Fatty liver index is a predictor of incident diabetes in patients with prediabetes

We evaluated the ability of the Fatty Liver Index (FLI), a surrogate marker of hepatic steatosis, to predict the development of type 2 diabetes (T2D) at 3 years follow-up in a Spanish cohort with prediabetes from a prospective observational study in primary care (PREDAPS). FLI was calculated at base...

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Detalles Bibliográficos
Autores: Franch-Nadal, Josep|||0000-0002-5175-1555, Caballería, Llorenç|||0000-0002-7990-0719, Mata-Cases, Manel|||0000-0003-3693-3622, Mauricio, Didac|||0000-0002-2868-0250, Giraldez-García, Carolina, Mancera, José, Goday Arnó, Albert|||0000-0001-7356-1595, Mundet-Tudurí, Xavier|||0000-0002-0318-8657, Regidor, Enrique
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:253543
Acceso en línea:https://ddd.uab.cat/record/253543
https://dx.doi.org/urn:doi:10.1371/journal.pone.0198327
Access Level:acceso abierto
Descripción
Sumario:We evaluated the ability of the Fatty Liver Index (FLI), a surrogate marker of hepatic steatosis, to predict the development of type 2 diabetes (T2D) at 3 years follow-up in a Spanish cohort with prediabetes from a prospective observational study in primary care (PREDAPS). FLI was calculated at baseline for 1,142 adult subjects with prediabetes attending primary care centers, and classified into three categories: FLI <30 (no steatosis), FLI 30-60 (intermediate) and FLI ≥60 (hepatic steatosis). We estimated the incidence rate of T2D in each FLI category at 3 years of follow-up. The association between FLI and incident T2D was calculated using Cox regression models adjusted for age, sex, educational level, family history of diabetes, lifestyles, hypertension, lipid profile and transaminases. The proportion of subjects with prediabetes and hepatic steatosis (FLI ≥60) at baseline was 55.7%. The incidence rate of T2D at 3 years follow-up was 1.3, 2.9 and 6.0 per 100 person-years for FLI<30, FLI 30-.