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Arch Iran Med. 2024;27(5): 248-254.
doi: 10.34172/aim.2024.36
  Abstract View: 214
  PDF Download: 155

Original Article

Genetic and Lifestyle Risk Factors of Metabolic Dysfunction-Associated Fatty Liver Disease and Its Relationship with Premature Coronary Artery Disease: A Study on the Pars Cohort

Amir Anushiravani 1 ORCID logo, Maryam rayatpisheh 1 ORCID logo, Amir Kasaeian 2,3,4* ORCID logo, Iman Menbari Oskouie 5,6,7* ORCID logo

1 Digestive Diseases Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
2 Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
3 Research Center for Chronic Inflammatory Diseases, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
4 Clinical Research Development Unit, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
5 Pediatric Urology and Regenerative Medicine Research Center, Gene, Cell & Tissue Research Institute, Tehran University of Medical Sciences, Tehran, Iran
6 Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran
7 Center for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Authors: Amir Kasaeian, Email: akasaeian@sina.tums.ac.ir, Email: amir_kasaeian@yahoo.com; Iman Menbari Oskouie, Email: imanmenbary@gmail.com

Abstract

Background: The main objective of this study is to identify the risk factors of metabolic dysfunction-associated fatty liver disease (MAFLD) in coronary artery disease (CAD) patients.

Methods: The present retrospective cohort study is part of the Pars Cohort Study (PCS). The participants were categorized as having MAFLD or not. The pattern of independent variables in patients was compared with those who did not have MAFLD. All variables were retained in the multivariable logistic regression model.

Results: Totally, 1862 participants with CAD were enrolled in this study. MAFLD was diagnosed in 647 (40.1%) participants. Gender, diabetes, hypertension, tobacco, opium, alcohol, age, weight, waist circumference, cholesterol, HDL, triglyceride, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) were significantly different in MAFLD and non-MAFLD patients. Also, the results of multivariable logistic regression show male gender (OR=0.651, 95% CI: 0.470‒0.902, P value=0.01) and opium consumption (OR=0.563, 95% CI: 0.328‒0.968, P value<0.001) to be negative risk factors of MAFLD occurrence in CAD patients. Having diabetes (OR=2.414, 95% CI: 1.740-3.349, P value<0.001), high waist circumference (OR=1.078, 95% CI: 1.055‒1.102, P value<0.01), high triglyceride (OR=1.005, 95% CI: 1.001‒1.008, P value=0.006), and high ALT (OR=1.039, 95% CI: 1.026‒1.051, P value<0.01) were positive risk factors of MAFLD in CAD patients.

Conclusion: Our study found that consuming opium decreases the likelihood of MAFLD in CAD patients, since these patients have decreased appetite and lower body mass index (BMI). On the other hand, female gender, having diabetes, high waist circumference, high triglyceride levels, and high ALT levels increase the probability of MAFLD in CAD patients.


Cite this article as: Anushiravani A, Rayatpisheh M, Kasaeian A, Menbari Oskouie I. Genetic and lifestyle risk factors of metabolic dysfunction-associated fatty liver disease and its relationship with premature coronary artery disease: a study on the Pars Cohort. Arch Iran Med. 2024;27(5):248-254. doi: 10.34172/aim.2024.36
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Submitted: 04 Feb 2024
Accepted: 16 Mar 2024
ePublished: 01 May 2024
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