Evidence map›Paper›PMID 31388627›Full record

ArticleHepatology communications2019

Associations Between Body Fat, Muscle Mass, and Nonalcoholic Fatty Liver Disease: A Population-Based Study.

Julianna C Hsing, Mindie H Nguyen, Baiyu Yang, Yan Min, Summer S Han, Emily Pung, Sandra J Winter, Xueyin Zhao, Da Gan, Ann W Hsing and 2 more

Abstract read
In one paragraph

Article in Hepatology communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Fatty liver index (FLI): more than a marker of hepatic steatosis.Journal of physiology and biochemistry · 2024
    Pooled it
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  7. Thigh Muscles and Metabolic Dysfunction-Associated Steatotic Liver Disease: Findings From the SCAPIS/IGT-Microbiota Study.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Julianna C HsingCenter for Policy, Outcomes and Prevention Stanford University School of Medicine Stanford CA.
Mindie H NguyenDivision of Gastroenterology and Hepatology, Department of Medicine Stanford University School of Medicine Stanford CA.
Baiyu YangStanford Cancer Institute Stanford University School of Medicine Stanford CA.
Yan MinStanford Prevention Research Center Stanford University School of Medicine Stanford CA.
Summer S HanStanford Cancer Institute Stanford University School of Medicine Stanford CA.
Emily PungDepartment of Public Health University of Maryland College Park MD.
Sandra J WinterStanford Prevention Research Center Stanford University School of Medicine Stanford CA.
Xueyin ZhaoChronic Disease Research Institute, Department of Nutrition and Food Hygiene, School of Public Health Zhejiang University Hangzhou China.
Da GanChronic Disease Research Institute, Department of Nutrition and Food Hygiene, School of Public Health Zhejiang University Hangzhou China.
Ann W HsingStanford Cancer Institute Stanford University School of Medicine Stanford CA.
Shankuan ZhuChronic Disease Research Institute, Department of Nutrition and Food Hygiene, School of Public Health Zhejiang University Hangzhou China.
C Jason WangCenter for Policy, Outcomes and Prevention Stanford University School of Medicine Stanford CA.

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
NCATS NIH HHS UL1 TR003142NIDDK NIH HHS P30 DK116074
6 · The paper itself

Abstract

Nonalcoholic fatty liver disease (NAFLD) is one of the most common forms of liver disease worldwide and has emerged as a significant public health concern in China. A better understanding of the etiology of NAFLD can inform effective management strategies for this disease. We examined factors associated with NAFLD in two districts of Hangzhou, China, focusing on the relationship of regional body fat distribution, muscle mass, and NAFLD. We used baseline data to carry out a cross-sectional analysis among 3,589 participants from the Wellness Living Laboratory (WELL) China study, a longitudinal population-based study that aims to investigate and promote well-being among the Chinese population. NAFLD was defined using the widely validated fatty liver index (FLI). Multivariate logistic regressions were performed to assess independent associations between NAFLD and metabolic risk factors (e.g., insulin resistance) and dual x-ray absorptiometry (DXA)-derived measures (e.g., android fat ratio [AFR] and skeletal muscle index [SMI]). Of the 3,589 participants, 476 (13.3%) were classified as having FLI-defined NAFLD (FLI ≥60). Among those, 58.0% were men. According to our analysis, AFR (odds ratio [OR], 10.0; 95% confidence interval [CI], 5.8-18.5), insulin resistance (OR, 4.0; 95% CI, 3.0-5.3), high alanine aminotransferase levels (OR, 7.6; 95% CI, 5.8-10.0), smoking (OR, 2.0; 95% CI, 1.4-3.0), and male sex (OR, 2.9; 95% CI, 2.0-4.2) were positively associated with NAFLD risk, while SMI (OR, 0.1; 95% CI, 0.07-0.13) was inversely associated with NAFLD risk.

Identifiers

PMID31388627
PMCPMC6671685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.