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Table 2 Clinical characteristics according to level of fibrosis based on the Enhanced Liver Fibrosis (ELF™) test

From: Association between hepatic steatosis and fibrosis with measures of insulin sensitivity in patients with severe obesity and type 2 diabetes - a cross-sectional study

 

None to Mild

Moderate

Severe

P-value

ELF-score < 7.7

ELF-score ≥ 7.7 to ≤ 9.8

ELF score > 9.8

N (%)

14 (14)

78 (80)

6 (6)

 

ELF-score

7.28 (0.39)

8.52 (0.54)

10.41 (0.67)

na

Age, years

39.8 (8.3)

48.4 (9.2)

54.3 (12.0)

0.002

Gender, female (%)

14 (100%)

46 (59%)

4 (67%)

0.012

Metabolic syndrome, n (%)

14 (100%)

76 (97%)

6 (100%)

0.77

White ethnicity, n (%)

14 (100%)

75 (96%)

6 (100%)

0.672

Alcohol consumption, units a week

0.3 (0.8)

1.1 (1.5)

0.9 (0.9)

0.155

Antropometrics

 BMI, kg/m2

43.3 (5.3)

41.3 (4.5)

44.5 (9.7)

0.15

 FFM, kg

58.9 (6.4)

67.7 (14.4)

67.7 (17.0)

0.088

 FM, kg

61.1 (11.6)

57.6 (11.4)

62.5 (22.4)

0.432

 Waist circumference, cm

122.7 (11.8)

127.8 (10.6)

133.7 (18.8)

0.122

Glucose homeostasis

 HbA1c, mmol/mol

70.6 (18.8)

65.5 (19.3)

64.0 (15.4)

0.627

 Fasting insulin, pmol/L

160 (92)

206 (143)

136 (75)

0.276

 Fasting C-peptide, pmol/L

1313 (472)

1658 (475)

1370 (655)

0.04

 HOMA2S, %

24.7 (12.9)

23.4 (11.2)

30.6 (16.7)

0.478

 Matsuda ISI

1.83 (1.17)

1.55 (0.79)

2.42 (2.07)

0.134

 MinMod SI, (mu/l)−1 x min−1

1.03 (0.65)

0.85 (0.93)

0.85 (1.15)

0.864

 Diabetes duration, years

5.6 (7.2)

6.5 (5.5)

13.7 (8.3)

0.016

 Antidiabetic duration, n (%)

12 (86)

69 (88)

6 (100)

0.638

Liver status

 ALAT, U/L

30.6 (19.7)

39.3 (20.1)

43.2 (29.1)

0.297

 ASAT, U/L

22.9 (11.7)

27.4 (10.4)

41.3 (27.5)

0.009

 AST/ALT ratio

0.80 (0.25)

0.78 (0.25)

0.97 (0.37)

0.168

 GammaGT,

52.4 (42.4)

55.5 (36.1)

68.2 (54.2)

0.691

 Liver fat fraction, %

19.2 (11.9)

19.7 (11.4)

8.3 (9.2)

0.066

 Fatty Liver Index

49.2 (28.6)

51.5 (24.6)

61.2 (29.2)

0.617

 NAFLD Fibrosis score

−0.65 (1.2)

0.02 (0.84)

0.79 (0.39)

0.003

Cardiovascular risk factors

 Total cholesterol, mmol/L

4.9 (1.3)

4.4 (0.8)

4.5 (0.5)

0.084

 LDL cholesterol, mmol/L

2.9 (0.9)

2.5 (0.7)

2.5 (0.7)

0.163

 HDL cholesterol, mmol/L

1.1 (0.2)

1.0 (0.2)

1.2 (0.2)

0.048

 Triglycerides, mmol/L

2.2 (1.2)

2.0 (1.0)

2.0 (0.7)

0.856

 Systolic BP, mmHg

129 (11)

132 (14)

147 (27)

0.034

 Diastolic BP, mmHg

85 (7)

85 (7)

85 (8)

0.952

 Antihypertensive medications, n (%)

8 (57)

50 (64)

5 (83)

0.532

 Lipid-lowering drugs; n (%)

5 (36)

36 (46)

4 (67)

0.443

  1. Data are presented as n (%) and mean (SD). Between group difference were performed using analysis of variance (ANOVA). MinMod SI, n = 83; ELF, n = 98; Matsuda ISI, n = 96; C-peptide, n = 98
  2. FFM Fat free mass, FM Fat mass