ArticleArteriosclerosis, thrombosis, and vascular biology2015
Nonalcoholic fatty liver disease and vascular function: cross-sectional analysis in the Framingham heart study.
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Article in Arteriosclerosis, thrombosis, and vascular biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.
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53citing papers in PubMed, 3 pooled it
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Who cites it
53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- Causal relationships between neuropsychiatric disorders and nonalcoholic fatty liver disease: A bidirectional Mendelian randomization study.BMC gastroenterology · 2024Pooled it
- Global epidemiology of type 2 diabetes in patients with NAFLD or MAFLD: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Risk of dementia or cognitive impairment in non-alcoholic fatty liver disease: A systematic review and meta-analysis.Frontiers in aging neuroscience · 2022Pooled it
- Trial
- Nonlinear Associations of Estimated Pulse Wave Velocity With Hepatic Steatosis and Liver Stiffness in Community-Based People.Gastroenterology research · 2026Article
- Association between the triglyceride-glucose index and hypertension: potential role of fatty liver in a cross-sectional study.Frontiers in endocrinology · 2026Article
- Association of cardiometabolic index with non-alcoholic fatty liver disease among Iranian adults of the amol cohort study.BMC gastroenterology · 2025Article
- Association between cardiometabolic index and cardiometabolic multimorbidity in non-alcoholic fatty liver disease patients: evidence from a cross-sectional study.Scientific reports · 2025Article
- Article
- Integrating liver and heart health: Cardiovascular risk reduction in patients with metabolic-associated steatotic liver disease.World journal of cardiology · 2025Review
- Mediation Analyses Link Cardiometabolic Factors and Liver Fat With White Matter Hyperintensities and Cognitive Performance: A UK Biobank Study.Biological psychiatry global open science · 2025Article
- Early stage of metabolic dysfunction associated steatotic liver disease disrupts circadian rhythm and induces neuroinflammation in rats.Scientific reports · 2025Article
- Directional Temporal Relationship Between Hypertension and Non-Alcoholic Fatty Liver Disease: A Cross-Lagged Cohort Study.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Association of Aortic Stiffness and Pressure Pulsatility With Noninvasive Estimates of Hepatic Steatosis and Fibrosis: The Framingham Heart Study.Arteriosclerosis, thrombosis, and vascular biology · 2024Article
- Loss-of-function G6PD variant moderated high-fat diet-induced obesity, adipocyte hypertrophy, and fatty liver in male rats.The Journal of biological chemistry · 2024Article
- A discrete choice experiment to elicit preferences for a liver screening programme in Queensland, Australia: a mixed methods study to select attributes and levels.BMC health services research · 2023Article
- Endothelial Cell Dysfunction and Nonalcoholic Fatty Liver Disease (NAFLD): A Concise Review.Cells · 2022Review
- Endothelial-immune crosstalk contributes to vasculopathy in nonalcoholic fatty liver disease.EMBO reports · 2022Article
- Endothelial Dysfunction in Nonalcoholic Fatty Liver Disease: A Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2022Review
- Coagulation and Endothelial Dysfunction Associated with NAFLD: Current Status and Therapeutic Implications.Journal of clinical and translational hepatology · 2022Review
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 1 country.
Michelle T LongFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Na WangFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Martin G LarsonFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Gary F MitchellFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Joseph PalmisanoFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Ramachandran S VasanFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Udo HoffmannFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Elizabeth K SpeliotesFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Joseph A VitaFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Emelia J BenjaminFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Caroline S FoxFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.).
Naomi M HamburgFrom the Division of Gastroenterology, Boston Medical Center (M.T.L.), Section of Preventive Medicine, Department of Medicine (R.S.V.), Evans Department of Medicine, Whitaker Cardiovascular Institute and Cardiology Section (R.S.V., J.A.V., N.M.H.), Boston University School of Medicine, MA; National Heart, Lung, and Blood Institute's Framingham Heart Study, MA (M.T.L., M.G.L., R.S.V., E.J.B., C.S.F.); Department of Mathematics and Statistics, Boston University, MA (M.G.L.); Cardiovascular Engineering, Inc, Norwood, MA (G.F.M.); Data Coordinating Center (J.P., N.W.), Department of Epidemiology (E.J.B.), Boston University School of Public Health, MA; Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston (U.H.); Division of Gastroenterology, Department of Internal Medicine, and Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor (E.K.S.); and Division of Endocrinology, Hypertension, and Metabolism, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (C.S.F.). nhamburg@bu.edu.
