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The haemoglobin glycation index is associated with nonalcoholic fatty liver disease in healthy subjects

Objectives The hemoglobin glycation index (HGI) quantifies interindividual variations in glycated hemoglobin (HbA1c) and is associated with diabetic complications and metabolic diseases. However, information on the association between HGI and non‐alcoholic fatty liver disease (NAFLD) in healthy subj...

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Published in:Clinical endocrinology (Oxford) 2019-08, Vol.91 (2), p.271-277
Main Authors: Yoo, Jee Hee, Kang, Yu Mi, Cho, Yun Kyung, Lee, Jiwoo, Jung, Chang Hee, Park, Joong‐Yeol, Ryu, Ohk‐Hyun, Kim, Hong‐Kyu, Lee, Woo Je
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cited_by cdi_FETCH-LOGICAL-c3531-9072b495dc69fd71ca8b826db138ab9737163bc6344a9fff354cb0155e69d05d3
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container_title Clinical endocrinology (Oxford)
container_volume 91
creator Yoo, Jee Hee
Kang, Yu Mi
Cho, Yun Kyung
Lee, Jiwoo
Jung, Chang Hee
Park, Joong‐Yeol
Ryu, Ohk‐Hyun
Kim, Hong‐Kyu
Lee, Woo Je
description Objectives The hemoglobin glycation index (HGI) quantifies interindividual variations in glycated hemoglobin (HbA1c) and is associated with diabetic complications and metabolic diseases. However, information on the association between HGI and non‐alcoholic fatty liver disease (NAFLD) in healthy subjects is limited, particularly in Asian populations. This study aimed to investigate the association between HGI and NAFLD in a healthy Korean cohort. Design Subjects were stratified in quartiles according to their HGI level. NAFLD was diagnosed by hepatic ultrasonography, hepatic steatosis index and fatty liver index. Multiple logistic regression analysis was performed to evaluate the association between HGI quartiles and the risk of NAFLD. Patients Data from subjects without diabetes who underwent liver ultrasonography during routine health examinations were retrospectively reviewed. Results Data from 14 465 subjects were included in the analysis. The prevalence of NAFLD increased significantly with each HGI quartile (24.8%, 29.7%, 32.6% and 40.6% in quartiles 1‐4, respectively; P 
doi_str_mv 10.1111/cen.14001
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However, information on the association between HGI and non‐alcoholic fatty liver disease (NAFLD) in healthy subjects is limited, particularly in Asian populations. This study aimed to investigate the association between HGI and NAFLD in a healthy Korean cohort. Design Subjects were stratified in quartiles according to their HGI level. NAFLD was diagnosed by hepatic ultrasonography, hepatic steatosis index and fatty liver index. Multiple logistic regression analysis was performed to evaluate the association between HGI quartiles and the risk of NAFLD. Patients Data from subjects without diabetes who underwent liver ultrasonography during routine health examinations were retrospectively reviewed. Results Data from 14 465 subjects were included in the analysis. The prevalence of NAFLD increased significantly with each HGI quartile (24.8%, 29.7%, 32.6% and 40.6% in quartiles 1‐4, respectively; P &lt; 0.001). In comparison with the lowest HGI quartile group, the highest quartile exhibited worse metabolic parameters, including body weight, waist circumference, body mass index and lipid profiles. Multiple logistic regression analysis adjusted for multiple factors showed that the odds ratio of having NAFLD was 1.564 (95% CI: 1.350‐1.813, P &lt; 0.001) in the highest HGI quartile. Conclusions Elevated HGI levels are independently associated with NAFLD in a healthy Asian population.