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Association between Carotid Intima-media Thickness and Aldehyde Dehydrogenase 2 Glu504Lys Polymorphism in Chinese Han with Essential Hypertension

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Chinese Medical Journal 2016年第12期129卷 1413-1418页

作者： Xiao-Xiang Ma Shu-Zhan Zheng Yan Shu YongWang Xiao-Ping Chen Center of Health Physical Examination and Health Management Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital Chengdu Sichuan 610072 China DePartment of Cardiovascular Medicine West China Hospital Sichuan University Chenqdu Sichuan 610041 China Department of Cardiology The Affiliated Hospital of Luzhou Medical College Luzhou Sichuan 646000 China Department of Cardiology Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital Chengdu Sichuan 610072 China Department of Cardiovascular Xinqiao Hospital Third Military Medical University Chongqing Sichuan 400037 China

Background： Aldehyde dehydrogenase 2 （ALDH2） is involved in the pathophysiological processes of cardiovascular diseases. Recent studies showed that mutant ALDH2 could increase oxidative stress and is a susceptible factor for hypertension. In addition, wild-type ALDH2 could improve the endothelial functions, therefore reducing the risk of developing atherosclerosis. The aim of the present study was to explore the frequency of the Glu504Lys polymorphism of the ALDH2 gene and its relation to Carotid Intima-media Thickness （CIMT） in a group of patients with essential hypertension （EH） and to investigate the association between the Glu504Lys polymorphism and CIMT in Chinese Han patients with EH. Methods： In this study, 410 Chinese Han patients with EH who received physical examinations at the People＇s Hospital of Sichuan Province （China） were selected. DNA microarray chip was used for the genotyping of the Glu504Lys polymorphism of the ALDH2 gene. The differences in CIMT among patients with different Glu504Lys ALDH2 genotypes were analyzed. Results： The mean CIMT of the patients carrying AA/AG and GG genotypes was 1.02 ± 0.31 mm and 0.78 ±0.28 mm, respectively. One-way ANOVA showed that the CIMT of the patients carrying the AA/AG genotype was significantly higher than in the ones carrying the GG genotype （P 〈 0.001）. Multivariate logistic regression showed that the Glu504Lys AA/AG genotype of the ALDH2 gene was one of the major factors influencing the CIMT in patients with EH （odds ratio = 3.73 l, 95% confidence interval = 1.589-8.124, P = 0.001）. Conclusions： The Glu504Lys polymorphism of the ALDH2 gene is associated with the CIMT of Chinese Han patients with EH in Sichuan, China.

关键词： Aldehyde Dehydrogenase 2 Carotid Intima-media Thickness Essential Hypertension Glu504Lys Polymorphism

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Correlation between Waist Circumference and Carotid Intima-media Thickness in Women from Shanghai, China

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Biomedical and Environmental Sciences 2013年第7期26卷 531-538页

作者： SHEN Yun ZHANG Lei ZONG Wen Hong WANG Zheng ZHANG Yin YANG Man Jing MA Xiao Jing ZHU Jia An BAO YuQian JIA Wei Ping Department of Endocrinology and Metabolism Affiliated Sixth People's Hospital of Shanghai Jiaotong University Shanghai Clinical Center for Diabetes Shanghai Diabetes Institute Shanghai Key Laboratory of Diabetes Mellitus Public Health Bureau of Shanghai Zhabei District Gonghexin Road Community Health Service Center of Shanghai Zhabei District Tianmuxi Road Community Health Service Center of Shanghai Zhabei District Daning Road Community Health Service Center of Shanghai Zhabei District Department of Ultrasound Affiliated Sixth People's Hospital of Shanghai Jiaotong University Shanghai Institute of Ultrasonic Medicine

