Prevalences of Hypertension, Type 2 Diabetes Mellitus, and Cardiovascular Disease in a Cohort of Puerto Ricans with Non-alcoholic Fatty Liver Disease.

Puerto Rico health sciences journal Pub Date : 2024-03-01
Adriel González-Rivera, Valerie M Vargas-Figueroa, Emmanuel Candal-Rivera, Esther A Torres
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Abstract

Background & objectives: Patients with non-alcoholic fatty liver disease (NAFLD) have high prevalences of hypertension (HTN), type 2 diabetes mellitus (T2DM), and cardiovascular disease (CVD), and vice versa. The mechanism of this development is unknown but appears to be related to an underlying metabolic derangement that affects multiple organs. This study aimed to determine the prevalences of these conditions in patients with diagnosed NAFLD.

Methods: Our cohort study aimed to determine the prevalences of HTN, T2DM, and CVD in NAFLD patients registered in the liver database of the University of Puerto Rico School of Medicine; this information is recorded in their medical records. Patients whose liver disease had a different etiology were excluded. The study was approved by the UPR Medical Sciences Campus Institutional Review Board.

Results: Our final sample consisted of 141 NAFLD patients; 64.5% (n = 91) of them were females. The average age was 69 (±10.2 years). The prevalences of HTN, T2DM, and CVD were 53.9%, 57.5%, and 7.8%, respectively. In patients with NAFLD, there was a significant association between T2DM and being 65 years old or older (P < 0.001).

Conclusion: Our data indicate that HTN and T2DM are highly prevalent in NAFLD patients in PR; however, CVD prevalence was lower than expected. Additional, studies are required to further define the associations. We recommend metabolic condition screening for all NAFLD patients.

波多黎各非酒精性脂肪肝患者队列中高血压、2 型糖尿病和心血管疾病的患病率。
背景与目标:非酒精性脂肪肝(NAFLD)患者高血压(HTN)、2 型糖尿病(T2DM)和心血管疾病(CVD)的发病率很高,反之亦然。这种发病机制尚不清楚,但似乎与影响多个器官的潜在代谢紊乱有关。本研究旨在确定非酒精性脂肪肝患者中这些疾病的发病率:我们的队列研究旨在确定波多黎各大学医学院肝脏数据库中登记的非酒精性脂肪肝患者中高血压、T2DM 和心血管疾病的患病率;这些信息记录在他们的病历中。排除了肝病病因不同的患者。研究获得了波多黎各大学医学科学校区机构审查委员会的批准:最终样本包括 141 名非酒精性脂肪肝患者,其中 64.5%(n = 91)为女性。平均年龄为 69 岁(±10.2 岁)。高血压、T2DM 和心血管疾病的患病率分别为 53.9%、57.5% 和 7.8%。在非酒精性脂肪肝患者中,T2DM 与 65 岁或以上有显著关联(P < 0.001):我们的数据表明,在 PR 的非酒精性脂肪肝患者中,高血压和 T2DM 的发病率很高;但心血管疾病的发病率低于预期。需要进行更多的研究,以进一步明确两者之间的关联。我们建议对所有非酒精性脂肪肝患者进行代谢状况筛查。
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