Table 2.
Subgroup analyses on the risk of incident cardiovascular disease across the subtypes of SLD.
No SLD | MASLD | MetALD | ALD | Ptrend | Pinteraction | |
---|---|---|---|---|---|---|
Age, years | <0.001 | |||||
Younger adults < 65 | 1.00 (reference) | 1.22 (1.16–1.27)c | 1.30 (1.21–1.39)c | 1.33 (1.20–1.48)c | <0.001 | |
Older adults ≥ 65 | 1.00 (reference) | 1.14 (1.07–1.21)c | 1.22 (1.07–1.39)b | 1.17 (0.99–1.38) | <0.001 | |
Sex | 0.012 | |||||
Male | 1.00 (reference) | 1.26 (1.20–1.32)c | 1.35 (1.26–1.45)c | 1.38 (1.26–1.51)c | <0.001 | |
Female | 1.00 (reference) | 1.10 (1.04–1.16)c | 1.16 (0.90–1.50) | 0.78 (0.38–1.57) | 0.003 | |
Body mass index | 0.033 | |||||
<25 kg/m2 | 1.00 (reference) | 1.20 (1.15–1.25)c | 1.29 (1.19–1.40)c | 1.25 (1.11–1.39)c | <0.001 | |
≥25 kg/m2 | 1.00 (reference) | 1.10 (1.02–1.19)a | 1.17 (1.05–1.31)b | 1.24 (1.07–1.44)b | 0.015 | |
Hypertension | <0.001 | |||||
No | 1.00 (reference) | 1.26 (1.20–1.32)c | 1.41 (1.30–1.54)c | 1.43 (1.27–1.61)c | <0.001 | |
Yes | 1.00 (reference) | 1.08 (1.03–1.14)b | 1.10 (1.01–1.21)a | 1.10 (0.97–1.26) | 0.014 | |
Type 2 diabetes | <0.001 | |||||
No | 1.00 (reference) | 1.20 (1.15–1.25)c | 1.31 (1.23–1.41)c | 1.30 (1.17–1.43)c | <0.001 | |
Yes | 1.00 (reference) | 1.09 (1.00–1.19) | 1.07 (0.92–1.24) | 1.18 (0.97–1.44) | 0.210 | |
Dyslipidaemia | 0.005 | |||||
No | 1.00 (reference) | 1.23 (1.18–1.28)c | 1.33 (1.24–1.42)c | 1.34 (1.22–1.48)c | <0.001 | |
Yes | 1.00 (reference) | 1.06 (0.99–1.15) | 1.09 (0.95–1.24) | 1.06 (0.86–1.30) | 0.295 | |
Smoking | <0.001 | |||||
Never | 1.00 (reference) | 1.14 (1.09–1.19)c | 1.33 (1.19–1.49)c | 1.30 (1.09–1.54)b | <0.001 | |
Past | 1.00 (reference) | 1.20 (1.11–1.31)c | 1.35 (1.20–1.53)c | 1.57 (1.33–1.85)c | <0.001 | |
Current | 1.00 (reference) | 1.34 (1.24–1.45)c | 1.32 (1.20–1.48)c | 1.27 (1.10–1.46)c | <0.001 | |
MVPA | 0.058 | |||||
No | 1.00 (reference) | 1.18 (1.12–1.24)c | 1.29 (1.17–1.41)c | 1.14 (1.01–1.30)a | <0.001 | |
1–4 times/week | 1.00 (reference) | 1.19 (1.12–1.28)c | 1.25 (1.12–1.40)c | 1.49 (1.26–1.76)c | <0.001 | |
≥5 times/week | 1.00 (reference) | 1.23 (1.14–1.33)c | 1.31 (1.15–1.48)c | 1.39 (1.16–1.66)c | <0.001 | |
CCI | 0.003 | |||||
0 | 1.00 (reference) | 1.27 (1.15–1.40)c | 1.41 (1.22–1.63)c | 1.41 (1.13–1.75)b | <0.001 | |
1 | 1.00 (reference) | 1.21 (1.12–1.30)c | 1.31 (1.17–1.48)c | 1.38 (1.17–1.64)c | <0.001 | |
≥2 | 1.00 (reference) | 1.16 (1.11–1.22)c | 1.22 (1.12–1.32)c | 1.21 (1.08–1.36)b | <0.001 | |
Statin use | 0.003 | |||||
No | 1.00 (reference) | 1.23 (1.18–1.28)c | 1.34 (1.25–1.44)c | 1.33 (1.20–1.47)c | <0.001 | |
Yes | 1.00 (reference) | 1.08 (1.01–1.16)a | 1.09 (0.97–1.23) | 1.12 (0.93–1.34) | 0.094 | |
Aspirin use | <0.001 | |||||
No | 1.00 (reference) | 1.23 (1.18–1.28)c | 1.31 (1.22–1.41)c | 1.30 (1.17–1.44)c | <0.001 | |
Yes | 1.00 (reference) | 1.07 (1.00–1.14)a | 1.18 (1.05–1.33)b | 1.22 (1.04–1.45)a | 0.022 | |
NSAIDs use | 0.044 | |||||
No | 1.00 (reference) | 1.30 (1.18–1.44)c | 1.47 (1.26–1.71)c | 1.28 (1.02–1.60)a | <0.001 | |
Yes | 1.00 (reference) | 1.18 (1.13–1.22)c | 1.25 (1.17–1.34)c | 1.30 (1.18–1.43)c | <0.001 |
Subdistribution hazard ratios (95% CI) were calculated using the Fine and Gray’s model after adjustments for age, sex, body mass index, household income, hypertension, diabetes, dyslipidaemia, smoking, alcohol consumption, moderate-to-vigorous physical activity, and Charlson comorbidity index.
P for trend was calculated across the no SLD, MASLD, and MetALD groups.
SLD, steatotic liver disease; MASLD, metabolic dysfunction-associated steatotic liver disease; MetALD, metabolic dysfunction-associated steatotic liver disease with increased alcohol intake; ALD, alcohol-related liver disease; MVPA, moderate-to-vigorous physical activity; CCI, Charlson comorbidity index; NSAIDs, non-steroidal anti-inflammatory drugs.
P < 0.05.
P < 0.01.
P < 0.001.