Objective To evaluate whether waist circumference （WC）〉85 cm is related to asymptomatic preclinical atherosclerosis in women from Shanghai, China. Methods A total of 2365 females aged 〉20 years recruited from 4 communities underwent physical examination and carotid artery scanning. Their Carotid Intima-media Thickness （C-iMT） was measured. Results The C-IMT was significantly higher in overweight or obese women with their BMI 〉25.0 kg/m2 {P〈O.01） and in those with their WC _〉85 cm than in those with their WC 〈85 cm （P〈O.01）. Spearman and partial correlation analysis showed that the C-IMT was significantly correlated with WC which was independent of menopausal status. The C-IMT significantly increased with the increasing WC and reached to a platform in about 85 cm. An increment tendency was found in the subgroup with its WC 〈 85 cm （P〈O.01） while no significant tendency was found in the subgroup with its WC_〉85 cm （P=0.07）. Multiple stepwise regression analysis showed that the WC was an independent risk factor for C-IMT. In logistic regression model, the odd ratio of WC _〉80 cm, _〉80 cm and 〈85 cm and 〉85 cm for evaluating the risk of C-IMT elevation was 2.632, 2.501, and 1.878, respectively. Conclusion WC is significantly correlated with C-IMT in women from Shanghai, China, and WC_〉85 cm may be used in identifying the risk of subclinical carotid atherosclerosis.

关键词： Visceral obesity Waist circumference Carotid Intima-media Thickness

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Effect of short term intensive multitherapy on Carotid Intima-media Thickness in patients with newly diagnosed type 2 diabetes mellitus

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Chinese Medical Journal 2008年第8期121卷 687-690页

作者： GUO Li-xin PAN Qi WANG Xiao-xia LI Hui ZHANG Li-na CHI Jia-min WANG Yao Department of Endocrinology Beijing Hospital Beijing 100730 China

Background Controlling plasma glucose levels, blood pressure and lipid levels is proven to reduce the risk of vascular complications in patients with type 2 diabetes mellitus. This has prompted intensive multitherapy targeted at several macrovascular risk factors. Carotid Intima-media Thickness （cIMT） is a reliable measure of early atherosclerosis. We sought to determine whether a 6-month intensive mutiltherapy program resulted in better goal attainment than usual care and its effect on the development of cIMT among patients with newly diagnosed type 2 diabetes mellitus. Methods The study randomly assigned 220 patients with newly diagnosed type 2 diabetes mellitus to intensive or traditional therapy groups. The clinical parameters, such as fasting plasma glucose, total cholesterol, triglyceride, blood pressure, body weight and insulin were assessed at the baseline and after the 6-month therapy, cIMT of the patients was also obtained. Results The average levels of fasting plasma glucose, hemoglobin Alc, total cholesterol （TC） and low-density lipoprotein cholesterol （LDL-C） in the intensive group were significantly lower than those in the control group at the end of 6-month treatment. By 6 months, a higher proportion of patients in the intensive therapy group than in the control group attained goals for fasting plasma glucose （FPG）, TC, LDL-C and hemoglobin Alc. With intensive multherapy the level of Carotid Intima-media Thickness in the intensive therapy group was lower than that in the control group （（0.88±0.26） mm vs （0.96±0.22） mm, P 〈0.01）. Conclusions The evidence from this clinical trial demonstrates that intensive glucose, lipid and blood pressure control in patients with newly diagnosed type 2 diabetes is associated with diabetic macrovascular benefits. Intensive multitherapy allows more patients to achieve aims of control and may reduce macrovascular complications and delay disease progression.

关键词： intensive multitherapy type 2 diabetes Carotid Intima-media Thickness

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Relationship of plasma level of Lp-PLA_2 and pulse wave velocity and Carotid Intima-media Thickness

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South China Journal of Cardiology 2014年第4期15卷 261-266页

作者： LUO Ying WANG Li-li LONG Juan CHEN Qi-ying HU Wei Cardiovascular Department of Sun Yat-sen Cardiovascular Hospital

