A prospective cohort study on the association between the atherogenic index of plasma and the risk of chronic liver disease in middle-aged and older adults
CSTR:
Author:
Affiliation:

Clc Number:

R575

Fund Project:

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
    Abstract:

    Objective: To investigate the prospective association between the baseline Atherogenic Index of Plasma (AIP) and the risk of incident chronic liver disease (CLD) in Chinese adults aged 45 years and above. Methods: This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2018. A total of 6,425 participants free of CLD at baseline were included. AIP was calculated as log(triglycerides/high-density lipoprotein cholesterol). Modified Poisson regression models were used to calculate the risk ratio (RR) and 95% confidence interval (CI) for the association between AIP (as a continuous variable and in quartiles) and incident CLD (ascertained by self-report of physician diagnosis, excluding fatty liver, liver tumor, or cancer). Restricted cubic splines (RCS) were employed to examine the dose-response relationship. Results: During a follow-up of 7 years, 345 incident CLD cases were documented. After multivariable adjustment, each unit increase in AIP was associated with a 58% higher risk of CLD (RR=1.58, 95% CI: 1.20~2.10). Compared with participants in the lowest AIP quartile (Q1), those in the highest quartile (Q4) had a 50% increased risk of CLD (RR=1.50, 95% CI: 1.12~2.01), with a significant increasing trend across quartiles (P for trend=0.003). RCS analysis revealed a linear positive association between AIP and CLD risk (P for non-linearity=0.940). Subgroup analyses showed that the association was consistent across groups defined by sex, age, BMI, and metabolic risk factors. Conclusion: An elevated AIP is independently and linearly associated with an increased risk of CLD among community-dwelling middle-aged and older Chinese adults. As a simple composite lipid index derived from routine tests, AIP may be useful for identifying individuals at high risk for CLD.

    Reference
    Related
    Cited by
Get Citation

黄更珍;文武;张耀丹.血浆致动脉粥样硬化指数与中老年人群慢性肝病发病风险前瞻性关联研究[J]. Journal of North Sichuan Medical College,2026,41(5):546-551.

Copy
Related Videos

Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
History
  • Received:
  • Revised:
  • Adopted:
  • Online: May 29,2026
  • Published:
Article QR Code