Atherogenic index of plasma is a novel and strong predictor associated with fatty liver: a cross-sectional study in the Chinese Han population

Lipids Health Dis. 2019 Sep 12;18(1):170. doi: 10.1186/s12944-019-1112-6.

Abstract

Background: Atherogenic index of plasma (AIP) has been reported to be an important predictor for coronary artery disease and obesity. However, few studies has yet systematically evaluated the association between AIP and Fatty Liver (FL) and its advantage in FL prediction compared with BMI, waist, SBP, DBP, BG, ALT and AST.

Methods: A total of 7838 participants aged from 19 to 93 years were included in this study. Height, weight, waist, SBP, DBP, BG, ALT and AST were measured. Difference analyses, odds ratio calculation, logistic and predictive analyses were used to evaluate the association and discrimination ability between AIP, BMI, waist, SBP, DBP, BG, ALT, AST and FL.

Results: Compared with non-FL, AIP in FL people showed a significant increase. Subjects in the higher quartiles of AIP had a significantly increased risk of fatty liver compared with those in the lowest quartile (P < 0.01) after adjustment of gender and age. ORs were grown faster in female and youth group. AIP contributed most in the logistic eq. (B = 2.64, P < 0.01) and showed high ability in risk prediction for FL (AUC = 0.810, P < 0.01).

Conclusions: AIP might be a novel and strong predictor associated with FL in Chinese Han population. Higher AIP level was positively and strongly associated with FL.

Keywords: Atherogenic index of plasma; Fatty liver; Predictor.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Alanine Transaminase / blood
  • Asian People
  • Aspartate Aminotransferases / blood
  • Atherosclerosis / blood
  • Atherosclerosis / diagnosis*
  • Atherosclerosis / ethnology
  • Atherosclerosis / pathology
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Blood Pressure
  • Body Mass Index
  • Cholesterol, HDL / blood*
  • Cross-Sectional Studies
  • Diastole
  • Fatty Liver / blood
  • Fatty Liver / diagnosis*
  • Fatty Liver / ethnology
  • Fatty Liver / pathology
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Odds Ratio
  • Prognosis
  • Sex Factors
  • Systole
  • Triglycerides / blood*
  • Waist Circumference

Substances

  • Biomarkers
  • Blood Glucose
  • Cholesterol, HDL
  • Triglycerides
  • Aspartate Aminotransferases
  • Alanine Transaminase