Background Increased plasma level of Lp-PLA2 is a potential risk factor for atherosclerosis. Nevertheless, whether Lp-PLA2 has effects on both vascular function and structure changes is still unclear. Method One hundred and eighty-six outpatient subjects without overt cardiovascular disease were enrolled and anthropomet- ric data, plasma level of Lp-PLA2 and other related laboratory parameters were collected. Measurements of pulse wave velocity （PWV） and Carotid Intima-media Thickness （CIMT） were performed by an experienced investigator. According to plasma level of Lp-PLA2, all the subjects were divided into two groups as follows：〈 200 ng/mL （n = 96） and ≥200 ng/mL （n = 90）. Result Body mass index, smoking, diabetic mellitus, systolic blood pressure, and LDL-C level were positive correlation with plasma level of Lp-PLA2, while use of statins was negatively correlative. Both PWV and CIMT positively correlated with smoking, systolic blood pressure, LDL-C level and plasma level of Lp-PLA2, while negatively correlated with HDL-C level and usage of statins. CIMT in the group with plasma level of Lp-PLA2 〈 200 ng/mL （0.9 ± 0.2 mm, n = 96） was sig- nificantly less than that with plasma level of Lp-PLA2≥200 ng/mL （1.2 ±0.4 mm, n = 90, P = 0.32）, and similar finding was also observed in PWV （9.1± 0.5 m/s vs 12.7 ± 0.4 m/s, P = 0.38）. Conclusion Our present study shows that in subjects without overt CVD, increased plasma level of Lp-PLA2 is associated with vascular function （PWV） and structure （CIMT） deterioration.

关键词： lipoprotein-associated phospholipase A2 Carotid Intima-media Thickness pulse wave velocity

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Reduction of internal carotid artery intima-media thickness in patients with moderate to severe obstructive sleep apnea syndrome after surgical treatment

Reduction of internal carotid artery intima-media thickness ...

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第五届中国西部睡眠医学大会暨重庆市心理卫生协会睡眠医学...

作者：彭易坤贵州省人民医院耳鼻咽喉科

Objective:To investigate the surgical outcomes of moderate to severe obstructive sleep apnea syndrome（OSAS） and the changes of internal carotid artery intima-media thickness（IMT） after surgical treatment.Subjects and methods:Sixty-four patients with OSAS,narrowing at nasal cavity and retropalatal airways were enrolled in this study.Fifty-two patients underwent nasal surgery and modified uvulopalatopharyngoplasty（UPPP）.Twelve patients who refused surgeries and continuous positive airway pressure（CPAP） treatment received only conservative treatment.All patients were evaluated within 1 month before treatment and at 6 months after treatment by polysomnography,upper airway endoscopy and B-mode ultrasound.Results:The success rate was 61.5%（32/52 patients） in surgery group.There are significant differences for Apnea hypopnea index（AHI）,minimum oxygen saturation（Sa02）,mean Sa02,systolic and diastolic blood pressure,triglyceride（TG）,total cholesterol（CHOL）,high-density lipoprotein cholesterol（HDL-C）,low-density lipoprotein cholesterol（LDL-C） and mean internal carotid IMT between surgery group and non surgery group 6 months after treatment.The changes of AHI,minimal Sa02 and mean Sa02 significantly correlated with the changes of internal carotid IMT between preoperation and postopereation in surgery group.The changes of oxygen saturation showed negative correlation and the changes of AHI showed positive correlation with the changes of internal carotid IMT.The changes of BMI,blood pressure and serum lipid did not show any correlations with the changes of internal carotid IMT.Conclusion:Multi-level surgeries including nasal surgery and UPPP can reduce the severity of OSAS with narrowing levels above the retropalatal airways;furthermore,multi-level surgeries appear to result in reduction of carotid artery intima-media thickness,which could provide cardiovascular benefit for OSAS patients.

关键词： obstructive sleep apnea syndrome nasal surgery uvulopalatopharyngoplasty Carotid Intima-media Thickness ultrasonography

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Ultrasound Assessraent of intima-media thickness and Diameter of carotid Arteries in Patients Undergoing Hemodialysis or Renal Transplantation

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Current Medical Science 2018年第4期38卷 727-733页

作者： Zhao-jun Li Lian-fang DU Yan QIN Ji-bin LIU Xiang-hong LUO Department of Ultrasound Shanghai General Hospital Shanghai Jiao Tong University Shanghai 200080 China Department of Urology Shanghai General Hospital Shanghai Jiao Tong University Shanghai 200080 China Department of Radiology Thomas Jefferson University Philadelphia 19107 USA Department of Echocardiography Shanghai General Hospital Shanghai Jiao Tong University Shanghai 200080 China

