.9 cm/sec, p<0.001). In the multivariate regression analysis, NAFLD had an independent association with abnormal baPWV irrespective of multiple covariates (OR[95%CI] 1.24[1.05-1.46]); the analysis according to degree of NAFLD also showed similar results(1.21[1.02-1.43] in mild NAFLD, 1.62[1.12-2.36] in moderate to severe NAFLD). Subgroup analyses revealed that there was a significant association between NAFLD and baPWV only in individuals without MetS (1.27[1.07-1.51]). The multivariate linear regression models in total population and individuals without MetS also showed a significant association between NAFLD and absolute values of baPWV (standard β=0.03 p=0.043 in total population; standard β=0.041, p=0.008 in individuals without MetS).
Conclusions. Our results indicate that the presence and the degree of NAFLD are associated with arterial stiffness in non-hypertensive, non-diabetic individuals, especially in individuals without metabolic syndrome, suggesting that NAFLD could be a mediator of arterial stiffness, independent of MetS.
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