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. 2020 Nov 17;15(11):e0242582. doi: 10.1371/journal.pone.0242582

Table 2. Cluster analysis based on the accumulation type of adipose tissue.

NAT group SAT group VAT group
N = 25 N = 27 N = 52 P value
Kruskal–Wallis, Mann–Whitney U median (min–max) NAT vs SAT
or Fisher’s exact tests or n (%) vs VAT SAT vs VAT
Age, years 49 (33–71) 57 (39–74) 64 (33–82) 0.001* 0.025*
Gender
Males 18 (72.0) 20 (74.1) 45 (86.5) 0.225 0.217
Females 7 (28.0) 7 (25.9) 7 (13.5)
Gastroesophageal varices 6 / 5 / 11 / 3 4 / 6 / 10 / 4 8 / 9 / 27 / 8 0.930 0.785
(F0 / F1 / F2 / F3 or rupture)
Ascites 10 / 7 / 8 16 / 4 / 7 33 / 12 / 7 0.190 0.372
(None / mild / moderate to severe)
    Overt hepatic encephalopathy 0 (0.0) 3 (11.1) 2 (3.8) 0.225 0.331
Charlson comorbidity index 3 (3–6) 4 (4–7) 4 (4–7) 0.656 0.553
Body mass index, kg/m2 21.9 (16.0–29.2) 26.1 (20.3–40.6) 23.6 (15.6–32.8) <0.001* 0.005*
Skeletal muscle mass index, cm2/m2 42.4 (28.0–65.3) 44.4 (23.1–59.6) 43.6 (21.5–71.9) 0.564 0.549
SAT index, cm2/m2 20.4 (1.8–33.4) 52.3 (31.8–135.3) 35.9 (16.7–80.5) <0.001* <0.001*
VAT index, cm2/m2 15.0 (3.3–38.3) 36.1 (14.5–101.6) 48.9 (28.1–125.0) <0.001* 0.002*
TAT index, cm2/m2 39.9 (5.0–54.8) 86.6 (58.4–236.9) 83.5 (56.0–205.5) <0.001* 0.352
Aspartate aminotransferase, U/L 65 (17–301) 51 (18–538) 43 (15–326) 0.284 0.570
Alanine aminotransferase, U/L 32 (14–59) 33 (12–576) 28 (10–83) 0.540 0.466
Albumin, g/dL 3.4 (1.5–4.4) 3.1 (1.7–4.5) 3.1 (1.7–4.9) 0.390 0.185
Total bilirubin, mg/dL 2.1 (0.5–27.1) 2.3 (0.6–23.4) 1.3 (0.5–8.2) 0.013* 0.006*
Gamma-glutamyl transpeptidase, U/L 86 (19–1167) 70 (15–729) 154 (15–923) 0.035* 0.015*
Cholinesterase, U/L 123 (39–269) 124 (30–275) 118 (39–359) 0.935 0.636
Prothrombin time, % 64 (22–110) 48 (17–89) 72 (35–108) 0.003* 0.001*
Fibrinogen, mg/dL 192 (46–482) 163 (43–348) 220 (74–581) 0.011* 0.002*
Ammonia, μg/dL 86 (39–150) 116 (32–311) 87 (25–261) 0.284 0.160
Creatinine, mg/dL 0.61 (0.40–2.02) 0.70 (0.36–2.95) 0.83 (0.42–2.80) 0.010* 0.118
Blood urea nitrogen, mg/dL 11 (3–47) 13 (4–84) 14 (4–55) 0.060 0.776
eGFR, mL/min/1.73m2 93.8 (23.7–159.0) 87.6 (14.0–142.6) 71.5 (18.7–143.7) 0.016* 0.235
White blood cell count, x103/μL 4.5 (2.7–18.9) 6.4 (2.6–39.9) 5.3 (2.5–29.0) 0.327 0.235
Platelet count, x104/μL 9.9 (3.7–18.4) 6.8 (3.3–31.8) 9.8 (4.4–23.0) 0.079 0.025*
C-reactive protein, mg/dL 0.24 (0.01–16.27) 0.33 (0.01–11.05) 0.29 (0.03–17.47) 0.726 0.679
Hemoglobin A1c, % 4.8 (3.2–7.0) 5.3 (3.6–8.6) 5.4 (4.1–9.4) 0.038* 0.813
Post definitive therapy for HCC 1 (4.0) 0 (0.0) 3 (5.8) 0.676 0.547
Child-Pugh score 8 (5–13) 9 (5–13) 7 (5–13) 0.083 0.038*
ALBI score -1.74(-3.03–0.30) -1.57 (-2.91–0.22) -1.72 (-3.32- -0.32) 0.186 0.051
5-year incidence rate of HCC 19.3 37.5 40.1 0.246 0.462
5-year survival rate 67.1 21.2 65.3 <0.001* <0.001*
Fatal cases 6 (24.0) 14 (51.9) 10 (19.2) 0.012* 0.004*
Cause of death 0.039* 0.010*
Liver failure, all (acute on chronic) 3 (0) 4 (1) 3 (0)
Malignancy, all organs (HCC) 1 (0) 2 (1) 1 (0)
Bleeding, all (variceal, muscle hematoma, others) 2 (2,0,0) 8 (2,4,2) 0 (0,0,0)
General infection 0 0 3
Others / Unspecified 0 0 3

SAT, subcutaneous adipose tissue; VAT, visceral adipose tissue; TAT, total adipose tissue; eGFR, estimated glomerular filtration rate; HCC, hepatocellular carcinoma; ALBI, albumin-bilirubin

*:P value < 0.05.