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Lorbeer, Roberto; Bayerl, Christian; Auweter, Sigrid; Rospleszcz, Susanne; Lieb, Wolfgang; Meisinger, Christa; Heier, Margit; Peters, Annette; Bamberg, Fabian; Hetterich, Holger (2017): Association betweenMRI-derived hepatic fat fraction and blood pressure in participants without history of cardiovascular disease. In: Journal of Hypertension, Vol. 35, No. 4: pp. 737-744
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Objectives: We assessed whether liver fat content, as determined by MRI, correlates with blood pressure (BP), a major vascular risk factor, in individuals from the general population without history of stroke and coronary or peripheral artery disease. Methods: Cross-sectional data from 384 participants (161 women;aged 39-73 years) of a MRI substudy of the KORA FF4 survey were used. Hepatic fat fraction (HFF) was measured in the left and right lobe of the liver using single voxel multiecho H-1-spectroscopy and at the level of the portal vein using a multiecho Dixon-sequence. Associations of HFF with SBP and DBP as well as hypertension were assessed by right censored normal regression (accounting for antihypertensive treatment) and by logistic regression, respectively. Results: High levels of HFF measured on the level of the portal vein (90th percentile, 21.8%), compared with low HFF levels (10th percentile, 1.7%), were associated with higher SBP (131 vs. 122 mmHg;overall P = 0.001), higher DBP (82 vs. 76 mmHg, P< 0.001) and with higher odds of hypertension [ odds ratio (OR) = 2.16, P = 0.025]. A level of 5.13% (54th percentile) was identified as optimal HFF cutoff for the prediction of hypertension (OR = 2.00, P = 0.015). Alcohol consumption emerged as an effect modifier for the association between HFF and hypertension (nonalcohol drinker: OR = 3.76, P = 0.025;alcohol drinker: OR = 1.59, P = 0.165). Conclusion: MRI-derived subclinical HFF is associated with SBP and DBP as well as with hypertension in participants from the general population without history of cardiovascular disease.