Fatty Liver & Diabetes Statistics in Korea: Nationwide Data 2009 to 2017open access
- Authors
- Han, Eugene; Han, Kyung-Do; Lee, Yong-Ho; Kim, Kyung-Soo; Hong, Sangmo; Park, Jung Hwan; Park, Cheol-Young
- Issue Date
- May-2023
- Publisher
- KOREAN DIABETES ASSOC
- Keywords
- Comorbidity; Diabetes mellitus, type 2; Epidemiology; Fatty liver; Non-alcoholic fatty liver disease
- Citation
- DIABETES&METABOLISM JOURNAL, v.47, no.3, pp.347 - 355
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- DIABETES&METABOLISM JOURNAL
- Volume
- 47
- Number
- 3
- Start Page
- 347
- End Page
- 355
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/191687
- DOI
- 10.4093/dmj.2022.0444
- ISSN
- 2233-6079
- Abstract
- Background: This study investigated the changes of fatty liver disease prevalence in general Korean population.
Methods: This study analyzed data from the Korean National Health Insurance Service from 2009 to 2017 that included individuals aged 20 years or older who had undergone a medical health examination. Fatty liver disease was assessed using the fatty liver index (FLI). The disease severity was defined by FLI cutoff, ≥30 as moderate, and ≥60 as severe fatty liver disease.
Results: The prevalence of Korean adults aged 20 years or over with fatty liver disease (FLI ≥60) increased from 13.3% in 2009 to 15.5% in 2017 (P for trend <0.001). The increase in fatty liver disease prevalence was prominent in men (from 20.5% to 24.2%) and the young age (20 to 39 years) group (from 12.8% to 16.4%) (P for interaction <0.001). The prevalence of fatty liver disease was the highest in type 2 diabetes mellitus (T2DM, 29.6%) population compared to that of prediabetes or normoglycemia (10.0% and 21.8%) in 2017. The prevalence of fatty liver disease had statistically increased in individuals with T2DM and prediabetes (P for trend <0.001). Its prevalence increased more steeply in the young-aged population with T2DM, from 42.2% in 2009 to 60.1% in 2017. When applying a lower FLI cutoff (≥30) similar results were observed.
Conclusion: The prevalence of fatty liver disease in the Korean population has increased. Individuals who are young, male, and have T2DM are vulnerable to fatty liver disease.
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