Abstract: Objective To explore the relationship between fatty liver and carotid artery intimal-media thickness
(IMT) and plaque in college teachers. Methods Total of 97 patients who were diagnosed with fatty liver disease
through abdominal ultrasound from January 2010 to December 2014 were selected as fatty liver group, and
103 cases without fatty liver disease were selected as non fatty liver group. The carotid IMT and plaque were
examined by ultrasound. The height, body weight, BMI, plasma levels of FPG and blood lipid of the patients
were detected and analyzed. Results In fatty liver group, BMI, total cholesterol (TG), total cholesterol (TC),
fasting blood glucose (FPG), glycosylated hemoglobin (HbAlc), carotid IMT and atherosclerotic plaque were
significantly higher than those in non fatty liver group. The difference between the two groups was statistically
significant (P = 0.000). The level of HDL in non fatty liver group was significantly lower than that in fatty
liver group (t = -2.688, P = 0.008), while no significant differences were observed in plasma LDL and UA
between the two groups(t = 1.755, 1.301; P = 0.081, 0.195). Conclusions Fatty liver disease is closely
associated with intimal-medial thickness and carotid atherosclerosis. Patients diagnosed with fatty liver by
abdominal ultrasound should also be performed with carotid artery ultrasound examination to conduct early
clinical intervention and reduce the occurrence of cardiovascular and cerebrovascular events.