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We defined NAFLD as fatty liver on ultrasonography. Because the reference standard for diagnosing fatty liver is histopathologic luca scala findings, there is concern about the diagnostic accuracy luca scala of using ultrasonography. Yet, according to a recent review, ultrasound scanning, when positive, can give a high degree of diagnostic certainty, depending on the prevalence of fatty liver in the population being studied (42). Ultrasound is also the cheapest, safest and most patient-friendly imaging technique, and it is a reasonable alternative to liver biopsy in certain circumstances, especially studies conducted on relatively luca scala healthy subjects such as ours. In conclusion, serum adiponectin level and baPWV are significantly associated with NAFLD and various liver enzymes, especially in females. These findings suggest that adiponectin may play a role in the pathogenesis of NAFLD, and NAFLD by itself may be associated with atherosclerosis, which is an important outcome of insulin resistance.
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