We found a significant interaction between HOMA-IR and ethnicity (P < 0.001), and, because of this interaction, we examined the effect of HOMA-IR on NASH separately for Latinos and non-Latino whites, while adjusting for the variables selected from the stepwise logistic regression model (see

below). Interaction between HOMA-IR and ethnicity remained statistically significant when diabetic participants were excluded from the analyses (data not shown). Multivariate logistic regression: The results from the multivariate logistic regression analysis are show in Table 5. Factors positively associated with NASH included female gender (P = 0.001), AST (P < 0.0001), diabetes mellitus (P = 0.01), hypertension (P = 0.02), and triglyceride level (P = 0.02). Platelet count (P = 0.006) was negatively associated with Erismodegib concentration NASH histology. We also found significant effect modification between ethnicity and HOMA-IR, with HOMA-IR being a significant risk factor for NASH among non-Latino whites (odds ratio [OR], 1.06; 95% CI: 1.01-1.1), but not among Latinos (OR, 0.93; 95% CI: 0.85-1.02) (Fig. 1). We investigated associations between advanced

fibrosis and clinical, laboratory, and sociodemographic factors among non-Latino whites and Latinos using univariate and multivariate logistic regression analyses. Univariate logistic regression: Univariate logistic regression demonstrated that the following risk factors were significantly associated with advanced fibrosis: ethnicity, age, gender, check details education level, income, hypertension, diabetes, metabolic syndrome, BMI, WC, SBP, DBP, AST, ALT, GGT, alkaline phosphatase, albumin, platelets,

LDL, HOMA-IR, and palmar erythema. We found no significant evidence for effect modification of ethnicity on patient characteristics with respect to advanced fibrosis. Multivariate logistic regression: Results from the multivariate logistic regression analysis are shown in Table 6. Factors positively associated with advanced fibrosis included age (P = 0.01), female gender Dynein (P = 0.03), AST (P = 0.001), alkaline phosphatase (P = 0.002), hypertension (P = 0.0005), and HOMA-IR (P < 0.0001). Platelet count (P < 0.0001), ALT (P = 0.004), and total cholesterol (P = 0.004) were significantly inversely associated with risk for advanced fibrosis. The large NASH CRN cohort of patients with well-characterized, biopsy-proven disease allowed for a detailed analysis of the associations of ethnicity and race with clinical and histological features of NAFLD. We found that, among individuals with NASH histology, Latinos were younger, consumed more carbohydrate calories, and engaged in less physical activity, compared to non-Latino whites. Additionally, Latinos with NASH had lower income and lower prevalence of hypertension, compared to non-Latino whites, which may be a reflection of similar ethnic trends in the general U.S. adult population with respect to these two characteristics.