Evidence map›Paper›PMID 40517250›Full record

ArticleDiabetology & metabolic syndrome2025

Prognostic value of atherogenic index of plasma on the all-cause and causes-specific mortality among patients with metabolic dysfunction-associated steatotic liver disease.

Guo Song, Heyu Chu, Yuting Liu, Xiaoli Liu, Rong Gu

Abstract read
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Article in Diabetology & metabolic syndrome, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Guo Song *Department of Cardiology, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, 321 Zhongshan Road, Nanjing, 210008, China.
Heyu Chu *Department of Cardiology, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, 321 Zhongshan Road, Nanjing, 210008, China.
Yuting LiuDepartment of Cardiology, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, 321 Zhongshan Road, Nanjing, 210008, China.
Xiaoli LiuDepartment of Cardiology, Affiliated Hospital of Medical School, Nanjing Drum Tower Hospital, Nanjing University, Nanjing, 210008, China.
Rong GuDepartment of Cardiology, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, 321 Zhongshan Road, Nanjing, 210008, China. gurong.nju@163.com.

Funding

Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University 2023-LCYJ-PY-34National Natural Science Foundation of China No. 81870291
6 · The paper itself

Abstract

backgroundThe atherogenic index of plasma (AIP) has been proposed as a potential predictor of prognosis for atherosclerosis and cardiovascular disease (CVD). However, its prognostic value in patients with metabolic dysfunction-associated steatotic liver disease (MASLD) remains unclear.

methodsThis study included 4,062 participants with MASLD from the Third National Health and Nutrition Examination Survey (NHANES III). Kaplan-Meier curves, the Cox proportional hazards regression model, and restricted cubic splines (RCS) were used to assess the associations between the AIP and both all-cause and cause-specific mortality in patients with MASLD. Additionally, subgroup analyses and interaction test were conducted.

resultsDuring a median follow-up of 311 months, a total of 1821 (44.83%) all-cause deaths, 606 (14.92%) CVD deaths and 313 (7.71%) diabetes deaths occurred. After adjusting for potential confounding factors, the hazard ratios (HR) for the highest tertile (AIP ≥ 0.30) compared to the lowest tertile (AIP < 0.01) were 1.41 (95% confidence interval [CI]: 1.17-1.68; P < 0.001) for all-cause mortality, 1.49 (95% CI: 1.07-2.09; P = 0.019) for CVD mortality, and 2.27 (95% CI: 1.28-4.01; P = 0.005) for diabetes mortality. Furthermore, subgroup analyses revealed that the highest tertile of AIP was associated with an increased risk of CVD mortality in MASLD patients with diabetes (HR = 2.46; 95% CI: 1.46-4.13; P < 0.001) or obesity/overweight (HR = 2.36; 95% CI: 1.41-3.95; P = 0.001).

conclusionsThe elevated AIP is independently associated with all-cause mortality, as well as CVD and diabetes mortality in patients with MASLD. AIP can be used as a prognostic indicator for patients with MASLD.

Indexed as

Atherogenic index of plasmaMetabolic dysfunction-associated steatotic liver diseaseMortalityNHANES III

Identifiers

PMID40517250
PMCPMC12166619

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