Research Article

Low Serum Total Testosterone Is Associated with Non-Alcoholic Fatty Liver Disease in Men but Not in Women with Type 2 Diabetes Mellitus

Table 1

Demographic characteristics and clinical parameters of patients with and without NAFLD (men, n = 600).

Non-NAFLDNAFLD

Participants, %317 (36.2)383 (63.8)
Age, years62.15 ± 11.9552.39 ± 14.98<0.001
BMI, Kg/m224.29 ± 3.0028.98 ± 5.29<0.001
Current smoking, %94 (43.3)166 (44.4)0.801
Current drinking, %85 (39.2)147 (39.3)0.974
Insurance type, %0.335
 Urban workers177 (81.6)313 (81.7)
 Non-working urban residents28 (12.9)39 (10.2)
 Self-pay12 (5.5)31 (8.1)
Dyslipidemia, %156 (73.6)320 (84.2)0.002
Hypertension, %127 (58.5)233 (60.8)0.579
Duration of T2DM, year10.00 (6.00, 20.00)5.00 (0.50, 13.00)<0.001
Blood pressure, mmHg
 Systolic134.95 ± 18.80137.74 ± 17.850.072
 Diastolic80.82 ± 11.3585.96 ± 11.74<0.001
HbA1c, %8.69 ± 2.298.78 ± 2.270.644
TC, mmol/L4.50 ± 1.214.99 ± 1.970.001
TG, mmol/L1.34 (0.95, 1.84)2.00 (1.42, 2.96)<0.001
HDL-C, mmol/L1.11 ± 0.291.00 ± 0.23<0.001
LDL-C, mmol/L2.73 ± 0.963.00 ± 0.970.001
LDL/HDL cholesterol ratio2.56 ± 0.953.10 ± 1.14<0.001
UA, μmol/L343.13 ± 103.81384.34 ± 107.49<0.001
CRP, mg/dL0.23 (0.16, 0.48)0.27 (0.18, 0.48)0.218
AST, u/l16.00 (13.00, 20.00)18.50 (15.00, 26.00)<0.001
ALT, u/l17.00 (12.00, 23.75)24.00 (17.00, 38.00)<0.001
TT, nmol/L13.42 (10.00, 17.14)11.36 (8.80, 14.27)<0.001
Androstenedione, nmol/L1.85 (1.41, 2.44)1.94 (1.46, 2.52)0.302
DHEA, nmol/L6.53 (4.34, 10.12)8.17 (5.37, 12.68)<0.001
DHEAS, μmol/L3.02 (1.89, 4.91)4.15 (2.58, 6.22)<0.001

NAFLD, non-alcoholic fatty liver disease; BMI, body mass index; T2DM, type 2 diabetes mellitus; HbA1c, glycosylated hemoglobin; TC, total cholesterol; TG, triglycerides; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; UA, uric acid; CRP, C-reactive protein; AST, aspartate aminotransferase; ALT, alanine aminotransferase; TT, total testosterone; DHEA, dehydroepiandrosterone; DHEAS, dehydroepiandrosterone sulfate.Excess alcohol consumption (≥210 g/week for men, ≥140 g/week for women) was initially excluded.