NAFLD, Type 2 Diabetes
Conditions
Keywords
NAFLD, NASH, Insulin resistance, Type 2 diabetes, Visceral Adipose Tissue, DXA, Fibroscan, Vibration-Controlled Transient Elastography, Liver cirrhosis
Brief summary
Non Alcoholic Fatty Liver Disease (NAFLD) is an emergent disease worldwide, and soon the leading cause of hepatic transplant in the USA. Among this high number of patients, the current challenge is to detect or even predict patients at risk of inflammation (Non Alcoholic or Steatohepatitis or NASH) and end-stage fibrosis, which are the best predictors of liver-related mortality. Visceral obesity is intimately associated with metabolic disease and adverse health outcomes, such as diabetes, and NAFLD. It has been demonstrated that visceral adipose tissue-linked inflammation was a risk factor of stroke, myocardial infarction, and others metabolic-related complications. The aim of this study was to evaluate the association of the quantity and percentage of Visceral Adipose Tissue by Dual X-Ray Absorptiometry and liver stiffness by Fibroscan in patients with type 2 diabetes, and other predictors of fibrosis such as FIB-4 and Fibrotest. We retrospectively collected the data of all the diabetic patients who had undergone a DEXA and a Fibroscan between January 1st, 2014 and Decembre 31th, 2019, in the Universitary Hospital of Nancy, France.
Interventions
None listed
Sponsors
Central Hospital, Nancy, France
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Type 2 diabetes mellitus * Patients who had undergone a VCTE examen at Universitary Hospital of Nancy between January 1st, 2014 and December 31th, 2019 * \- Patients who had undergone a DEXA at Universitary Hospital of Nancy with less than one year of difference with VCTE
Exclusion criteria
* Viral, ethylic, drug-linked, genetic, self-immune hepatitis, liver cancer or metatasis ; other causes who could interact with fibroscan or biological markers (thrombocytopenia, undernutrition) * Type 1 diabetes mellitus * Weight variation (\>5% of body weight) between DEXA mesure and Fibroscan mesure * Fail of VCTE examination * High alcohol consumption (\>30g/day for men and \>20g.day for women) * Pregnant women * Other causes of secondary hepatic steatosis (drug-linked, parenteral nutrition, rare diseases...) * Any other pathology that the investigator would consider not compatible with the research * Patients in any other research protocol three months before inclusion * Person referred as in the Public Health code (articles L.1121-5, L.1121-7 and L.1121-8) : pregnant or nursing woman, minor adult, major adult under legal protection, adult unable of giving consent * Person deprived of their liberty by judicial or administrative decision, person under psychiatric care as described in articles L. 3212-1 and L.3213-1.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Association between quantity of Visceral adipose Tissu and Liver Stiffness | July to September 2020 | Visceral adipose tissu in grams mesured by DEXA, and Liver stiffness in kiloPascal mesured par Vibration-Controlled Transient Elastography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Association between quantity of Visceral adipose Tissue and histologic Fibrosis | July to September 2020 | Visceral adipose tissu in grams mesured by DEXA, and histologic fibrosis determined on hepatic biopsy. |
| Association between percentage of Visceral adipose Tissue and histologic Fibrosis | July to September 2020 | Visceral adipose tissu percentage on total fat mass mesured by DEXA, and histologic fibrosis determined on hepatic biopsy. |
| Determine the diagnostic performances of quantity of Visceral adipose Tissue for histologic fibrosis diagnosis. | July to September 2020 | Visceral adipose tissu in grams mesured by DEXA, and histologic fibrosis determined on hepatic biopsy. |
| Association between percentage of Visceral adipose Tissu and Liver Stiffness | July to September 2020 | Visceral adipose tissu in percentage on total fat mass mesured by DEXA, and Liver stiffness in kiloPascal mesured par Vibration-Controlled Transient Elastography |
| Determine the diagnostic performances of different biologic markers for histologic fibrosis diagnosis. | July to September 2020 | Histologic fibrosis determined on hepatic biopsy. |
| Build an algorithm with Visceral adipose Tissue mesured and biological markers to predict fibrosis. | July to September 2020 | Prediction algorithm for hepatic fibrosis based on different markers |
| Determine the diagnostic performances of percentage of Visceral adipose Tissue for histologic fibrosis diagnosis. | July to September 2020 | Visceral adipose tissu percentage on total fat mass mesured by DEXA, and histologic fibrosis determined on hepatic biopsy. |
Countries
France
Outcome results
None listed