Table 2 Clinical characteristics of adolescents with SLD based on whether they met the MASLD criteria.

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

 

MASLD – (N = 31 )

MASLD + (N = 260)

P – value

Age (years)

15.0 ± 1.9

15.4 ± 1.8

0.263

Female sex (%)

14 (45.2%)

114 (43.8%)

0.889

BMI(kg/m2)

21.2 ± 2.5

33.4 ± 7.3

< 0.001

BMI categories (%)

  

< 0.001

< 5th percentile (underweight)

1 (3.3)

0 (0.0)

 

5th – 85th percentile (normal weight)

29 (96.7)

11 (4.2)

 

85th – 95th percentile (overweight)

0 (0.0)

39 (15.0)

 

≥ 95th percentile (obese)

0 (0.0)

210 (80.8)

 

Waist circumference (cm)

75.4 ± 7.7

104.5 ± 14.8

< 0.001

Race-ethnicity (%)

  

0.749

Non-Hispanic White

9 (29.0)

79 (30.4)

 

Non-Hispanic Black

8 (25.8)

54 (20.8)

 

Hispanic

1 (3.2)

21 (8.1)

 

Other

13 (41.9)

106 (40.8)

 

Alcohol consumption (%)

  

0.441

Light alcohol intake

30 (96.8%)

247 (95.0%)

 

Moderate alcohol intake

0 (0.0%)

9 (3.5%)

 

Excessive alcohol intake

1 (3.2%)

4 (1.5%)

 

AST (IU/L)

20.3 ± 8.1

21.8 ± 9.5

0.244

ALT (IU/L)

15.8 ± 7.5

25.1 ± 9.5

0.002

Elevated ALT (%)

1 (3.2%)

33 (12.7%)

0.013

ALT ≥ 80 IU/L

0 (0.0%)

4 (1.5%)

0.038

GGT(IU/L)

12.3 ± 3.6

21.1 ± 13.0

< 0.001

Platelet count (× 10^6/L)

279.6 ± 57.6

287.3 ± 59.0

0.304

Albumin (g/dl)

4.3 ± 0.2

4.1 ± 0.3

0.002

Total cholesterol (mg/dl)

157.4 ± 24.1

160.8 ± 31.1

0.779

LDL-C (mg/dl)

85.6 ± 24.9

94.1 ± 26.1

0.002

CMRF Groups (%)

 Group 1: Overweight or obesity

0 (0.0%)

249 (95.8%)

< 0.001

 Group 2: Prediabetes or diabetes

0 (0.0%)

85 (32.7%)

< 0.001

 Group 3: Elevated BP

0 (0.0%)

29 (11.2%)

0.050

 Group 4: Hypertriglyceridemia

0 (0.0%)

15 (5.8%)

0.170

 Group 5: Low HDL-C

0 (0.0%)

78 (30.0%)

< 0.001

 MetALD (%)

0 (0.0%)

9 (3.5%)

0.604

 ALD (%)

1 (3.2%)

4 (1.5%)

0.433

 CSF (%)

3 (9.7)

25 (9.6)

0.991

  1. MASLD, metabolic dysfunction-associated 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; MetALD, metabolic dysfunction and alcohol associated steatotic liver disease; ALD, alcohol related liver disease; LSM, liver stiffness measurement.