Correlation between ultrasound grading of fatty liver and body mass index (BMI)
DOI:
https://doi.org/10.60127/sjms.4.4.2026.96Keywords:
Fatty Liver Disease, BMI, Ultrasonography, Steatosis, GradeAbstract
Objective: This study is conducted to assess the association between ultrasound grading (e.g grades 0-3) of liver steatosis (fatty liver) and category of BMI among adult patients.
Methodology: A Prospective, observational, and cross-sectional study was conducted at Allama Iqbal Memorial Teaching Hospital/ Govt. DHQ Hospital (Govt. AIMTH) a Tertiary Care Hospital. Total 250 patients aged from 18 to 70 years were included in this study. A questionnaire was prepared and data was collected accordingly for their weight, height, (BMI) and ultrasound grading of fatty liver (grades 0-3).
Results: By evaluating the data, it was found that out of 250 participants, 92 (36.8%) were male and 158 (63.2%) were female. Mean age was 43.5 ± 12.4 years, mean BMI was 29.1 ± 4.6 kg/m². Ultrasound findings showed Grade 0 fatty liver in 42 (16.8%), Grade 1 in 84 (33.6%), Grade 2 in 78 (31.2%), and Grade 3 in 46 (18.4%) patients. A strong positive correlation (r = 0.71, p < 0.001) was found between BMI and fatty liver grade. Patients with Grade 3 fatty liver had significantly higher mean BMI (33.4 ± 3.2 kg/m²) compared to Grade 0 (24.8 ± 2.5 kg/m²).Female patients were found allegedly to be more affected with steatosis than males while majority of patients fell into category of grade 1 fatty liver.
Conclusion: This concludes that higher BMI is strongly associated with increased ultrasound grading of fatty liver.
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Copyright (c) 2026 Sarfraz Ahmad, Javeria Aslam (Author)

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