Heart failure & cardiomyopathies

Association of disproportionate liver fat with markers of heart failure: The multi-ethnic study of atherosclerosis

Am Heart JPublished Cross-sectional study

Authors' conclusion

DLF is associated with abnormal metabolic profiles and ventricular functional changes known to be associated with HFpEF

Study context

Population
Multi-Ethnic Study of Atherosclerosis (MESA) participants with computed tomography (CT) measurements of hepatic attenuationMESA
Participants
2,932 participants
Exposure
Highest vs lowest quartile of disproportionate liver fat
Outcome
Clinical characteristics, highest vs lowest DLF quartile
Methodological detailsmultivariable linear regression
  • Multivariable linear regression

Main finding

As reported in the abstract

Male

P < 0.001

Black or African American

P < 0.001

Dysglycemia

P < 0.001

OutcomeHighest quartile of DLFLowest quartile of DLF
Triglycerides, mg/dL140 [98.0, 199.0]99.0 [72.0, 144.0]
  • Highest quartile of disproportionate liver fat (DLF) vs Lowest quartile of DLF: P > 0.001 — triglycerides (P as printed)

Observational data: associations, not effects.

Further findings

OutcomeEstimateP value
Cardiac function and exercise capacity (association with DLF)Highest quartile of DLF vs Lowest quartile of DLF · global longitudinal strain (lower)−0.13 (CI −0.25 to −0.02)P = 0.02
Cardiac function and exercise capacity (association with DLF)Highest quartile of DLF vs Lowest quartile of DLF · stroke volume (lower)−1.05 (CI −1.76 to −0.33)P < 0.01
Cardiac function and exercise capacity (association with DLF)Highest quartile of DLF vs Lowest quartile of DLF · lateral e' velocity (lower)−0.10 (CI −0.18 to −0.02)P = 0.02
Cardiac function and exercise capacity (association with DLF)Highest quartile of DLF vs Lowest quartile of DLF · 6-minute walk distance (lower)−4.25 (CI −7.62 to −0.88)P = 0.01

Original publication

Association of disproportionate liver fat with markers of heart failure: The multi-ethnic study of atherosclerosis. Am Heart J. Published 21 May 2024. doi:10.1016/j.ahj.2024.05.010

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