</description><identifier>ISSN: 0300-0664</identifier><identifier>EISSN: 1365-2265</identifier><identifier>DOI: 10.1111/cen.14001</identifier><identifier>PMID: 31046138</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>blood glucose ; Body mass index ; Body weight ; Diabetes mellitus ; Fatty liver ; glucose ; glycated haemoglobin A ; Glycosylation ; Hemoglobin ; Liver diseases ; Metabolic disorders ; Metabolism ; nonalcoholic fatty liver disease ; Population studies ; Regression analysis ; Steatosis ; Ultrasonic imaging ; Ultrasound</subject><ispartof>Clinical endocrinology (Oxford), 2019-08, Vol.91 (2), p.271-277</ispartof><rights>2019 John Wiley &amp; Sons Ltd</rights><rights>2019 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2019 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-9072b495dc69fd71ca8b826db138ab9737163bc6344a9fff354cb0155e69d05d3</citedby><cites>FETCH-LOGICAL-c3531-9072b495dc69fd71ca8b826db138ab9737163bc6344a9fff354cb0155e69d05d3</cites><orcidid>0000-0002-2536-6274</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31046138$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoo, Jee Hee</creatorcontrib><creatorcontrib>Kang, Yu Mi</creatorcontrib><creatorcontrib>Cho, Yun Kyung</creatorcontrib><creatorcontrib>Lee, Jiwoo</creatorcontrib><creatorcontrib>Jung, Chang Hee</creatorcontrib><creatorcontrib>Park, Joong‐Yeol</creatorcontrib><creatorcontrib>Ryu, Ohk‐Hyun</creatorcontrib><creatorcontrib>Kim, Hong‐Kyu</creatorcontrib><creatorcontrib>Lee, Woo Je</creatorcontrib><title>The haemoglobin glycation index is associated with nonalcoholic fatty liver disease in healthy subjects</title><title>Clinical endocrinology (Oxford)</title><addtitle>Clin Endocrinol (Oxf)</addtitle><description>Objectives The hemoglobin glycation index (HGI) quantifies interindividual variations in glycated hemoglobin (HbA1c) and is associated with diabetic complications and metabolic diseases. However, information on the association between HGI and non‐alcoholic fatty liver disease (NAFLD) in healthy subjects is limited, particularly in Asian populations. This study aimed to investigate the association between HGI and NAFLD in a healthy Korean cohort. Design Subjects were stratified in quartiles according to their HGI level. NAFLD was diagnosed by hepatic ultrasonography, hepatic steatosis index and fatty liver index. Multiple logistic regression analysis was performed to evaluate the association between HGI quartiles and the risk of NAFLD. Patients Data from subjects without diabetes who underwent liver ultrasonography during routine health examinations were retrospectively reviewed. Results Data from 14 465 subjects were included in the analysis. The prevalence of NAFLD increased significantly with each HGI quartile (24.8%, 29.7%, 32.6% and 40.6% in quartiles 1‐4, respectively; P &lt; 0.001). In comparison with the lowest HGI quartile group, the highest quartile exhibited worse metabolic parameters, including body weight, waist circumference, body mass index and lipid profiles. Multiple logistic regression analysis adjusted for multiple factors showed that the odds ratio of having NAFLD was 1.564 (95% CI: 1.350‐1.813, P &lt; 0.001) in the highest HGI quartile. Conclusions Elevated HGI levels are independently associated with NAFLD in a healthy Asian population.</description><subject>blood glucose</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Diabetes mellitus</subject><subject>Fatty liver</subject><subject>glucose</subject><subject>glycated haemoglobin A</subject><subject>Glycosylation</subject><subject>Hemoglobin</subject><subject>Liver diseases</subject><subject>Metabolic disorders</subject><subject>Metabolism</subject><subject>nonalcoholic fatty liver disease</subject><subject>Population studies</subject><subject>Regression analysis</subject><subject>Steatosis</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>0300-0664</issn><issn>1365-2265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kE1v1DAQQC0EokvhwB9AlrjAIe3Yjp34iFZtQargUs6RPyYbr7xxiZOW_Hu8bOGAhC9zefM0foS8ZXDByrt0OF6wGoA9IxsmlKw4V_I52YAAqECp-oy8ynkPALKF5iU5EwxqxUS7Ibu7Aelg8JB2Mdkw0l1cnZlDGmkYPf6kIVOTc3LBzOjpY5gHOqbRRJeGFIOjvZnnlcbwgBP1IaPJWDbpgCbOw0rzYvfo5vyavOhNzPjmaZ6T79dXd9vP1e23my_bT7eVE1KwSkPDba2ld0r3vmHOtLblyttyrLG6EQ1Twjol6trovu-FrJ0FJiUq7UF6cU4-nLz3U_qxYJ67Q8gOYzQjpiV3nLNWaw3AC_r-H3Sflql87UiVUBx4c6Q-nig3pZwn7Lv7KRzMtHYMumP9rtTvftcv7Lsn42IP6P-Sf3IX4PIEPIaI6_9N3fbq60n5C6B-jjA</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Yoo, Jee Hee</creator><creator>Kang, Yu Mi</creator><creator>Cho, Yun Kyung</creator><creator>Lee, Jiwoo</creator><creator>Jung, Chang Hee</creator><creator>Park, Joong‐Yeol</creator><creator>Ryu, Ohk‐Hyun</creator><creator>Kim, Hong‐Kyu</creator><creator>Lee, Woo Je</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2536-6274</orcidid></search><sort><creationdate>201908</creationdate><title>The haemoglobin glycation index is