Table 3. Models predicting hepatic steatosis (LPR ≤ 0.33) in the Framingham Heart Study Cohort.
Models | Covariate | Odds Ratio (95% CI) | P- Value | C-statistic** |
---|---|---|---|---|
Clinical model* | Age (per 1 year increase) | 1.00 (0.98, 1.03) | 0.68 | 0.830 |
Sex (Women vs. Men) | 0.65 (0.47, 0.91) | 0.01 | ||
BMI (per 1 kg/m2 increase) | 1.20 (1.16, 1.24) | <0.0001 | ||
Triglycerides (per 1 mg/dl increase) | 1.01 (1.00, 1.01) | <0.0001 | ||
Hypertension (yes vs. no) | 1.94 (1.38, 2.72) | 0.0001 | ||
Diabetes (yes vs. no) | 2.56 (1.31, 5.00) | 0.006 | ||
Framingham Steatosis Index* | Age (per 1 year increase) | 1.01 (0.99, 1.04) | 0.36 | 0.845 |
Sex (Women vs. Men) | 0.86 (0.61, 1.23) | 0.42 | ||
BMI (per 1 kg/m2 increase) | 1.19 (1.15, 1.23) | <0.0001 | ||
Triglycerides (per 1 mg/dl increase) | 1.01 (1.00, 1.01) | <0.0001 | ||
Hypertension (yes vs. no) | 1.81 (1.28, 2.57) | 0.0009 | ||
Diabetes (yes vs. no) | 2.20 (1.12, 4.33) | 0.02 | ||
ALT/AST Ratio (> 1.33 vs ≤ 1.33) | 3.00 (2.15, 4.20) | <0.0001 |
BMI, body mass index; ALT, alanine aminotransferase; AST, aspartate aminotransferase
Multivariable stepwise regression models. Age and sex were forced into the model. Candidate variables for the selection model included smoking status, BMI, waist circumference, diabetes, hypertension, total cholesterol, triglycerides, HDL cholesterol, or low-density lipoprotein (LDL) cholesterol. The ALT/AST ratio was added to the clinical model to derive the Framingham Steatosis Index.
Difference in c-statistic between the clinical model and the FSI=0.015, 95% CI of difference (0.005, 0.025), p<0.001