Table 1: Baseline characteristics of studies and patient population.

List of selected studies with their demographics, duration, sample size, gender population, mean age, radiation doses, and cardiovascular outcomes.

Author/Publication year

Type of study

Country

Duration

(years)

Sample

(#)

Male

(%)

Female

(%)

Mean age

(years)

Diagnosis of CV disease

Diagnosis of NAFLD

CV outcome, incidence and prevalence*

Study adjustments

El Azeem 2013,

Prospective study

Saudi Arabia

3.0

268

50.0

50.0

51.4 (± 11.3)

Hospital records, EKG

Liver ultrasound

CV mortality, 50.7%

No adjustments

Hamaguchi 2007, Retrospective study

Japan

5.0

1221

61.0

39.0

49.1

(± 8.7)

Self reporting questionnaire, metabolic syndrome based on waste circumference

Liver ultrasound

CV events, 1.8%

No adjustments

Haring 2009, Retrospective study

Germany

7.3

4160

49.0

51.0

49.0

(± 1.0)

ICD 10 Codes

GGT > ULN

CV mortality, 7.5%

age in decades, waist circumference, alcohol consumption, physical activity, educational level, civil status, equalized income, and functional comorbidity index

Liver ultrasound

Hwang 2018, Retrospective study

South Korea

5.7

82899

75.6

24.4

41.6

(± 10.7)

Death certificate, ICD 10 Codes

Liver ultrasound

CV mortality, 11.0%

No adjustments

Lee 2006,

Prospective study

Finland

12.0

2862

47.9

52.1

48.0

(± 1.0)

Fatal and non fatal events ( ICD 8,9,10 Codes)

GGT > 64 U/L M

CVD events, 4.0%

CV mortality, 3.4%

age, BMI, cigarette smoking, alcohol consumption and physical activity, SBP, total cholesterol, HDL- cholesterol

GGT > 32 U/L F

Lu 2009,

Cross-sectional survey

China

7.0

421

62.7

37.3

56.4

(± 6.6)

Patient history, symptoms, EKG findings, LHC

Liver ultrasound

CV events, 38.7%*

 

BMI: Body Mass Index; WC: Waist Circumference; SBP: Systolic Blood Pressure; DBP: Diastolic blood pressure; FBG: Fasting Blood Glucose; TG: Triglycerides; TC: Total Cholesterol; HDL-C: High-Density Lipoprotein Cholesterol; LDL-C: Low-density lipoprotein Cholesterol; ALT: Alanine Aminotransferase; AST: Aspartate Aminotransferase; GGT: g-Glutamyltransferase; FIns: Fasting Insulin; MetS: Metabolic Syndrome

ALT > 40 IU/L

Ruttmann 2005,

Prospective study

Austria

17.0

8795

56.5

23.5

42.0

(± 15.0)

ICD 9 Codes

GGT > 56 U/L

CV mortality, 2.1% male and 4.3% females

Age, body mass index, systolic blood pressure, cholesterol, triglycerides, glucose, smoking, work status, and year of examination.

Stepanova 2012, Retrospective study

USA

6.0

2492

52.8

47.2

54.0

(± 1.0)

Self reported history

Liver ultrasound

CV mortality, 3.76%

No adjustments

Yun 2008, Retrospective study

South Korea

5.0

4022

80.5

19.5

50.0

(± 8.0)

ICD 10 Codes

ALT > 40 IU/L

CV mortality, 22.0%

Age, sex, past medical history, smoking, alcohol consumption, exercise, education, income, BMI, systolic blood pressure, diastolic blood pressure, fasting plasma glucose, total cholesterol, triglycerides, HDL cholesterol, and calculated glomerular filtration rate

Zheng 2018, Retrospective study

China

1.0

1571

64.4

35.6

56.2

(± 11.2)

CIMT, ba-BWV

Liver biopsy

CIMT, 43.8%*

Age and gender, BMI, regular exercise and current smoking, WC, TG, LDL-C, diabetes mellitus and hypertension

 

 ICD: International Statistical Classification of Diseases and Related Health Problems; CV: Cardiovascular; EKG: Electrocardiogram; LHC: Left Heart Catheterization; CIMT: Carotid Intima Media Thickness; ba-PMV: Brachial-Ankle Pulse Wave Velocity; GGT: Gamma-Glutamyltransferase; ALT: Alanine Transaminase; BMI: Body Mass Index; SBP: Systolic Blood Pressure; HDL: High-Density Lipoproteins; AST: Aspartate Aminotransferase; WC: Waist Circumference; LDL: Low-Density Lipoproteins