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Table1 Baseline characteristics and outcome incidences in all 400 patients evaluated and in those divided according to higher and lower liver stiffness measurement (LSM, indicative of liver fibrosis) and controlled attenuation parameter (CAP, indicative of liver steatosis) on transient elastography (TE) examination

From: Prognostic impact of liver fibrosis and steatosis by transient elastography for cardiovascular and mortality outcomes in individuals with nonalcoholic fatty liver disease and type 2 diabetes: the Rio de Janeiro Cohort Study

Characteristics

All patients

(n = 400)

Patients with LSM ≤ 9.6 kPa

(n = 341)

Patients with LSM > 9.6 kPa

(n = 59)

Patients with CAP ≤ 296 dB/m

(n = 237)

Patients with CAP > 296 dB/m

(n = 163)

Age (years)

64.4 (9.9)

64.7 (9.9)

62.6 (10.0)

65.5 (10.2)

62.9 (9.4)‡

Male sex, %

36.0

35.2

40.7

35.6

38.6

BMI (kg/m2)

30.4 (5.4)

29.9 (5.2)

32.9 (6.2)*

28.7 (5.1)

32.3 (5.1)*

Waist circumference (cm)

104 (12)

103 (11)

112 (12)*

100 (11)

109 (11)*

Smoking, current/past, %

43.0

43.4

40.7

41.9

45.1

Diabetes duration (years)

8 (3–15)

7 (2–15)

10 (3–13.5)

8 (2–15)

7.5 (3–14)

Dyslipidemia,a %

94.3

94.1

94.9

93.5

95.2

Statin use, %

77.8

78.6

72.9

79.1

73.2

Arterial hypertension, %

84.8

84.8

84.7

81.5

88.9

Antihypertensive treatment

     

 ACEi/ARBs, %

79.8

79.1

84.2

78.3

82.0

 Diuretics, %

59.1

57.8

66.7

57.5

62.0

 Calcium channel

blockers, %

28.3

28.3

28.1

24.8

33.3

 Systolic BP (mmHg)

138 (17)

138 (17)

137 (17)

138 (18)

138 (16)

 Diastolic BP (mmHg)

77 (10)

77 (10)

78 (10)

77 (10)

78 (10)

 Cardiovascular diseases, %

26.8

26.4

28.8

25.6

27.5

 Microvascular complications, %

49.0

48.3

52.7

49.1

48.3

Diabetes treatment, %

     

 Metformin

89.9

89.1

94.7

87.6

92.7

 Sulfonylureas

43.9

43.4

47.4

45.1

42.0

 Insulin

46.3

45.7

49.2

44.2

49.0

 Other antidiabetic drugsb

6.2

5.3

10.2

5.9

6.8

 Aspirin

88.0

88.3

86.4

85.5

90.8

Laboratory parameters

     

 Fasting glucose (mmol/l)

7.8 (3.1)

7.8 (3.0)

8.2 (3.7)

7.6 (3.1)

8.2 (3.1)

HbA1c (%)

7.8 (1.5)

7.8 (1.5)

7.8 (1.6)

7.6 (1.5)

8.0 (1.5)‡

(mmol/mol)

61.7 (10.5)

61.7 (10.5)

61.7 (11.6)

59.6 (10.5)

63.9 (10.5)‡

 Triacylglycerol (mmol/l)

1.4 (1.0–2.0)

1.4 (1.1–1.9)

1.5 (1.0–2.3)

1.3 (0.9–1.7)

1.7 (1.2–2.3)*

 HDL-cholesterol (mmol/l)

1.2 (0.3)

1.2 (0.3)

1.1 (0.3)‡

1.2 (0.3)

1.1 (0.3)*

 LDL-cholesterol (mmol/l)

2.4 (0.8)

2.5 (0.8)

2.1 (0.8)†

2.4 (0.8)

2.4 (0.8)

 TE parameters

     

 LSM (kPa)

7.3 (5.9)

5.6 (1.8)

17.3 (10.2)*

6.6 (6.2)

8.5 (5.4)*

 CAP (dB/m)

279 (59)

274 (59)

306 (55)*

241 (41)

336 (27) *

Outcomes incidence, absolute number (incidence rate per 1000 person-years of follow-up)

 Total CVEs

69 (32.7)

53 (29.4)

16 (52.1)‡

47 (40.8)

22 (26.3)

 MACEs

50 (23.6)

37 (20.4)

13 (42.3)‡

35 (30.1)

15 (18.0)

 All-cause mortality

85 (39.5)

70 (38.2)

15 (46.8)

60 (51.2)

25 (29.2)†

 CV mortality

40 (18.6)

31 (16.9)

8 (25.0)

30 (25.6)

10 (11.7)‡

 Non-CV mortality

45 (20.9)

38 (20.7)

7 (21.9)

30 (25.6)

15 (17.5)

  1. LSM liver stiffness measurement, CAP controlled attenuation parameter, BMI body mass index, ACEi angiotensin-converting enzyme inhibitor, ARBs angiotensin II receptor blockers, HbA1c glycated hemoglobin, CVEs cardiovascular events, MACEs major adverse cardiovascular events, CV cardiovascular
  2. aDyslipidemia was defined by a serum total cholesterol > 5.2 mmol/l, or LDL-cholesterol > 3.4 mmol/l, or HDL-cholesterol < 1.3 mmol/l in women or < 1.0 mmol/l in men, or triglycerides > 1.7 mmol/l, or by using any lipid-lowering medication
  3. b25 patients were using other antidiabetic medications: 17 were using DPP-4 inhibitors and 10 were using thiazolidinediones (2 were using both), none were using GLP-1 agonists or SGLT-2 inhibitors
  4. Values are means (SDs) or proportions, except for diabetes duration and serum triacylglycerol, which are medians (interquartile range). *p < 0.001; †p < 0.01; ‡p < 0.05; for bivariate comparisons between subgroups with higher and lower LSM and CAP