Renal transplant （RT） recipients have a high risk of developing cardiovascular diseases. However, the effects of renal transplantation on the development of arteriosclerosis have been controversial. The Carotid Intima-media Thickness （CIMT） and diameter （CD） are important indicators of vascular remodeling and arteriosclerosis. In this study, 31 patients with hemodialysis （HD）, 31 RT recipients and 84 age- and gender-matched control subjects were enrolled. Their CIMT and CD were measured by ultrasonic radiofrequency tracking, and the linear regression models and Z test were used to identify the progression of arteriosclerosis and the risk factors. Compared with HD group, RT group had significantly lower CIMT and CD. CIMT was found to be associated with age, body weight, resistance index and diastolic velocity, while CD was associated significantly with age, body weight, pulsatility index, end diastolic velocity and diastolic blood pressure （DBP）, respectively. The correlation curves between CIMT and age showed the slopes of curves were decreased successively in control, RT and HD groups, and the curves between CD and age showed the slopes were decreased in order of RT 〉 control 〉 HD groups. It was concluded that CIMT and CD were significantly correlated with age in RT and moderately with age in HD patients. RT could reduce the progress of arteriosclerosis in patients with end-stage renal disease.

关键词： ultrasonic radiofrequency tracking renal transplantation arteriosclerosis Carotid Intima-media Thickness age

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Increased Carotid Intima-media Thickness(CIMT) levels in patients with type 1 diabetes mellitus(T1DM):a meta-analysis

Increased carotid intima-media thickness(CIMT) levels in pat...

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第九届全国免疫学学术大会

作者： Yi-Peng Sun Yuan-Yuan Cai Hong-Miao Li Sen-Miao Deng Rui-Xue Leng Hai-Feng Pan Department of Epidemiology and Biostatistics School of Public HealthAnhui Medical University Anhui provincial laboratory of population health & major disease screening and diagnosis Anhui Medical University

Background:Type 1 diabetes mellitus(T1DM)is associated with an increased cardiovascular(CV)morbidity and mortality as compared with the general population.Cardiovascular disease is based on atherosclerosis(AS).And carotid inti-ma-media thickness(CIMT)level is the symbol of early atherosclerosis,it has been shown to be the marker of preclinical atherosclerosis.It is widely used as a noninvasive method to detect the atherosclerosis and to forecast cardiovascular disease in patients with T1DM.In recent years,a great many of studies have been performed to compare the mean CIMT difference between patients with T1DM and healthy controls.However,these studies have shown inconsistent or even contradictory findings.Objective:To derive a more precise estimation of CIMT levels in patients with T1DM by meta-analysis.Methods:PubMed and Embase databases were searched to identify all available studies comparing CIMT levels between T1DM group and control group.Meta-analysis was performed to compare the difference of overall mean CIMT levels between the two groups.Publication bias was evaluated by funnel plot,Begg’test and Egger’test.Meta-regression analysis was conducted to investigate the influential factors on CIMT difference.The meta-analysis was conducted by STATA 12.0 software.Results:738 articles were obtained after searching databases,47 studies were finally included in the meta-analysis.Significant heterogeneity was observed among these studies(Q=768.75,P<0.001,I2=94.0%).Compared with control group,T1DM group had significantly higher CIMT levels(standardized mean difference:1.01,95%CI:0.75-1.28;P<0.001).A likely source of heterogeneity was NOS scores and sample size ratio of patents and controls.The funnel plot did not show a skewed or asymmetrical shape,and the result of Begg’test and Egger’test was P=0.178 and P=0.145respectively.Accordingly,it could be assumed that publication bias was not present.Conclusion:T1DM patients have significantly increased CIMT levels compared to control subjects,suggesting that CIMT may be

关键词： type 1 diabetes mellitus Carotid Intima-media Thickness atherosclerosis meta-analysis

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Dialysis methods may affect Carotid Intima-media Thickness in Chinese end-stage renal disease patients

Dialysis methods may affect carotid intima-media thickness i...

