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CN 34-1304/RISSN 1674-3679

Volume 29 Issue 4
Apr.  2025
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WU Xinri, CHEN Quan, ZHANG Caiqin, HONG Xin. Association between atherogenic index of plasma trajectories and non-alcoholic fatty liver disease in the elderly population[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(4): 399-405. doi: 10.16462/j.cnki.zhjbkz.2025.04.005
Citation: WU Xinri, CHEN Quan, ZHANG Caiqin, HONG Xin. Association between atherogenic index of plasma trajectories and non-alcoholic fatty liver disease in the elderly population[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(4): 399-405. doi: 10.16462/j.cnki.zhjbkz.2025.04.005

Association between atherogenic index of plasma trajectories and non-alcoholic fatty liver disease in the elderly population

doi: 10.16462/j.cnki.zhjbkz.2025.04.005
Funds:

Jiangsu Provincial Health and Health Commission 2022 Medical Research Project M2022028

Research and Innovation Project of Nanjing Institute of Public Health, Nanjing Medical University NCX2301

More Information
  • Corresponding author: HONG Xin, E-mail: nj_hongxin@126.com
  • Received Date: 2024-10-30
  • Rev Recd Date: 2025-01-09
  • Publish Date: 2025-04-10
  •   Objective  To investigate the association between atherogenic index of plasma (AIP) trajectory and non-alcoholic fatty liver disease (NAFLD) in the elderly population.  Methods  A study cohort of 28 535 elderly people who met the inclusion criteria were selected from six years (2018-2023) of consecutive health examination data in Nanjing. The trajectory of AIP over the years from 2018 to 2021 by gender was constructed using the SAS Proc Traj program. The incidence of NAFLD in each trajectory group for male and female subjects were compared. A Cox regression model was used to analyze the association between distinct trajectory groups and the risk of NAFLD.  Results  Three AIP trajectory groups were identified for both males and females, namely the low-stable group, the moderate-stable group, and the high-stable group. The study revealed that the incidence of NAFLD was the highest in the high-stable group (29.44% in women and 14.35% in men). After adjusting for confounders such as age and BMI, etc., the risk of NAFLD incidence in the moderate-stable and high-stable AIP group was 1.824 times (95% CI: 1.514-2.196) and 2.323 times (95% CI: 1.815-2.972) that of the low-stable group in men, respectively, and 1.657 times (95% CI: 1.483-1.852) and 2.189 times (95% CI: 1.876-2.555) in women (all P<0.001).   Conclusions  A high AIP level is a risk factor for the development of NAFLD, and the risk of developing NAFLD increases with the elevation of AIP.
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