Boston University · USFramingham Heart Study · USMassachusetts General Hospital · USHarvard University · USNational Heart Lung and Blood Institute · USNorwood Hospital · USUniversity of Michigan–Ann Arbor · US
Funding
Boston University Clinical and Translational Science Award (CTSA) Program UL1UL1TR000157 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CENTER, DAVID M. · 2012 to 2013
$7.9MFramingham Heart Study/FoxZIAHL006094 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI FOX, CAROLINE · 2010 to 2015
$6.9MFramingham: Inflammation, Genes &Cardiovascular DiseaseR01HL076784 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2004 to 2008
$3.9MMitochondrial Dynamics and UCP2 - Endothelial Dysfunction in Human ObesityR01HL115391 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HAMBURG, NAOMI MIRIAM · 2013 to 2017
$2.8MBiomarkers of Ventricular and Vascular RemodelingR01HL077447 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S · 2005 to 2009
$2.6MAortic Dysfunction, Pulsatile Stress and Target Organ Damage in FraminghamR01HL107385 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MITCHELL, GARY FRANK, RAMACHANDRAN, VASAN S · 2011 to 2014
$2.6MVascular Function in the Framingham Third GenerationR01HL070100 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2002 to 2005
$2.4MEndothelial Insulin Resistance, Inflammation and Vascular Function in DiabetesR01HL102299 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI HAMBURG, NAOMI MIRIAM · 2010 to 2014
$2.0MCardiovascular Imaging in Ischemic Heart DiseaseK24HL113128 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HOFFMANN, UDO · 2012 to 2020
$1.1MPhysical Activity, Cardiometabolic Risk, and Target-Organ Damage in Older AdultsR01AG047645 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S · 2014 to 2015
$661kENDOTHELIAL VASAMOTOR FUNCTION IN THE FRAMINGHAM STUDYR01HL060040 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 1999 to 2002
$595kMECHANISM OF W3 FATTY ACID ACTION ON ICOSANOID SYNTHESISF32DK008145 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI FURTH, EMMA E · 1988 to 1988
–NCATS NIH HHS UL1 TR000157NCATS NIH HHS UL1-TR000157NHLBI NIH HHS 1R01HL60040NHLBI NIH HHS HL076784NHLBI NIH HHS HL077447NHLBI NIH HHS HL102299NHLBI NIH HHS HL107385NHLBI NIH HHS HL70100NHLBI NIH HHS K24 HL113128NHLBI NIH HHS N01 HC025195NHLBI NIH HHS N01-HC-25195NHLBI NIH HHS R01 HL060040NHLBI NIH HHS R01 HL070100NHLBI NIH HHS R01 HL076784NHLBI NIH HHS R01 HL077447NHLBI NIH HHS R01 HL102299NHLBI NIH HHS R01 HL107385NHLBI NIH HHS R01 HL115391NIA NIH HHS R01 AG047645NIA NIH HHS R01AG047645-1NIDDK NIH HHS K23DK08145
Abstract
objectivePatients with nonalcoholic fatty liver disease (NAFLD) have an increased risk of cardiovascular disease; however, it is not known whether NAFLD contributes to cardiovascular disease independent of established risk factors. We examined the association between NAFLD and vascular function. APPROACH AND
resultsWe conducted a cross-sectional study of 2284 Framingham Heart Study participants without overt cardiovascular disease who had liver fat attenuation measured on computed tomography and who had measurements of vascular function and covariates. We evaluated the association between NAFLD and vascular function using multivariable partial correlations adjusting for age, sex, cohort, smoking, diabetes mellitus, hyperlipidemia, hypertension, body mass index, and visceral adipose tissue. The prevalence of NAFLD in our sample (mean age, 52±12 years; 51.4% women) was 15.3%. In age-, sex-, and cohort-adjusted analyses, greater liver fat was modestly associated with lower flow-mediated dilation (r=-0.05; P=0.02), lower peripheral arterial tonometry ratio (r=-0.20; P<0.0001), higher carotid-femoral pulse wave velocity (r=0.13; P<0.0001), and higher mean arterial pressure (r=0.11; P<0.0001). In multivariable-adjusted models, NAFLD remained associated with higher mean arterial pressure (r=0.06; P=0.005) and lower peripheral arterial tonometry ratio (r=-0.12; P<0.0001). The association between NAFLD and peripheral arterial tonometry ratio persisted after further adjustment for body mass index and visceral adipose tissue.
conclusionsFor multiple measures of vascular function, the relationship with NAFLD appeared largely determined by shared cardiometabolic risk factors. The persistent relationship with reduced peripheral arterial tonometry response beyond established risk factors suggests that NAFLD may contribute to microvascular dysfunction.
Indexed as
Vascular StiffnessAdultAgedAge DistributionAngiographyArterial PressureBostonCardiovascular DiseasesComorbidityCross-Sectional StudiesEndothelium, VascularFemaleHumansMaleMiddle AgedMultivariate Analysismultidetector computed tomographyobesityrisk factorsvascular endothelium
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