Research Article

The Prevalence and Determinants of Hepatic Steatosis Assessed by Controlled Attenuation Parameter in Thai Chronic Hepatitis C Patients

Table 1

Baseline characteristics of the patients.

VariablesPatients with hepatic steatosis ()Patients without hepatic steatosis ()Total patients () value

Age, mean (SD) (y)52.83 (10.43)55.15 (9.07)54.52 (9.49)0.129
Male sex, (%)33 (62.3)94 (65.3)127 (64.5)0.695
Liver stiffness, mean (SD) (kPa)21.47 (18.48)21.52 (14.44)21.50 (15.58)0.985
 F0-1, (%)2 (3.8)4 (2.7)6 (3.1)0.831
 F2, (%)14 (26.4)43 (29.9)57 (28.9)
 F3, (%)4 (7.5)8 (5.6)12 (6.1)
 F4, (%)33 (62.3)89 (61.8)122 (61.9)
BMI<0.001
 <23, (%)7 (13.2)65 (45.1)72 (36.6)
 23-24.9, (%)6 (11.3)38 (26.4)44 (22.3)
 ≥25, (%)40 (75.5)41 (28.5)81 (41.1)
 Mean (SD) (kg/m2)27.51 (4.21)23.61 (3.82)24.66 (4.28)
Comorbid diseases, (%)
 Hypertension14 (26.4)25 (17.4)39 (19.8)0.157
 Diabetes mellitus13 (24.5)13 (9.0)26 (13.2)0.004
 Dyslipidemia2 (3.8)15 (10.4)17 (8.6)0.165
HCV genotype, (%)0.927
 119 (35.9)56 (38.9)75 (38.1)
 322 (41.5)57 (39.6)79 (40.1)
 612 (22.6)31 (21.5)43 (21.8)
HCV RNA, median (range) (IU/mL)1,594,418 (5,824-10,213,198)1,021,978 (10,134-20,436,840)1,100,000 (5,824-20,436,840)0.810
 <6,000,000 IU/mL, (%)46 (86.8)128 (88.9)174 (88.3)0.684
 ≥6,000,000 IU/mL, (%)7 (13.2)16 (11.1)23 (11.7)
Biochemical markers
 Total bilirubin, median (range) (mg/dL)0.81 (0.11-2.77)0.73 (0.28-2.76)0.76 (0.11-2.77)0.941
 AST, median (range) (U/L)63 (24-164)80 (23-199)74 (23-199)0.009
 ALT, median (range) (U/L)71 (20-194)80 (16-195)77 (16-195)0.401
 ALP, median (range) (U/L)86 (51-206)90 (38-243)89 (38-243)0.010
 Albumin, median (range) (g/dL)4.50 (2.30-5.40)4.30 (2.90-5.50)4.30 (2.30-5.50)0.052
 INR, median (range)1.04 (0.90-1.54)1.08 (0.92-1.39)1.07 (0.90-1.54)0.126
 WBC, median (range) (/mm3)6,530 (2,300-11,820)6,110 (2,570-12,170)6,220 (2,300-12,170)0.238
 Hemoglobin, mean (SD) (g/dL)13.73 (1.73)13.40 (1.64)13.49 (1.67)0.223
 Platelet, mean (SD) (×109/L)176.49 (61.99)169.75 (79.57)171.56 (75.15)0.578
 Creatinine, mean (SD) (mg/dL)0.90 (0.40)0.91 (0.37)0.91 (0.38)0.529
FIB-4 score, median (range)2.53 (0.47-13.32)3.25 (0.67-18.65)2.97 (0.47-18.65)0.012
 Low risk11 (20.7)15 (10.4)26 (13.2)
 Indeterminate risk17 (32.1)45 (31.3)62 (31.5)
 High risk25 (47.2)84 (58.3)109 (55.3)

VCTE: vibration-controlled transient elastography; dB: decibels; kPa: kilopascal; F: liver fibrosis stage; BMI: body mass index; HCV: hepatitis C virus; AST: aspartate aminotransferase; ALT: alanine aminotransferase; ALP: alkaline phosphatase; INR: international normalized ratio; FIB-4: fibrosis-4 index. Patients who scored <1.3 and >2.67 on FIB-4 were considered low and high risk for advanced fibrosis, respectively.