Variables | NHANES cohort | Western China cohort | ||||
---|---|---|---|---|---|---|
Non-MAFLD (n = 3649) | MAFLD (n = 3749) | P value | Non-MAFLD (n = 3328) | MAFLD (n = 1552) | P value | |
Demographic parameters | Â | Â | Â | |||
 Age (years) | 45.70 ± 18.99 | 52.12 ± 16.49 | < 0.001 | 43.64 ± 12.22 | 45.23 ± 11.89 | < 0.001 |
 Sex (%) |  |  | < 0.001 |  |  | < 0.001 |
  Female | 1996 (54.70%) | 1750 (46.68%) |  | 1639 (49.25%) | 303 (19.52%) |  |
  Male | 1653 (45.30%) | 1999 (53.32%) |  | 1689 (50.75%) | 1249 (80.48%) |  |
 Race (%) |  |  | < 0.001 |  |  | - |
  Non-Hispanic Black | 1028 (28.17%) | 828 (22.09%) |  | - | - |  |
  Non-Hispanic White | 1235 (33.84%) | 1359 (36.25%) |  | - | - |  |
  Other Hispanic | 362 (9.92%) | 409 (10.91%) |  | - | - |  |
  Non-Hispanic Asian | 513 (14.06%) | 378 (10.08%) |  | - | - |  |
  Mexican American | 331 (9.07%) | 596 (15.90%) |  | - | - |  |
  Other races | 180 (4.93%) | 179 (4.77%) |  | - | - |  |
Anthropometric parameters | Â | Â | Â | |||
 WC (cm) | 90.51 ± 13.43 | 109.80 ± 15.01 | < 0.001 | 60.33 ± 9.85 | 75.30 ± 10.65 | < 0.001 |
 WtHR | 0.55 ± 0.08 | 0.66 ± 0.09 | < 0.001 | 0.47 ± 0.05 | 0.54 ± 0.04 | < 0.001 |
 BMI (kg/m2) | 26.06 ± 5.44 | 33.35 ± 7.02 | < 0.001 | 22.17 ± 2.55 | 26.60 ± 2.51 | < 0.001 |
VCTE parameters | Â | Â | Â | |||
 CAP (dB/m) | 213.26 ± 35.47 | 314.24 ± 39.31 | < 0.001 | 221.48 ± 25.34 | 287.23 ± 23.95 | < 0.001 |
 LSM (kPa) | 5.15 ± 4.10 | 6.76 ± 5.84 | < 0.001 | 4.93 ± 1.01 | 5.62 ± 1.11 | < 0.001 |
Serum test | Â | Â | Â | |||
 ALT (U/L) | 18.83 ± 19.02 | 25.73 ± 18.38 | < 0.001 | 21.04 ± 15.46 | 35.72 ± 23.75 | < 0.001 |
 AST (U/L) | 21.19 ± 15.43 | 22.56 ± 13.28 | < 0.001 | 21.58 ± 11.37 | 25.94 ± 12.13 | < 0.001 |
 ALP (U/L) | 74.46 ± 26.03 | 81.16 ± 25.37 | < 0.001 | 72.56 ± 21.16 | 81.03 ± 22.04 | < 0.001 |
 GGT (U/L) | 26.22 ± 55.77 | 36.89 ± 46.53 | < 0.001 | 26.56 ± 33.27 | 48.19 ± 50.57 | < 0.001 |
 CRE (umol/L) | 78.62 ± 39.12 | 79.77 ± 41.76 | 0.223 | 74.10 ± 15.93 | 81.50 ± 26.99 | < 0.001 |
 eGFR (ml/min/m2) | 98.05 ± 23.95 | 93.09 ± 23.18 | < 0.001 | 98.82 ± 14.96 | 95.56 ± 14.50 | < 0.001 |
