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 2

Demographic characteristics and clinical parameters of patients with and without NAFLD (women, n = 555).

Non-NAFLDNAFLD

Participants, %180 (32.4)375 (67.6)
Age, years61.42 ± 13.3254.40 ± 15.65<0.001
BMI, Kg/m224.25 ± 3.6829.52 ± 6.31<0.001
Post-menopausal status, %145 (80.6)231 (61.6)<0.001
Current smoking, %7 (3.9)9 (2.1)0.523
Current drinking, %4 (2.3)13 (3.5)0.423
Insurance type, %0.802
 Urban workers144 (80.0)297 (79.2)
 Non-working urban residents27 (15.0)54 (14.4)
 Self-pay9 (5.0)24 (6.4)
Dyslipidemia, %120 (69.0)273 (73.6)0.262
Hypertension, %96 (53.3)224 (59.7)0.153
Duration of T2DM, year10.00 (4.00, 20.00)5.00 (0.40, 13.00)<0.001
Blood pressure, mmHg
 Systolic133.28 ± 18.55136.70 ± 18.180.040
 Diastolic78.07 ± 10.4982.33 ± 11.62<0.001
HbA1c, %8.33 ± 2.188.51 ± 2.000.363
TC, mmol/L4.91 ± 1.125.18 ± 1.480.039
TG, mmol/L1.43 (1.03, 1.90)1.89 (1.45, 2.70)<0.001
HDL-C, mmol/L1.22 ± 0.331.09 ± 0.24<0.001
LDL-C, mmol/L2.89 ± 0.933.10 ± 1.010.018
LDL/HDL cholesterol ratio2.52 ± 0.982.95 ± 1.15<0.001
UA, μmol/L305.23 ± 103.28350.08 ± 103.40<0.001
CRP, mg/dL0.23 (0.15, 0.39)0.36 (0.22, 0.58)<0.001
AST, u/l16.00 (13.00, 20.00)20.00 (15.00.29.00)<0.001
ALT, u/l16.00 (12.00, 23.00)24.00 (16.00, 40.00)<0.001
TT, nmol/L0.45 (0.32, 0.75)0.49 (0.32, 0.74)0.283
Androstenedione, nmol/L1.63 (1.16, 2.39)1.78 (1.13, 2.72)0.084
DHEA, nmol/L7.67 (4.59, 12.39)8.69 (4.80, 12.76)0.395
DHEAS, μmol/L2.17 (1.30, 3.23)2.48 (1.51, 4.16)0.016

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.