Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease

Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in the United States and worldwide. Though nonalcoholic fatty liver per se may not be independently associated with an increased risk for all-cause mortality, it is associated with a number of harmful metaboli...

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Main Authors: Peter Konyn, Aijaz Ahmed, Donghee Kim
Format: Article
Language:English
Published: Korean Association for the Study of the Liver 2023-02-01
Series:Clinical and Molecular Hepatology
Subjects:
Online Access:http://e-cmh.org/upload/pdf/cmh-2022-0351.pdf
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author Peter Konyn
Aijaz Ahmed
Donghee Kim
author_facet Peter Konyn
Aijaz Ahmed
Donghee Kim
author_sort Peter Konyn
collection DOAJ
description Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in the United States and worldwide. Though nonalcoholic fatty liver per se may not be independently associated with an increased risk for all-cause mortality, it is associated with a number of harmful metabolic risk factors, such as type 2 diabetes mellitus, hyperlipidemia, obesity, a sedentary lifestyle, and an unhealthy diet. The fibrosis stage is a predictor of all-cause mortality in NAFLD. Mortality in individuals with NAFLD has been steadily increasing, and the most common cause-specific mortality for NAFLD is cardiovascular disease, followed by extra-hepatic cancer, liver-related mortality, and diabetes. High-risk profiles for mortality in NAFLD include PNPLA3 I148M polymorphism, low thyroid function and hypothyroidism, and sarcopenia. Achieving weight loss through adherence to a high-quality diet and sufficient physical activity is the most important predictor of improvement in NAFLD severity and the benefit of survival. Given the increasing health burden of NAFLD, future studies with more long-term mortality data may demonstrate an independent association between NAFLD and mortality.
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spelling doaj.art-06005c9aff5f4e69a4b7bb20400a9acb2023-03-14T01:46:51ZengKorean Association for the Study of the LiverClinical and Molecular Hepatology2287-27282287-285X2023-02-0129SupplS43S5710.3350/cmh.2022.03511729Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver diseasePeter Konyn0Aijaz Ahmed1Donghee Kim2 Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USA Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA, USANonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in the United States and worldwide. Though nonalcoholic fatty liver per se may not be independently associated with an increased risk for all-cause mortality, it is associated with a number of harmful metabolic risk factors, such as type 2 diabetes mellitus, hyperlipidemia, obesity, a sedentary lifestyle, and an unhealthy diet. The fibrosis stage is a predictor of all-cause mortality in NAFLD. Mortality in individuals with NAFLD has been steadily increasing, and the most common cause-specific mortality for NAFLD is cardiovascular disease, followed by extra-hepatic cancer, liver-related mortality, and diabetes. High-risk profiles for mortality in NAFLD include PNPLA3 I148M polymorphism, low thyroid function and hypothyroidism, and sarcopenia. Achieving weight loss through adherence to a high-quality diet and sufficient physical activity is the most important predictor of improvement in NAFLD severity and the benefit of survival. Given the increasing health burden of NAFLD, future studies with more long-term mortality data may demonstrate an independent association between NAFLD and mortality.http://e-cmh.org/upload/pdf/cmh-2022-0351.pdfnon-alcoholic fatty liver disease and fatty liverdeathrisk factornashoutcome
spellingShingle Peter Konyn
Aijaz Ahmed
Donghee Kim
Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease
Clinical and Molecular Hepatology
non-alcoholic fatty liver disease and fatty liver
death
risk factor
nash
outcome
title Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease
title_full Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease
title_fullStr Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease
title_full_unstemmed Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease
title_short Causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease
title_sort causes and risk profiles of mortality among individuals with nonalcoholic fatty liver disease
topic non-alcoholic fatty liver disease and fatty liver
death
risk factor
nash
outcome
url http://e-cmh.org/upload/pdf/cmh-2022-0351.pdf
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