associated with nonalcoholic fatty liver disease in healthy subjects</title><author>Yoo, Jee Hee ; Kang, Yu Mi ; Cho, Yun Kyung ; Lee, Jiwoo ; Jung, Chang Hee ; Park, Joong‐Yeol ; Ryu, Ohk‐Hyun ; Kim, Hong‐Kyu ; Lee, Woo Je</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-9072b495dc69fd71ca8b826db138ab9737163bc6344a9fff354cb0155e69d05d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>blood glucose</topic><topic>Body mass index</topic><topic>Body weight</topic><topic>Diabetes mellitus</topic><topic>Fatty liver</topic><topic>glucose</topic><topic>glycated haemoglobin A</topic><topic>Glycosylation</topic><topic>Hemoglobin</topic><topic>Liver diseases</topic><topic>Metabolic disorders</topic><topic>Metabolism</topic><topic>nonalcoholic fatty liver disease</topic><topic>Population studies</topic><topic>Regression analysis</topic><topic>Steatosis</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoo, Jee Hee</creatorcontrib><creatorcontrib>Kang, Yu Mi</creatorcontrib><creatorcontrib>Cho, Yun Kyung</creatorcontrib><creatorcontrib>Lee, Jiwoo</creatorcontrib><creatorcontrib>Jung, Chang Hee</creatorcontrib><creatorcontrib>Park, Joong‐Yeol</creatorcontrib><creatorcontrib>Ryu, Ohk‐Hyun</creatorcontrib><creatorcontrib>Kim, Hong‐Kyu</creatorcontrib><creatorcontrib>Lee, Woo Je</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical endocrinology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoo, Jee Hee</au><au>Kang, Yu Mi</au><au>Cho, Yun Kyung</au><au>Lee, Jiwoo</au><au>Jung, Chang Hee</au><au>Park, Joong‐Yeol</au><au>Ryu, Ohk‐Hyun</au><au>Kim, Hong‐Kyu</au><au>Lee, Woo Je</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The haemoglobin glycation index is associated with nonalcoholic fatty liver disease in healthy subjects</atitle><jtitle>Clinical endocrinology (Oxford)</jtitle><addtitle>Clin Endocrinol (Oxf)</addtitle><date>2019-08</date><risdate>2019</risdate><volume>91</volume><issue>2</issue><spage>271</spage><epage>277</epage><pages>271-277</pages><issn>0300-0664</issn><eissn>1365-2265</eissn><abstract>Objectives The hemoglobin glycation index (HGI) quantifies interindividual variations in glycated hemoglobin (HbA1c) and is associated with diabetic complications and metabolic diseases. However, information on the association between HGI and non‐alcoholic fatty liver disease (NAFLD) in healthy subjects is limited, particularly in Asian populations. This study aimed to investigate the association between HGI and NAFLD in a healthy Korean cohort. Design Subjects were stratified in quartiles according to their HGI level. NAFLD was diagnosed by hepatic ultrasonography, hepatic steatosis index and fatty liver index. Multiple logistic regression analysis was performed to evaluate the association between HGI quartiles and the risk of NAFLD. Patients Data from subjects without diabetes who underwent liver ultrasonography during routine health examinations were retrospectively reviewed. Results Data from 14 465 subjects were included in the analysis. The prevalence of NAFLD increased significantly with each HGI quartile (24.8%, 29.7%, 32.6% and 40.6% in quartiles 1‐4, respectively; P &lt; 0.001). In comparison with the lowest HGI quartile group, the highest quartile exhibited worse metabolic parameters, including body weight, waist circumference, body mass index and lipid profiles. Multiple logistic regression analysis adjusted for multiple factors showed that the odds ratio of having NAFLD was 1.564 (95% CI: 1.350‐1.813, P &lt; 0.001) in the highest HGI quartile. Conclusions Elevated HGI levels are independently associated with NAFLD in a healthy Asian population.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31046138</pmid><doi>10.1111/cen.14001</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2536-6274</orcidid></addata></record>
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subjects blood glucose
Body mass index
Body weight
Diabetes mellitus
Fatty liver
glucose
glycated haemoglobin A
Glycosylation
Hemoglobin
Liver diseases
Metabolic disorders
Metabolism
nonalcoholic fatty liver disease
Population studies
Regression analysis
Steatosis
Ultrasonic imaging
Ultrasound
title The haemoglobin glycation index is associated with nonalcoholic fatty liver disease in healthy subjects
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