Journal of Hepatology,
Journal Year:
2023,
Volume and Issue:
79(3), P. 618 - 634
Published: June 20, 2023
An
estimated
38%
of
adults
worldwide
have
non-alcoholic
fatty
liver
disease
(NAFLD).
From
individual
impacts
to
widespread
public
health
and
economic
consequences,
the
implications
this
are
profound.
This
study
aimed
develop
an
aligned,
prioritised
research
agenda
for
global
community.
Hepatology,
Journal Year:
2023,
Volume and Issue:
77(4), P. 1335 - 1347
Published: Jan. 3, 2023
Background
and
Aims:
NAFLD
is
a
leading
cause
of
liver-related
morbidity
mortality.
We
assessed
the
global
regional
prevalence,
incidence,
mortality
using
an
in-depth
meta-analytic
approach.
Approach
Results:
PubMed
Ovid
MEDLINE
were
searched
for
population-based
studies
from
1990
to
2019
survey
year
(last
published
2022)
per
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
(PRISMA).
Meta-analysis
was
conducted
random-effects
models.
Bias
risk
assessment
Joanna
Briggs
Institute.
Of
2585
reviewed,
92
(N=9,361,716)
met
eligibility
criteria.
Across
study
period
(1990–2019),
pooling
prevalence
estimates
ultrasound-defined
yielded
overall
30.05%
(95%
CI:
27.88%–32.32%)
30.69%
(28.4–33.09),
respectively.
Global
increased
by
+50.4%
25.26%
(21.59–29.33)
in
1990–2006
38.00%
(33.71–42.49)
2016–2019
(
p
<0.001);
+38.7%
25.16%
(19.46–31.87)
34.59%
(29.05–40.57)
=0.029).
The
highest
Latin
America
44.37%
(30.66%–59.00%),
then
Middle
East
North
Africa
(MENA)
(36.53%,
28.63%–45.22%),
South
Asia
(33.83%,
22.91%–46.79%),
South-East
(33.07%,
18.99%–51.03%),
(31.20%,
25.86%–37.08%),
(29.71%,
25.96%–33.76%),
Pacific
28.02%
(24.69%–31.60%),
Western
Europe
25.10%
(20.55%–30.28%).
Among
cohort
diagnosed
without
liver
biopsy,
pooled
rate
1000
PY
12.60
(6.68–23.67)
all-cause
mortality;
4.20
(1.34–7.05)
cardiac-specific
2.83
(0.78–4.88)
extrahepatic
cancer-specific
0.92
(0.00–2.21)
liver-specific
Conclusions:
30%
increasing
which
requires
urgent
comprehensive
strategies
raise
awareness
address
all
aspects
on
local,
regional,
levels.
Diabetes Care,
Journal Year:
2022,
Volume and Issue:
45(11), P. 2753 - 2786
Published: Sept. 23, 2022
The
American
Diabetes
Association
and
the
European
for
Study
of
convened
a
panel
to
update
previous
consensus
statements
on
management
hyperglycemia
in
type
2
diabetes
adults,
published
since
2006
last
updated
2019.
target
audience
is
full
spectrum
professional
health
care
team
providing
U.S.
Europe.
A
systematic
examination
publications
2018
informed
new
recommendations.
These
include
additional
focus
social
determinants
health,
system,
physical
activity
behaviors,
including
sleep.
There
greater
emphasis
weight
as
part
holistic
approach
management.
results
cardiovascular
kidney
outcomes
trials
involving
sodium–glucose
cotransporter
inhibitors
glucagon-like
peptide
1
receptor
agonists,
assessment
subgroups,
inform
broader
recommendations
cardiorenal
protection
people
with
at
high
risk
disease.
After
summary
listing
recommendations,
practical
tips
implementation
are
provided.
Clinical and Molecular Hepatology,
Journal Year:
2022,
Volume and Issue:
29(Suppl), P. S32 - S42
Published: Dec. 15, 2022
Nonalcoholic
fatty
liver
disease
(NAFLD)
is
a
leading
cause
of
worldwide.
The
estimated
global
incidence
NAFLD
47
cases
per
1,000
population
and
higher
among
males
than
females.
prevalence
adults
32%
(40%)
compared
to
females
(26%).
has
increased
over
time,
from
26%
in
studies
2005
or
earlier
38%
2016
beyond.
varies
substantially
by
world
region,
contributed
differing
rates
obesity,
genetic
socioeconomic
factors.
exceeds
40%
the
Americas
South-East
Asia.
projected
increase
significantly
multiple
regions
2030
if
current
trends
are
left
unchecked.
In
this
review,
we
discuss
future
projections.
Journal of Hepatology,
Journal Year:
2023,
Volume and Issue:
79(3), P. 842 - 852
Published: May 10, 2023
Non-alcoholic
fatty
liver
disease
(NAFLD)
has
rapidly
become
the
most
common
globally,
currently
estimated
to
affect
38%
of
global
population.
A
minority
patients
with
NAFLD
will
progress
cirrhosis
or
hepatocellular
carcinoma,
but
total
number
this
vast
population
that
risk
such
severe
outcomes
is
increasing.
Worryingly,
persons
are
affected
by
at
an
earlier
age,
suggesting
they
have
longer
time
develop
complications.
With
considerable
changes
in
diet
composition
and
urbanization,
obesity
type
2
diabetes
among
population,
particular
developing
countries,
proportion
projected
be
further
Yet,
there
large
geographical
discrepancies
prevalence
rates
its
inflammatory
component
non-alcoholic
steatohepatitis
(NASH).
Such
differences
partly
related
differing
socio-economic
milieus,
also
genetic
predisposition.This
narrative
review
discusses
recent
epidemiology
NASH
from
regional
perspectives,
as
well
special
populations.
We
discuss
consequences
these
can
on
hepatic
extra-hepatic
events.