Obesity, diabetes driving silent epidemic of fatty liver disease: Study

One study found that people with advanced liver scarring due to obesity, diabetes and related disorders are dying from liver disease. The Virginia Commonwealth University study followed more than 1,700 patients for an average of four years, some of whom followed up to 10 years, to assess their results.

The team found that patients with advanced fibrosis were more likely to die, especially after a progressive decline in brain function due to gastrointestinal bleeding or fluid accumulation in the abdomen and liver disease. The results, published in the New England Journal of Medicine, confirmed that people with very poor liver function were at the highest risk of death.

“This is the first clear picture of the true rates of outcomes in people with[non-alcoholic fatty liver disease],” said Arun Sanyal, a liver disease specialist at VCU Health. “And the study provides the teeth to make screening more mainstream to introduce screening for liver disease in accordance with the recent American Diabetes Association guidelines,” he said.

Many people believe that only excessive alcohol consumption causes liver diseases. However, a quarter of adults worldwide have non-alcoholic fatty liver disease, a condition where excess fat is stored in the liver and is more closely linked to obesity and diabetes than alcohol consumption. Most people do not know that they have non-alcoholic fatty liver disease or are at high risk for it.

Left untreated, the disease can progress to an advanced form, where a buildup of fat in the liver can cause inflammation, scarring (known as fibrosis) and full-blown cirrhosis that permanently damages the liver. Is. Patients are usually diagnosed when the disease has progressed and transplantation is the only option.

Also read: Are You Overweight? it can make your hair thinner

“Historically, many primary care physicians and diabetologists have realized that, because the root of the disease lies in insulin resistance, we have already taken care of the problem if we treat diabetes,” Sanyal said. “

He added, “And this suggests that even within the obese, diabetic population, those who have advanced fibrosis are dying of liver disease. Treating diabetes alone doesn’t work, ” They said.

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