TABLE 1. Details of participants and methods used in this study.
Lean healthy controls | Study 1: patients with severe obesity | Study 2: patients with T2DM | Study 3: patients screened for liver disease | |
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Derivation | n = 10 | n = 38 | – | – |
Validation | – | n = 59 | n = 36 | n = 75 |
Inclusion criteria |
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Exclusion criteria | (1) Use of prescription drugs, (2) Any chronic disease, (3) Use of antibiotics within 6 months, (4) Alcohol use >8 g for women and 16 g for men per day, (5) Abnormal US and/or elevated TE, (6) Hospital contacts within 6 months. | (1) Chronic liver disease other than NAFLDa, (2) Decompensated cirrhosisb, (3) Pregnancy, (4) Severe/deadly illness, (5) Hepatotoxic medicationc, (6) Alcohol use >12 g for women and >24 g for men per dayd, (7) Following low carbohydrate diete, (8) >10 kg weight loss within the last 3 monthse, (9) Use of antibiotics within the last 2 monthse. | ||
Inclusion period | May 2016–Mar. 2018 | Aug. 2018–ongoing | Nov. 2016–Jun. 2021 | Oct. 2017–ongoing |
Study name and ethics approvalf | Gala‐HP S‐20160006G | PROMETHEUS S‐20160006G | REDUCTION S‐20150217 | SIPHON S‐20170087 |
Registration | OPEN.rsyd.dk, OP‐239 | ClinicalTrials.gov: NCT03535142 | ClinicalTrials.gov: NCT03068078 | ClinicalTrials.gov: NCT03308916 |
Note: Study 3 included patients with alcohol overuse, however, patients with alcohol overuse were excluded in Studies 1 and 2 (see Figure 2, consort diagram).
Abbreviations: BMI, Body Mass Index; OPEN, Odense Patient data Explorative Network; T2DM, type 2 diabetes mellitus; TE, transient elastography; US, ultrasound.
Liver biopsy and biochemical results showing evidence of viral hepatitis, autoimmune liver disease, cholestatic liver disease, and/or primary hemochromatosis.
Defined as manifestation of ascites, overt hepatic encephalopathy, jaundice, hepatorenal syndrome, or variceal hemorrhage.
Tamoxifen, amiodarone, systemic glucocorticoids, and methotrexate.
Only Study 1 and 2.
Only Study 2.
Identifying number from Ethics committee in Region of Southern of Denmark.