Association between the fatty liver index and the risk of fracture among individuals over the age of 50 years: a nationwide population-based study

Chung, Goh Eun and Cho, Eun Ju and Kim, Min Joo and Yoo, Jeong-Ju and Cho, Yuri and Lee, Kyu-na and Han, Kyungdo and Kim, Yoon Jun and Yoon, Jung-Hwan and Shin, Dong Wook and Yu, Su Jong (2023) Association between the fatty liver index and the risk of fracture among individuals over the age of 50 years: a nationwide population-based study. Frontiers in Endocrinology, 14. ISSN 1664-2392

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Abstract

Background and purpose: The association between fatty liver and fracture risk has not been firmly established. In this study, we investigated the relationship between the fatty liver index (FLI) and the incidence of fractures among individuals ≥50 years of age, using a nationwide population-based cohort.

Methods: Data from the Korean National Health Insurance System between January 2009 and December 2019 were analyzed using the Cox proportional hazards model. Fatty liver status was defined using FLI. Newly diagnosed fractures were identified based on insurance claim data.

Results: Among the 3,384,457 individuals who met our inclusion criteria over the study period, 444,203 cases of incident fractures were identified over a median follow-up of 10.3 years. On multivariate analysis, the risk of fracture was significantly higher among individuals with a higher FLI score compared to those with an FLI<30, with adjusted hazard ratio [aHR] and 95% confidence interval [CI] as follows: FLI 30-59 group, aHR 1.04 and 95% CI 1.03-1.05; and FLI ≥60 group, aHR 1.12 and 95% CI 1.10–1.13. A higher FLI was associated with a greater risk of hip (aHR 1.23 and 1.52 for the FLI 30-59 and FLI ≥60 group, respectively) and vertebral fracture (aHR 1.08 and 1.16 for the FLI 30-59 and FLI≥60 group, respectively). The association between the risk for fracture and FLI ≥60 was prominent for non-obese than obese individuals (aHR 1.25 and 95% CI, 1.22–1.27 versus 1.06 and 1.05–1.08, respectively).

Conclusions: A high FLI is associated with an increased risk of hip and vertebral fractures among individuals ≥50 years of age, suggestive of an association between a higher FLI and osteoporotic fractures.

Item Type: Article
Subjects: STM Open Library > Mathematical Science
Depositing User: Unnamed user with email support@stmopenlibrary.com
Date Deposited: 17 Jul 2023 05:26
Last Modified: 05 Mar 2024 04:20
URI: http://ebooks.netkumar1.in/id/eprint/1865

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