14,384 South Koreans from an occupational cohort underwent cardiac computed tomography (CT) estimation of CAC score, liver ultrasound determination of fatty liver, and measurement of cardiovascular risk factors. Pre-clinical atherosclerosis was defined by a CAC score >0. We used logistic regression to determine ORs for CAC >0, and fatty liver in MHO, MAO and MANO subjects (reference group MHNO). There was no increase in OR for CAC score >0 (OR聽=聽0.93, [95% CIs 0.67,1.31], p聽=聽0.68), in the MHO group, whereas there was an increase in the ORs for CAC score >0 in the MAO, and MANO groups (OR聽=聽1.64 [95% CI 1.36,1.98], p聽<聽0.001) and (OR聽=聽1.38 [95% CI 1.17,1.64], p聽<聽0.001), respectively. In contrast, for fatty liver, there was an increase in OR in each group (OR聽=聽3.63 [95% CI 3.06, 4.31] p聽<聽0.001); (OR聽=聽5.89 [5.18,6.70] p聽<聽0.001); and (OR聽=聽1.83 [95% CI 1.69,2.08]) in the MHO, MAO group and MANO groups respectively.
MHO subjects are at risk of fatty liver but attenuated risk of pre-clinical atherosclerosis. Both MAO and MANO subjects are at risk of fatty liver and pre-clinical atherosclerosis.
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