Table 1 Clinical characteristics of the study population according to the presence or absence of SLD.

From: Prevalence of steatotic liver disease (MASLD, MetALD, ALD) and clinically significant fibrosis in US adolescents

 

Total

No SLD

SLD

P-value

N (%)

1446

1155(79.9)

291(20.1)

 

Age (years)

15.0 ± 2.0

14.9 ± 2.0

15.3 ± 1.9

0.001

Female sex (%)

680 (47.0)

552 (47.8)

128 (44.0)

0.245

BMI(kg/m2)

24.6 ± 6.7

22.7 ± 4.8

32.1 ± 7.9

< 0.001

BMI categories (%)

   

< 0.001

< 5th percentile (underweight)

45(3.1)

44 (3.8)

1 (0.3)

 

5th – 85th percentile (normal weight)

780 (54.4)

740 (64.7)

40 (13.8)

 

85th – 95th percentile (overweight)

248 (17.3)

209 (18.3)

39 (13.4)

 

≥ 95th percentile (obese)

360 (25.1)

150 (13.1)

210 (72.4)

 

Waist circumference (cm)

82.7 ± 16.0

77.9 ± 11.7

101.5 ± 16.8

< 0.001

Race-ethnicity (%)

   

0.065

Non-Hispanic White

465 (32.2)

377 (32.6)

88 (30.2)

 

Non-Hispanic Black

356 (24.6)

294 (25.5)

62 (21.3)

 

Hispanic

128 (8.9)

106 (9.2)

22 (7.6)

 

Other

497 (34.4)

378 (32.7)

119 (40.9)

 

Alcohol consumption (%)

   

0.853

Light alcohol use

1384 (95.7)

1107 (95.8)

277 (95.2)

 

Moderate alcohol use

38 (2.6)

29 (2.5)

9 (3.1)

 

Excessive alcohol use

24 (1.7)

19 (1.6)

5 (1.7)

 

Laboratory Features

 AST (IU/L)

19.8 ± 9.2

19.4 ± 9.2

21.6 ± 9.4

< 0.001

 ALT (IU/L)

16.2 ± 11.5

14.2 ± 7.3

24.3 ± 19.0

< 0.001

 Elevated ALT (%)

52 (4.2)

18 (1.8)

34 (13.5)

< 0.001

 ALT ≥ 80 IU/L

4 (0.3)

0 (0.0)

4 (1.6)

0.002

 GGT(IU/L)

15.1 ± 8.8

13.8 ± 6.8

20.4 ± 12.7

< 0.001

 Platelet count (×10^9/L)

269.1 ± 57.7

264.7 ± 56.7

286.6 ± 58.8

< 0.001

 Albumin (g/dl)

4.3 ± 0.3

4.3 ± 0.3

4.2 ± 0.3

< 0.001

 Total cholesterol (mg/dl)

153.3 ± 29.5

151.5 ± 28.9

160.5 ± 30.5

< 0.001

 LDL-C(mg/dl)

87.3 ± 25.4

85.4 ± 24.9

94.2 ± 26.1

< 0.001

CMRF Groups (%)

 

 Group 1: Overweight or obesity

608 (42.4)

359 (31.4)

249 (85.9)

< 0.001

 Group 2: Prediabetes or diabetes

292 (20.2)

207 (17.9)

85 (29.2)

< 0.001

 Group 3: Elevated BP

96 (6.6)

67 (5.8)

29 (10.0)

< 0.001

 Group 4: Hypertriglyceridemia

23 (1.6)

8 (0.7)

15 (5.2)

< 0.001

 Group 5: Low HDL-C

204 (14.1)

126 (10.9)

78 (26.8)

< 0.001

 MASLD (%)

260 (17.9)

0 (0.0%)

260 (89.3)

< 0.001

 MetALD (%)

9 (0.6%)

0 (0.0)

9 (3.1)

< 0.001

 ALD (%)

5 (0.3%)

0 (0.0)

5 (1.7)

< 0.001

 CSF (%)

58 (4.0)

30 (2.6)

28 (9.6)

< 0.001

  1. CAP, controlled attenuation parameters; SLD, steatotic liver disease; BMI, body mass index; AST, Aspartate aminotransferase; ALT, Alanine transaminase; GGT, gamma-glutamyl transpeptidase; LDL-C, low density lipoprotein cholesterol; CMRF, cardiometabolic risk factor; BP, blood pressure; HDL-C, high density lipoprotein cholesterol; MASLD, metabolic dysfunction-associated steatotic liver disease; MetALD, metabolic dysfunction and alcohol associated steatotic liver disease; ALD, alcohol related liver disease; CSF, clinically significant fibrosis. ALT levels were considered elevated if > 22 IU/L in females and > 26 IU/L in males.