Evidence map›Paper›PMID 40069760›Full record

ArticleNutrition & metabolism2025

Role of serum fasting glucagon in hypothyroidism-related nonalcoholic fatty liver disease.

Mervat M El-Eshmawy, Amira A Barakat, Azza A El-Baiomy, Mohamed M Abo El-Naga, Mohamed Elbasiony

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Article in Nutrition & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Mervat M El-EshmawyInternal Medicine Department, Mansoura Specialized Medical Hospital, Faculty of Medicine, Mansoura University, P.O. Box: 35516, Mansoura, Egypt. mervat2040@yahoo.com.ORCID http://orcid.org/0000-0002-6019-2054
Amira A BarakatInternal Medicine Department, Mansoura Specialized Medical Hospital, Faculty of Medicine, Mansoura University, P.O. Box: 35516, Mansoura, Egypt.
Azza A El-BaiomyClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Mohamed M Abo El-NagaInternal Medicine Department, Mansoura Specialized Medical Hospital, Faculty of Medicine, Mansoura University, P.O. Box: 35516, Mansoura, Egypt.
Mohamed ElbasionyInternal Medicine Department, Mansoura Specialized Medical Hospital, Faculty of Medicine, Egyptian Liver Research Institute, Mansoura University, Sherben, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA bidirectional relationship between hypothyroidism and nonalcoholic fatty liver disease (NAFLD) has been proposed. Fasting hyperglucagonemia in patients with hypothyroidism induced NAFLD needs to be further clarified. The aim of the present study was to determine fasting serum glucagon levels in hypothyroid adults with and without NAFLD. The possible association between fasting glucagon and NAFLD in patients with hypothyroidism was also evaluated.

methodsThis study was comprised 60 patients with uncontrolled hypothyroidism and 30 healthy controls matched for age and sex. Patients with hypothyroidism were divided into 2 groups: 30 patients with NAFLD and 30 patients without NAFLD. Diagnosis of NAFLD was based on the combination of hepatic steatosis index (HSI) at a cutoff value of 36 and measurements of steatosis using fibroScan. Anthropometric measurements, lipids profile, homeostasis model assessment of insulin resistance (HOMA-IR), free thyroxine (FT4), triiodothyronine (FT3), thyroid stimulating hormone (TSH) and serum fasting glucagon were assessed.

resultsSerum fasting glucagon concentration was significantly higher in hypothyroid patients with and without NAFLD than in healthy controls; glucagon was also significantly higher in the hypothyroid patients with NAFLD than in those without NAFLD. Fasting glucagon was significantly correlated with waist circumference (WC), body mass index (BMI), TSH, HSI and fibroScan parameters in hypothyroid patients with NAFLD. Fasting glucagon predicts NAFLD in patients with hypothyroidism at a cutoff value 85 ng/L with 90% sensitivity, 100% specificity and p < 0.001. With multivariable analysis, age, BMI and TSH were significant positive predictors of NAFLD in patients with hypothyroidism.

conclusionFasting glucagon concentration may play a role in the development of NAFLD in patients with hypothyroidism. However, the exact underlying mechanism needs further studies.

Indexed as

GlucagonHypothyroidismNAFLD

Identifiers

PMID40069760
PMCPMC11899932

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