Chronic hepatitis B with concurrent metabolic dysfunction-associated fatty liver disease: Challenges and perspectives DOI Creative Commons
Shang‐Chin Huang, Chun‐Jen Liu

Clinical and Molecular Hepatology, Journal Year: 2023, Volume and Issue: 29(2), P. 320 - 331

Published: Feb. 2, 2023

The prevalence of metabolic dysfunction-associated fatty liver disease (MAFLD) has increased among the general population and chronic hepatitis B (CHB) patients worldwide. Although is a well-known risk factor for adverse outcomes like cirrhosis hepatocellular carcinoma, its interactions with virus (HBV) clinical impacts seem complex. presence hepatic steatosis may suppress HBV viral activity, potentially leading to attenuated injury. In contrast, associated co-morbidities diabetes mellitus or obesity increase developing outcomes. These findings implicate that components MAFLD have diverse effects on manifestations CHB. To this end, strategy proposed managing concurrent CHB MAFLD. This review article discusses updated evidence regarding prevalence, between HBV, impacts, management strategies, aiming at optimizing holistic health care in population.

Language: Английский

Non-alcoholic fatty liver disease: a multisystem disease requiring a multidisciplinary and holistic approach DOI
Giovanni Targher, Herbert Tilg, Christopher D. Byrne

et al.

˜The œLancet. Gastroenterology & hepatology, Journal Year: 2021, Volume and Issue: 6(7), P. 578 - 588

Published: May 4, 2021

Language: Английский

Citations

377

Metabolic Dysfunction-Associated Fatty Liver Disease and Incident Cardiovascular Disease Risk: A Nationwide Cohort Study DOI
Hokyou Lee, Yong‐ho Lee, Seung Up Kim

et al.

Clinical Gastroenterology and Hepatology, Journal Year: 2020, Volume and Issue: 19(10), P. 2138 - 2147.e10

Published: Dec. 22, 2020

Language: Английский

Citations

366

MAFLD: How is it different from NAFLD? DOI Creative Commons
Cameron Gofton,

Yadhavan Upendran,

Ming‐Hua Zheng

et al.

Clinical and Molecular Hepatology, Journal Year: 2022, Volume and Issue: 29(Suppl), P. S17 - S31

Published: Nov. 29, 2022

“Metabolic dysfunction-associated fatty liver disease (MAFLD)” is the term suggested in 2020 to refer related systemic metabolic dysregulation. The name change from nonalcoholic (NAFLD) MAFLD comes with a simple set of criteria enable easy diagnosis at bedside for general medical community, including primary care physicians. Since introduction term, there have been key areas which superiority over traditional NAFLD terminology has demonstrated, risk and extrahepatic mortality, associations, identifying high-risk individuals. Additionally, adopted by number leading pan-national national societies due its concise diagnostic criterion, removal requirement exclude concomitant diseases, reduction stigma associated this condition. current article explores differences between diagnosis, benefit, some potential limitations, how opened up new fields research.

Language: Английский

Citations

239

Defining paediatric metabolic (dysfunction)-associated fatty liver disease: an international expert consensus statement DOI
Mohammed Eslam, Naim Alkhouri, Pietro Vajro

et al.

˜The œLancet. Gastroenterology & hepatology, Journal Year: 2021, Volume and Issue: 6(10), P. 864 - 873

Published: Aug. 6, 2021

Language: Английский

Citations

208

Global multi-stakeholder endorsement of the MAFLD definition DOI
Nahúm Méndez‐Sánchez, Elisabetta Bugianesi, Robert G. Gish

et al.

˜The œLancet. Gastroenterology & hepatology, Journal Year: 2022, Volume and Issue: 7(5), P. 388 - 390

Published: March 3, 2022

Language: Английский

Citations

208

Global Prevalence and Clinical Characteristics of Metabolic-associated Fatty Liver Disease: A Meta-Analysis and Systematic Review of 10 739 607 Individuals DOI Open Access
Kai En Chan,

Tiffany Jia Ling Koh,

Ansel Shao Pin Tang

et al.

