PMID- 38222031 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240116 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 17 DP - 2024 TI - Association of Uric Acid to Creatinine Ratio with Metabolic Dysfunction-Associated Fatty Liver in Non-Obese Individuals Without Type 2 Diabetes Mellitus. PG - 131-142 LID - 10.2147/DMSO.S445916 [doi] AB - INTRODUCTION: Metabolic dysfunction-associated fatty liver disease (MAFLD) is the most common chronic liver disease, which is usually associated with type 2 diabetes mellitus (T(2)DM) and obesity. However, the incidence of MALFD in non-obese individuals without T(2)DM is increasing, and the pathogenesis is unclear. Serum uric acid to creatinine ratio (sUA/Cr) can reflect overall metabolic status. This study aims to observe the association between sUA/Cr and MAFLD in non-obese individuals without T(2)DM. METHODS: A total of 21,996 individuals were included in this study. The subjects were divided into four subgroups: non-obese patients without T(2)DM, obese patients without T(2)DM, non-obese patients with T(2)DM, and obese patients with T(2)DM. Logistic regression analyzed the correlation between sUA/Cr and MAFLD subgroups. Receiver operating characteristics analyzed the predictive value of sUA/Cr for MAFLD subgroups. The stratified analyses by sex and age were performed. RESULTS: Non-obese MAFLD individuals without T(2)DM had higher sUA/Cr levels than their counterparts. sUA/Cr was significantly correlated positively with MAFLD in non-obese patients. Similar results were observed in both males and females and in populations at all age stages (all p<0.01). sUA/Cr was capable of discriminating MAFLD in non-obese individuals without T(2)DM (AUC: 0.667), especially for patients over 60 years old (AUC: 0.704). CONCLUSION: The sUA/Cr ratio was correlated with MAFLD in non-obese patients without T(2)DM. The predictive value of sUA/Cr for MAFLD was observed. Hence, the sUA/Cr ratio might be given more concern for the risk of MAFLD in non-obese individuals without T(2)DM. CI - (c) 2024 Liu et al. FAU - Liu, Jing AU - Liu J AD - China-Japan Friendship Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People's Republic of China. FAU - Wang, Che AU - Wang C AUID- ORCID: 0000-0003-4502-3620 AD - School of Qi Huang, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Wang, Yutong AU - Wang Y AUID- ORCID: 0000-0002-5819-3787 AD - School of Qi Huang, Beijing University of Chinese Medicine, Beijing, People's Republic of China. FAU - Yao, Shukun AU - Yao S AUID- ORCID: 0000-0002-8512-2589 AD - Department of Gastroenterology, China-Japan Friendship Hospital, Beijing, People's Republic of China. LA - eng PT - Journal Article DEP - 20240108 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC10786728 OTO - NOTNLM OT - creatinine OT - metabolic dysfunction-associated fatty liver disease OT - non-obesity OT - type 2 diabetes mellitus OT - uric acid COIS- The authors have no relevant financial or non-financial interests to disclose. EDAT- 2024/01/15 06:42 MHDA- 2024/01/15 06:43 PMCR- 2024/01/08 CRDT- 2024/01/15 04:27 PHST- 2023/10/21 00:00 [received] PHST- 2023/12/28 00:00 [accepted] PHST- 2024/01/15 06:43 [medline] PHST- 2024/01/15 06:42 [pubmed] PHST- 2024/01/15 04:27 [entrez] PHST- 2024/01/08 00:00 [pmc-release] AID - 445916 [pii] AID - 10.2147/DMSO.S445916 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2024 Jan 8;17:131-142. doi: 10.2147/DMSO.S445916. eCollection 2024.