Nonalcoholic Fatty Liver Disease and Abdominal Fat Accumulation According to Vitamin D Status in Patients with Type 2 Diabetes
- Authors
- Choi, Dug-Hyun; Jung, Chan-Hee; Mok, Ji-Oh; Kim, Chul-Hee; Kang, Sung Koo; Kim, Bo-Yeon
- Issue Date
- Mar-2018
- Publisher
- 대한비만학회
- Keywords
- Non-alcoholic fatty liver disease; Vitamin D; Type 2 diabetes mellitus
- Citation
- Journal of Obesity & Metabolic Syndrome, v.27, no.1, pp 53 - 60
- Pages
- 8
- Journal Title
- Journal of Obesity & Metabolic Syndrome
- Volume
- 27
- Number
- 1
- Start Page
- 53
- End Page
- 60
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/6191
- DOI
- 10.7570/jomes.2018.27.1.53
- ISSN
- 2508-6235
2508-7576
- Abstract
- Background: Vitamin D deficiency is known to increase the incidence of metabolic syndrome. Nonalcoholic fatty liver disease is a common metabolic disease in patients with type 2 diabetes. This study evaluated nonalcoholic fatty liver disease and abdominal fat accumulation according to 25-hydroxyvitamin D status in patients with type 2 diabetes. Methods: The study comprised 302 patients with type 2 diabetes. Patients were divided into three groups based upon their 25-hydroxyvitamin D status: vitamin D deficient group (< 10 ng/mL), vitamin D insufficient group (>= 10 to < 20 ng/mL) and vitamin D sufficient group (>= 20 ng/mL). Patient clinical and laboratory markers were evaluated retrospectively. Results: Visceral fat thickness was significantly higher in the vitamin D deficient group. There were no differences in glycemic control, body mass index, and subcutaneous fat thickness correlated with 25-hydroxyvitamin D status. The prevalence of nonalcoholic fatty liver disease was significantly higher in the vitamin D deficient group compared to the vitamin D sufficient and vitamin D insufficient groups. In multivariate logistic analysis, after adjustment for age, sex, body mass index, glycated hemoglobin and homeostasis model assessment of insulin resistance, patients with type 2 diabetes in the vitamin D sufficient group showed significantly lower odds ratio for nonalcoholic fatty liver disease than those within the vitamin D deficient group. Conclusion: In type 2 diabetes, the vitamin D deficient group showed thicker visceral fat thickness and higher nonalcoholic fatty liver disease prevalence.
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Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
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