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2012年浙江省肾脏病学术年会

作者： Shaoming Zhu Zhanqin Shi Ming Zhu Xuequan Song Xiaoyi Wang Zhiqiang Jiang Jianming Guan Jianghua Chen Qiang He Xiaohui Zhang Department of Ultrasound the First Affiliated Hospital of Zhejiang University Department of Nephrology the First Affiliated Hospital of Huzhou Teachers College Department of Ultrasound the First Affiliated Hospital of Huzhou Teachers College Department of Nephrology the First Affiliated Hospital of Zhejiang University

Atherosclerosis is the most common cause of cardiovascular morbidity in end-stage renal disease (ESRD) patients and Carotid Intima-media Thickness (IMT) is an early independent predictor of atherosclerosis. The aim of this study is to compare the continuous ambulatory peritoneal dialysis (CAPD) and the maintenance hemodialysis (MHD) for carotid IMT in Chinese ESRD patients. A total of 72 CAPD patients, 92 MHD patients, and 50 age- and sex-matched healthy controls were included. Dialysis patients were divided into five subgroups according to dialysis duration: 3-6, 7-12, 13-59, 60-119, and 120-179 months. carotid IMT and carotid plaques were detected for each patient. The carotid IMT and total plaque detection rate in CAPD and MHD groups were considerably higher than in the healthy control group (Pcarotid IMT and total plaque detection rate between CAPD group and MHD group (P>0.05). However, after stratification by dialysis duration, the total carotid IMT in CAPD subgroup was higher than in MHD subgroup in dialysis duration of 60-119 and 120-179 months (P0.05). Our study showed that both CAPD and MHD affect carotid IMT in Chinese ESRD patients, and the degree of atherosclerosis in CAPD patients might be higher than MHD patients after five years of dialysis.

关键词： end-stage renal disease continuous ambulatory peritoneal dialysis maintenance hemodialysis Carotid Intima-media Thickness dialysis duration

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Relationship of plasma homocysteine, soluble intercellular adhesion molecule-1, high mobility group box 1 protein with Carotid Intima-media Thickness in elderly patients with type 2 diabetes mellitus

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Discussion of Clinical Cases 2022年第1期9卷 9-12页

作者： Zhijie Cai Jun Xue Xiaohui Ma Peifeng Chen Biao Ge Yuying Zhang Zhihui Dong Department of Geriatrics Baogang HospitalBaotouInner MongoliaChina Department of Endocrinology Baotou Central HospitalBaotouInner MongoliaChina

Objective:To explore the relationship of plasma homocysteine(Hcy),soluble intercellular adhesion molecule-1(sICAM-1)and high mobility group box 1 protein(HMGB1)with Carotid Intima-media Thickness(c-IMT)in elderly patients with type 2 diabetes mellitus.Methods:A total of 100 elderly patients who were diagnosed as type 2 diabetes mellitus in Baogang Hospital of Inner Mongolia from June 2017 to May 2020 were chosen as research objects.According to c-IMT,they were divided into the normal group(n=35),the mild to moderate group(n=41)and the severe group(n=24).The expression levels of plasma Hcy,sICAM-1 and HMGB1 were compared between groups respectively.Pearson’s correlation coefficient was used to analyze the relationship of plasma Hcy,sICAM-1,HMGB1 with c-IMT.Results:The comparison in plasma Hcy,sICAM-1,HMGB1 and c-IMT among the three groups of patients was of statistical significance(p<.05).The results of correlation analysis showed that the expression levels of plasma Hcy,sICAM-1 and HMGB1 were positively correlated with c-IMT in elderly patients with type 2 diabetes mellitus(r=.627,.598,.614;p<.05).Conclusions:The expression levels of plasma Hcy,sICAM-1 and HMGB1 are abnormally increased in elderly patients with type 2 diabetes mellitus,and related to c-IMT,which can provide a strong evidence for clinical diagnosis and treatment by detecting their levels in clinical practice.