The Journal of Clinical Endocrinology & Metabolism, Journal Year: 2022, Volume and Issue: 107(9), P. 2691 - 2700

Published: May 19, 2022

Abstract Background and Aims Metabolic-associated fatty liver disease (MAFLD) was proposed as a better definition of nonalcoholic (NAFLD) to encompass the metabolic dysregulation associated with NAFLD. This redefinition challenges our understanding disease. Hence, this study sought conduct an updated analysis prevalence, clinical characteristics, factors MAFLD, further sensitivity done based on lean nonobese MAFLD individuals. Methods Medline Embase databases were searched include articles MAFLD. Meta-analysis proportions conducted using generalized linear mix model. Associating evaluated in conventional pairwise meta-analysis Results From pooled involving 3 320 108 individuals, overall prevalence 38.77% (95% CI 32.94% 44.95%); 5.37% 4.36% 6.59%) 29.78% 26.06% 33.79%) respectively, had Metabolic complications such hypertension [odds ratio (OR) 2.63, 95% 1.85 3.74, P < 0.0001 OR 2.03; 1.74 2.38, 0.0001, respectively] diabetes (OR 3.80, 2.65 5.43, 3.46, 2.81 4.27, respectively) found significant associating Conclusions supports previous studies reporting affect more than third global population. While exploration pathogenic basis without is required, emphasis management concomitant can improve multidisciplinary efforts managing complex

Language: Английский

Citations

193

An Observational Data Meta-analysis on the Differences in Prevalence and Risk Factors Between MAFLD vs NAFLD DOI Open Access

Grace En Hui Lim,

Ansel Shao Pin Tang, Cheng Han Ng

et al.

Clinical Gastroenterology and Hepatology, Journal Year: 2021, Volume and Issue: 21(3), P. 619 - 629.e7

Published: Dec. 4, 2021

Language: Английский

Citations

184

Differential Clinical Characteristics and Mortality Outcomes in Persons With NAFLD and/or MAFLD DOI Creative Commons
Vy H. Nguyen, Michael H. Le, Ramsey Cheung

et al.

Clinical Gastroenterology and Hepatology, Journal Year: 2021, Volume and Issue: 19(10), P. 2172 - 2181.e6

Published: May 23, 2021

Language: Английский

Citations

175

Prevalence of NAFLD, MAFLD and associated advanced fibrosis in the contemporary United States population DOI
Stefano Ciardullo, Gianluca Perseghin

Liver International, Journal Year: 2021, Volume and Issue: 41(6), P. 1290 - 1293

Published: Feb. 16, 2021

Abstract Data are limited on the epidemiological implications of recent change in terminology from nonalcoholic fatty liver disease (NAFLD) to metabolic dysfunction‐associated (MAFLD). We therefore performed a cross‐sectional study adults recruited 2017‐2018 National Health and Nutrition Examination Survey, representative sample general US population. The prevalence NAFLD MAFLD based controlled attenuation parameter (CAP) stiffness measurement (LSM) obtained through vibration‐controlled transient elastography (VCTE) were 37.1% (95% CI 34.0‐40.4) 39.1% 36.3‐42.1), respectively, with higher rates among Hispanic individuals. Agreement between two definitions was high (Cohen's κ 0.92). Patients also showed similar risk advanced fibrosis (7.5% 7.4% respectively). Our results suggest that diagnostic criteria did not affect condition United States

Language: Английский

Citations

172

Metabolic (dysfunction)-associated fatty liver disease in individuals of normal weight DOI
Mohammed Eslam, Hashem B. El–Serag, Sven Francque

et al.

Nature Reviews Gastroenterology & Hepatology, Journal Year: 2022, Volume and Issue: 19(10), P. 638 - 651

Published: June 16, 2022

Language: Английский

Citations

165