PMID- 37577041 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230815 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 16 DP - 2023 TI - Non-Traditional Blood Lipid Indices for Metabolism Dysfunction-Associated Fatty Liver Disease Prediction in Non-Obese Type 2 Diabetes Mellitus. PG - 2345-2354 LID - 10.2147/DMSO.S418020 [doi] AB - OBJECTIVE: This study aims to investigate the predictive value of non-traditional blood lipid indices for metabolism dysfunction-associated fatty liver disease (MAFLD) in non-overweight/obese patients with type 2 diabetes mellitus (T2DM). METHODS: A retrospective observational study was conducted, including non-overweight/obese patients with T2DM who visited the Fourth Hospital of Hebei Medical University between August 2018 and August 2022. The low-density lipoprotein cholesterol (LDL-C)/high-density lipoprotein cholesterol (HDL-C) ratio, the triacylglycerol-glucose index (TyG) multiplied by body mass index (BMI), and TyG/HDL-C ratio were calculated. RESULTS: The study involved 190 participants, of whom 34 were diagnosed with MAFLD (24 males and 10 females), while 156 did not have MAFLD (64 males and 92 females). Multivariable analysis revealed that aspartate transaminase (AST) (OR=1.216, 95% CI: 1.059-1.374, P=0.006), blood uric acid (BUA) (OR=1.017, 95% CI: 1.002-1.032, P=0.022), TyG*BMI (OR=1.231, 95% CI: 1.051-1.442, P=0.010), and TyG/HDL-C (OR=3.162, 95% CI: 1.228-8.141, P=0.017) were independently associated with MAFLD. The TyG*BMI index exhibited an area under the ROC curve (AUC) of 0.812, with 91.2% sensitivity and 69.2% specificity for MAFLD. The TyG/HDL-C index had an AUC of 0.929, with 85.3% sensitivity and 88.5% specificity for MAFLD. CONCLUSION: The results indicate that TyG*BMI and TyG/HDL-C are independently associated with MAFLD in non-overweight/obese patients with T2DM. CI - (c) 2023 Gao et al. FAU - Gao, Qian AU - Gao Q AUID- ORCID: 0000-0002-9800-4805 AD - Department of Endocrine and Metabolic Diseases, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China. FAU - Feng, Lei AU - Feng L AD - Department of Endocrine and Metabolic Diseases, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China. FAU - Zhou, Weiling AU - Zhou W AUID- ORCID: 0000-0003-0434-8939 AD - Department of Endocrine and Metabolic Diseases, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China. FAU - Li, Xiaoli AU - Li X AUID- ORCID: 0000-0003-4783-0848 AD - Department of Endocrine and Metabolic Diseases, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China. FAU - Yin, Lanzi AU - Yin L AUID- ORCID: 0000-0002-1120-555X AD - Department of Endocrine and Metabolic Diseases, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China. FAU - Wang, Yuan AU - Wang Y AD - Department of Endocrine and Metabolic Diseases, The Fourth Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China. LA - eng PT - Journal Article DEP - 20230807 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC10416783 OTO - NOTNLM OT - HDL-C OT - LDL-C OT - TyG OT - body mass index OT - cholesterol OT - metabolism dysfunction-associated fatty liver disease OT - obesity OT - type 2 diabetes mellitus COIS- The authors declare that they have no competing interests in this work. EDAT- 2023/08/14 06:42 MHDA- 2023/08/14 06:43 PMCR- 2023/08/07 CRDT- 2023/08/14 04:52 PHST- 2023/04/20 00:00 [received] PHST- 2023/07/30 00:00 [accepted] PHST- 2023/08/14 06:43 [medline] PHST- 2023/08/14 06:42 [pubmed] PHST- 2023/08/14 04:52 [entrez] PHST- 2023/08/07 00:00 [pmc-release] AID - 418020 [pii] AID - 10.2147/DMSO.S418020 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2023 Aug 7;16:2345-2354. doi: 10.2147/DMSO.S418020. eCollection 2023.