 UA (umol/L) | 298.94 ± 79.40 | 342.24 ± 87.21 | < 0.001 | 321.70 ± 81.35 | 387.55 ± 88.18 | < 0.001 |
 FPG (umol/L) | 5.17 ± 1.27 | 6.07 ± 2.36 | < 0.001 | 4.93 ± 0.96 | 5.46 ± 1.52 | < 0.001 |
 TG (umol/L) | 1.21 ± 0.78 | 1.86 ± 1.29 | < 0.001 | 1.31 ± 1.25 | 2.20 ± 1.58 | < 0.001 |
 TC (umol/L) | 4.70 ± 1.02 | 4.87 ± 1.06 | < 0.001 | 4.79 ± 0.90 | 4.96 ± 0.94 | < 0.001 |
 HDL (umol/L) | 1.50 ± 0.41 | 1.26 ± 0.36 | < 0.001 | 1.49 ± 0.38 | 1.18 ± 0.27 | < 0.001 |
Noninvasive indices and models | Â | Â | Â | |||
 TyG | 8.37 ± 0.54 | 8.90 ± 0.64 | < 0.001 | 8.36 ± 0.59 | 8.98 ± 0.62 | < 0.001 |
 TyG-BMI | 218.59 ± 50.10 | 296.81 ± 65.24 | < 0.001 | 186.00 ± 29.41 | 239.05 ± 29.79 | < 0.001 |
 TyG-WC | 759.51 ± 135.51 | 977.98 ± 153.37 | < 0.001 | 652.72 ± 102.74 | 815.28 ± 98.47 | < 0.001 |
 TyG-WtHR | 4.58 ± 0.84 | 5.85 ± 0.91 | < 0.001 | 3.96 ± 0.58 | 4.86 ± 0.56 | < 0.001 |
 METS-IR | 36.99 ± 9.39 | 51.46 ± 12.33 | < 0.001 | 31.40 ± 5.79 | 41.69 ± 6.19 | < 0.001 |
 HSI | 34.30 ± 6.45 | 43.78 ± 8.06 | < 0.001 | 30.70 ± 4.13 | 37.71 ± 4.80 | < 0.001 |
 VAI | 1.52 ± 1.60 | 2.81 ± 2.58 | < 0.001 | 1.53 ± 2.79 | 2.92 ± 2.89 | < 0.001 |
 LAP | 37.39 ± 33.12 | 88.53 ± 65.59 | < 0.001 | 23.41 ± 29.28 | 60.81 ± 50.99 | < 0.001 |
 FLI | 34.73 ± 28.07 | 75.70 ± 22.75 | < 0.001 | 18.15 ± 19.20 | 53.45 ± 24.11 | < 0.001 |
 ZJU | 36.15 ± 6.24 | 45.55 ± 7.91 | < 0.001 | 32.21 ± 3.60 | 38.61 ± 4.03 | < 0.001 |
 FSI | -2.00 ± 1.38 | 0.23 ± 1.67 | < 0.001 | -2.71 ± 1.24 | -0.86 ± 1.42 | < 0.001 |
K-NAFLD | -2.24 ± 2.80 | 1.14 ± 3.08 | < 0.001 | -3.31 ± 2.33 | 0.01 ± 3.24 | < 0.001 |
Metabolic diseases | Â | Â | Â | |||
 Hypertension |  |  | < 0.001 |  |  | < 0.001 |
  No | 2701 (74.02%) | 2015 (53.75%) |  | 3036 (91.23%) | 1226 (78.99%) |  |
  Yes | 948 (25.98%) | 1734 (46.25%) |  | 292 (8.77%) | 326 (21.01%) |  |
 Diabetes |  |  | < 0.001 |  |  | < 0.001 |
  No | 3324 (91.09%) | 2639 (70.39%) |  | 3251 (97.69%) | 1429 (92.07%) |  |
  Yes | 325 (8.91%) | 1110 (29.61%) |  | 77 (2.31%) | 123 (7.93%) |  |