RELATIONSHIP BETWEEN COFFEE CONSUMPTION, SLEEP DURATION AND SMOKING
STATUS WITH ELASTOGRAPHIC PARAMETERS OF LIVER STEATOSIS AND FIBROSIS;
CONTROLLED ATTENUATION PARAMETER AND LIVER STIFFNESS MEASUREMENTS
Abstract
Aim: our aim was to explore the association between life habits and the
controlled attenuation parameter (CAP) and liver stiffness measurements
(LSM) as the surrogate markers of liver steatosis and fibrosis in a
large cohort of nonalcoholic fatty liver disease (NAFLD) patients.
Methods: In this prospective, cross-sectional study we had analyzed 1998
patients with diagnosed NAFLD. Sleeping duration was categorized in
three groups: short (S) (<6h), moderate (M) (6-8h) and long
(L) (>8h) sleep duration. Coffee drinking was categorized
into no (0), moderate (1–2) and frequent (≥3) consumption (in
cups/day). Smoking was categorized as yes vs. no. Results: Frequent
coffee consumers had the lowest prevalence of obesity, hypertension,
dyslipidemia, and diabetes. Furthermore, coffee non-consumers had
highest values of hepatic enzymes, CAP and LSM. Moderate sleep duration
was associated with lower values of CAP and LSM. Coffee consumption was
associated with lower CAP in all the multivariate models (CAP unadjusted
and model 1,2 and 3), with largest effect in most frequent coffee
consumers (≥3, model 3). Also, most frequent coffee consumers were
associated with lower LSM in unadjusted model, model 1 and 2, while this
was not the case for model 3 and those who consumed 1-2 cups of coffee
per day. Reduced sleeping was confirmed as risk factor for elevated CAP
in most of the models (unadjusted and model 1 and 2). Also, negative
association of LSM was also confirmed in unadjusted model and model 2.
Patients which slept 6-8 hours per day were mostly associated with lower
CAP and LSM. Smoking did not affect CAP or LSM values. Conclusion:
Coffee consumption has beneficial effect on CAP and LSM and this effect
is dose dependent since and independent of a variety of relevant
confounders. We have shown that moderate sleep duration has also
beneficial effect on CAP and LSM.