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Table 1 Baseline characteristics according to DKD/MAFLD phenotype

From: The effect of metabolic dysfunction-associated fatty liver disease and diabetic kidney disease on the risk of hospitalization of heart failure in type 2 diabetes: a retrospective cohort study

 

no-DKD

(n = 1,132,531)

PU+DKD

(n = 15,619)

PUDKD

(n = 40,963)

 
 

MAFLD−

MAFLD+

MAFLD−

MAFLD+

MAFLD−

MAFLD+

n

848,716

283,815

9107

6512

32,768

8195

 

Male

507,170 (59.76)

231,817 (81.68)

6670 (73.24)

5390 (82.77)

12,627 (38.53)

4475 (54.61)

< 0.001

Age (years)

57.48 ± 11.88

52.62 ± 11.3

60.14 ± 10.45

53.79 ± 10.75

70.62 ± 8.09

67.96 ± 8.79

< 0.001

BMI (mg/k2)

23.89 ± 2.62

27.91 ± 3.23

24 ± 2.61

28.3 ± 3.62

24.27 ± 2.69

28.56 ± 3.19

< 0.001

WC (cm)

82.17 ± 7.09

92.86 ± 7.38

83.72 ± 6.81

94.17 ± 8.05

83.98 ± 7.28

95.46 ± 7.22

< 0.001

Current smoker

198,817 (23.43)

109,561 (38.6)

2613 (28.69)

2558 (39.28)

2883 (8.8)

1137 (13.87)

< 0.001

 Heavy drinker

58,984 (6.95)

54,637 (19.25)

805 (8.84)

1380 (21.19)

599 (1.83)

517 (6.31)

< 0.001

 Regular Exercise

200,956 (23.68)

55,512 (19.56)

2138 (23.48)

1259 (19.33)

6648 (20.29)

1508 (18.4)

< 0.001

Comorbidities

       

 Hypertension

409,799 (48.28)

169,157 (59.6)

6818 (74.87)

5118 (78.59)

26,963 (82.28)

7234 (88.27)

< 0.001

 Dyslipidemia

322,792 (38.03)

130,242 (45.89)

4819 (52.92)

3891 (59.75)

18,350 (56)

4939 (60.27)

< 0.001

  IHD

126,334 (14.89)

37,077 (13.06)

1911 (20.98)

1144 (17.57)

10,708 (32.68)

2689 (32.81)

< 0.001

  AF

7394 (0.87)

2295 (0.81)

171 (1.88)

106 (1.63)

936 (2.86)

273 (3.33)

< 0.001

 Stroke

48,612 (5.73)

11,547 (4.07)

923 (10.14)

394 (6.05)

5466 (16.68)

1199 (14.63)

< 0.001

  PAD

147,245 (17.35)

39,420 (13.89)

2151 (23.62)

1111 (17.06)

10,198 (31.12)

2422 (29.55)

< 0.001

  CVD

256,905 (30.27)

71,782 (25.29)

3815 (41.89)

2111 (32.42)

18,938 (57.79)

4561 (55.66)

< 0.001

  Heart failure

18,840 (2.22)

5978 (2.11)

357 (3.92)

201 (3.09)

2917 (8.9)

772 (9.42)

< 0.001

Severity of diabetes

       

 FPG ≥ 150 mg/dL

175,770 (20.71)

84,175 (29.66)

3787 (41.58)

3340 (51.29)

6040 (18.43)

2022 (24.67)

< 0.001

 FPG (mg/dL)

131.11 ± 41.77

141.98 ± 45.4

154.7 ± 58

164.19 ± 53.07

127.41 ± 43.07

136.17 ± 46.43

< 0.001

 DM ≥ 5 yrs

297,221 (35.02)

65,008 (22.91)

5938 (65.2)

2803 (43.04)

20,628 (62.95)

4365 (53.26)

< 0.001

 Insulin use

59,635 (7.03)

13,919 (4.9)

1997 (21.93)

835 (12.82)

5445 (16.62)

1256 (15.33)

< 0.001

 ≥ 2 oral GLD

346,564 (40.83)

102,721 (36.19)

5862 (64.37)

3615 (55.51)

18,700 (57.07)

4541 (55.41)

< 0.001

 PDR

3751 (0.44)

437 (0.15)

346 (3.8)

99 (1.52)

359 (1.1)

50 (0.61)

< 0.001

SBP (mmHg)

126.3 ± 14.78

131.15 ± 14.51

132.64 ± 16.82

136.69 ± 16.86

129.64 ± 16.05

132.05 ± 16.01

< 0.001

DBP (mmHg)

77.37 ± 9.59

81.7 ± 9.87

79.46 ± 10.53

84.18 ± 11.1

76.38 ± 10.17

79 ± 10.17

< 0.001

eGFR (mL/min/1.73m2)

91.69 ± 36.74

92.26 ± 40.4

87.31 ± 35.03

91.7 ± 46.9

50.58 ± 7.29

50.78 ± 7.28

< 0.001

Non HDL-C (mg/dL)

136.22 ± 38.54

155.02 ± 43.5

139.24 ± 43.11

160.8 ± 51.24

132.94 ± 40.33

147.64 ± 57.7

< 0.001

AST (IU/L)*

23.75 (23.73–23.77)

32.63 (32.57–32.69)

23.57 (23.38–23.76)

33.44 (33.01–33.87)

23.14 (23.06–23.23)

28.61 (28.32–28.9)

< 0.001

 ALT (IU/L)*

22.6 (22.58–22.63)

37.86 (37.78–37.94)

22.52 (22.29–22.75)

36.85 (36.33–37.38)

19.03 (18.94–19.13)

27.6 (27.26–27.94)

< 0.001

γGTP (IU/L)*

27.78 (27.74–27.81)

74.51 (74.3–74.72)

31.27 (30.86–31.69)

78.87 (77.37–80.39)

22.79 (22.65–22.92)

49.13 (48.33–49.94)

< 0.001

  1. no-DKD: normal eGFR (eGFR ≥ 60) with negative PU; PU+DKD: normal eGFR with positive PU; PUDKD: reduced eGFR (eGFR < 60) with negative PU
  2. Values are presented as mean ± standard deviation or number (%). Data for the parameters marked with an asterisk (*) are presented as the geometric mean and 95% confidence interval
  3. AF: atrial fibrillation; ALT: alanine aminotransferase; AST: aspartate aminotransferase; BMI: body mass index; CVD: cardiovascular disease; DBP: diastolic blood pressure; DKD: diabetic kidney disease; DM: diabetes mellitus; eGFR: estimated glomerular filtration rate; FPG: fasting plasma glucose; γGTP: gamma-glutamyl transferase; GLD: glucose-lowering drugs; HDL-C: high-density lipoprotein cholesterol; IHD: ischemic heart disease; MAFLD: metabolic dysfunction–associated fatty liver disease; PAD: peripheral artery disease; PDR: proliferative diabetic retinopathy; PU: proteinuria; RAS: renin-angiotensin system; SBP: systolic blood pressure; WC: waist circumference