PMID- 33725855 OWN - NLM STAT- MEDLINE DCOM- 20210329 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 100 IP - 10 DP - 2021 Mar 12 TI - Prevalence and risk factor analysis for the nonalcoholic fatty liver disease in patients with type 2 diabetes mellitus. PG - e24940 LID - 10.1097/MD.0000000000024940 [doi] LID - e24940 AB - Although non-alcoholic fatty liver disease (NAFLD) is strongly associated with type 2 diabetes mellitus (T2DM), the diagnosis of NAFLD for T2DM patients remains a challenge.This study aimed to investigate the prevalence and risk factors for the NAFLD in T2DM outpatients.This is a retrospective, cross-sectional study that included 2405 T2DM patients treated and admitted for glucose control into the Endocrinology Department of our hospital from April 2017 to March 2019. Using strict exclusion criteria, the target patients were screened and divided into two groups: NAFLD patients (study group) and non-NAFLD patients (control group). Subsequently, 34 factors were compared between the two groups. Furthermore, multivariate analysis of the NAFLD risk factors was performed using logistic regression. Finally, the diagnostic significance of individual biochemical predictors, as well as the combined predictive indicator (CPI), for NAFLD was estimated using receiver operating characteristic (ROC) curve analysis.In this study, the overall prevalence of NAFLD in T2DM patients was 58.67%. Of the target patients, 17 factors were identified by univariate analysis to be associated with NAFLD, and 8 factors were found to be significant predictors for NAFLD using binary logistic regression modeling. Furthermore, the CPI and C-Peptide represent high diagnostic value for NAFLD in T2DM patients.This study provides a more comprehensive risk factor analysis for NAFLD in T2DM patients. These data can be used to provide timely diagnosis and effective management of NAFLD. CI - Copyright (c) 2021 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Zhou, Qiumei AU - Zhou Q AD - Experimental Center of Clinical Research, The First Affiliated Hospital of Anhui University of Chinese Medicine. FAU - Wang, Yulong AU - Wang Y AD - Anhui Provincial Key Laboratory of Microbial Pest Control, Anhui Agricultural University. FAU - Wang, Jiajia AU - Wang J AD - Department of Ultrasonic Medicine. FAU - Liu, Yating AU - Liu Y AD - Department of Laboratory Medicine, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei. FAU - Qi, Dehui AU - Qi D AD - Zhengzhou Antu Biological Engineering Co. LTD. FAU - Yao, Wei AU - Yao W AD - Experimental Center of Clinical Research, The First Affiliated Hospital of Anhui University of Chinese Medicine. FAU - Jiang, Hui AU - Jiang H AD - Experimental Center of Clinical Research, The First Affiliated Hospital of Anhui University of Chinese Medicine. FAU - Li, Tingting AU - Li T AD - Department of Laboratory Medicine, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei. FAU - Huang, Kaiquan AU - Huang K AD - Experimental Center of Clinical Research, The First Affiliated Hospital of Anhui University of Chinese Medicine. FAU - Zhang, Wancun AU - Zhang W AD - Department of Pediatric Oncology Surgery, Henan Provincial Key Laboratory of Children's Genetics and Metabolic Diseases, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China. FAU - Huo, Xingxing AU - Huo X AUID- ORCID: 0000-0002-9506-1361 AD - Experimental Center of Clinical Research, The First Affiliated Hospital of Anhui University of Chinese Medicine. LA - eng GR - 1808085QH250/Natural Science Foundation of Anhui Province/ GR - 202102310068/Scientific and technological projects of Henan Province/ PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R SB - IM MH - Adult MH - Aged MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications MH - Female MH - Humans MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/diagnosis/*epidemiology/etiology MH - Prevalence MH - Retrospective Studies MH - Risk Assessment/statistics & numerical data MH - Risk Factors PMC - PMC7969325 COIS- The authors have no conflict of interest to disclose. EDAT- 2021/03/18 06:00 MHDA- 2021/03/30 06:00 PMCR- 2021/03/12 CRDT- 2021/03/17 01:08 PHST- 2020/08/12 00:00 [received] PHST- 2020/11/30 00:00 [accepted] PHST- 2021/03/17 01:08 [entrez] PHST- 2021/03/18 06:00 [pubmed] PHST- 2021/03/30 06:00 [medline] PHST- 2021/03/12 00:00 [pmc-release] AID - 00005792-202103120-00049 [pii] AID - MD-D-20-07609 [pii] AID - 10.1097/MD.0000000000024940 [doi] PST - ppublish SO - Medicine (Baltimore). 2021 Mar 12;100(10):e24940. doi: 10.1097/MD.0000000000024940.