关键词： Type 2 diabetes mellitus Carotid Intima-media Thickness Homocysteine Soluble intercellular adhesion molecule-1 High mobility group box 1 protein

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Ursodeoxycholic acid as a means of preventing atherosclerosis,steatosis and liver fibrosis in patients with nonalcoholic fatty liver disease

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World Journal of Gastroenterology 2021年第10期27卷 959-975页

作者： Maria Nadinskaia Marina Maevskaya Vladimir Ivashkin Khava Kodzoeva Irina Pirogova Evgeny Chesnokov Alexander Nersesov Jamilya Kaibullayeva Akzhan Konysbekova Aigul Raissova Feruza Khamrabaeva Elena Zueva Department of Propaedeutics of Internal Diseases Gastroenterology and HepatologySechenov First Moscow State Medical University(Sechenov University)Moscow 119991Russia Vasilenko Clinic of Internal Diseases Propedeutics Gastroenterology and HepatologyUniversity Clinical Hospital№2Sechenov First Moscow State Medical University(Sechenov University)Moscow 119991Russia LLC MC“Lotus” Center for Gastroenterology and HepatologyChelyabinsk 454092Russia Department of Hospital Therapy with the Course of Endocrinology and Clinical Pharmacology Tyumen State Medical UniversityTyumen 625003Russia Department of Gastroenterology S.Asfendiyarov Kazakh National Medical UniversityAlmaty 050000Kazakhstan Functional and Ultrasound Diagnostics Scientific and Research Institute of Cardiology and Internal DiseasesAlmaty 050000Kazakhstan Department of Internal Diseases Scientific and Research Institute of Cardiology and Internal DiseasesAlmaty 050000Kazakhstan Faculty of Therapy Tashkent Institute of Advanced Medical StudiesTashkent 100007Uzbekistan Department of Therapy№1 with Training General Practitioners Tashkent Medical AcademyTashkent 100109Uzbekistan

BACKGROUND Atherosclerotic cardiovascular disease(ASCVD)is the leading cause of mortality in patients with nonalcoholic fatty liver disease(NAFLD).Weight loss is a key factor for successful NAFLD and CVD therapy.Ursodeoxycholic acid(UDCA),which is one of the first-line therapeutic agents for treatment of NAFLD,is reported to have a beneficial effect on dyslipidemia and ASCVD risk because of antioxidant properties.AIM To evaluate the effects of 6 mo of UDCA treatment on hepatic function tests,lipid profile,hepatic steatosis and fibrosis,atherogenesis,and ASCVD risk in men and women with NAFLD,as well as to assess the impact of>5%weight reduction on these parameters.METHODS An open-label,multicenter,international noncomparative trial was carried out at primary health care settings and included 174 patients with ultrasound-diagnosed NAFLD who received 15 mg/kg/d UDCA for 6 mo and were prescribed lifestyle modification with diet and exercise.The efficacy criteria were liver enzymes,lipid profile,fatty liver index(FLI),noninvasive liver fibrosis tests(nonalcoholic fatty liver disease fibrosis score and liver fibrosis index),Carotid Intima-media Thickness(CIMT),and ASCVD risk score.To test statistical hypotheses,the Wilcoxon test,paired t-test,Fisher’s exact test,and Pearson's chi-squared test were used.RESULTS The alanine aminotransferase(ALT)level changed by-14.1 U/L(-31.0;-5.3)from baseline to 3 mo and by-6.5 U/L(-14.0;0.1)from 3 to 6 mo.The magnitude of ALT,aspartate transaminase,and glutamyltransferase decrease was greater during the first 3 mo of treatment compared to the subsequent 3 mo(P<0.001,P<0.01,P<0.001,respectively).At 6 mo,in the total sample,we observed a statistically significant decrease in body weight and levels of FLI:84.9±10.4 vs 72.3±17.6,P<0.001,total cholesterol:6.03±1.36 vs 5.76±1.21,Р<0.001,lowdensity lipoprotein:3.86±1.01 vs 3.66±0.91,Р<0.001,and triglyceride:3.18(2.00;4.29)vs 2.04(1.40;3.16),Р<0.001.No effect on nonalcoholic fatty liver disease fibrosis score or liver fibrosis index was foun

关键词： Ursodeoxycholic acid Nonalcoholic fatty liver disease Liver function tests Fatty liver index Carotid Intima-media Thickness Atherosclerotic cardiovascular disease

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