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Clinical availability of nonalcoholic fatty liver disease as an early predictor of type 2 diabetes mellitus in korean men: 5-year prospective cohort study

Park, Sung Keun, Seo, Mi Hae, Shin, Ho Cheol, Ryoo, Jae-Hong·2013·Hepatology

Abstract

There have been several reports about the clinical association between type 2 diabetes mellitus (DM) and nonalcoholic fatty liver disease (NAFLD). However, most of the studies were about the unilateral effects of type 2 DM on NAFLD, and studies on the reverse relation are rare. Thus, this study was designed to investigate the effect of NAFLD on type 2 DM. We conducted a prospective cohort study on 25,232 Korean men without type 2 DM for 5 years. We serially checked the various metabolic factors including fasting glucose and hemoglobin A1c (HbA1c), and monitored the development of type 2 DM. The incidence rate of type 2 DM was compared according to the degree of NAFLD (normal, mild, and moderate to severe), and a Cox proportional hazards model was used to measure the hazard ratios (HRs) of NAFLD on type 2 DM. The incidence rate of type 2 DM increased according to the degree of NAFLD (normal: 7.0%, mild: 9.8%, moderate to severe: 17.8%, P < 0.001). Even after adjusting for other multiple covariates, the HRs (95% confidence interval [CI]) for type 2 DM development was higher in the mild group (1.09; 0.81-1.48) and moderate to severe group (1.73; 1.00-3.01) compared to the normal group, respectively ( P for trend <0.001). Conclusion : The development of type 2 DM is potentially more associated with more progressive NAFLD than a normal or milder state. In addition, NAFLD was an independent risk factor for the future development of type 2 DM. These results suggest the potential availability of NAFLD as an early predictor of type 2 DM.

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Metadata

Authors
Park, S. K., Seo, M. H., Shin, H. C., & Ryoo, J.-H.
Venue
Hepatology
Published
2013-04
Volume
57
Issue
4
Pages
1378-1383
ISSN
0270-9139 (ISSN-L)
OpenAlex
W1964987797
Cited by
158
References
7
FWCI
6.89
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Clinical availability of nonalcoholic fatty liver disease as an early predictor of type 2 diabetes mellitus in korean men: 5-year prospective cohort study. https://app.cochat.ai/papers/10.1002/hep.26183
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Park, S. K., Seo, M. H., Shin, H. C., & Ryoo, J.-H. (2013). Clinical availability of nonalcoholic fatty liver disease as an early predictor of type 2 diabetes mellitus in korean men: 5-year prospective cohort study. Hepatology. https://doi.org/10.1002/hep.26183

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