Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases

As the number of individuals with non-alcoholic fatty liver disease (NAFLD) has increased, the influence of NAFLD on other metabolic diseases has been highlighted. Accumulating epidemiologic evidence indicates that NAFLD not only affects the liver but also increases the risk of extra-hepatic disease...

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Main Authors: Eugene Han, Yong-ho Lee
Format: Article
Language:English
Published: Korean Diabetes Association 2017-11-01
Series:Diabetes & Metabolism Journal
Subjects:
Online Access:https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-41-430.pdf
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author Eugene Han
Yong-ho Lee
author_facet Eugene Han
Yong-ho Lee
author_sort Eugene Han
collection DOAJ
description As the number of individuals with non-alcoholic fatty liver disease (NAFLD) has increased, the influence of NAFLD on other metabolic diseases has been highlighted. Accumulating epidemiologic evidence indicates that NAFLD not only affects the liver but also increases the risk of extra-hepatic diseases such as type 2 diabetes mellitus, metabolic syndrome, dyslipidemia, hypertension, cardiovascular or cerebrovascular diseases, and chronic kidney disease. Non-alcoholic steatohepatitis, an advanced type of NAFLD, can aggravate these inter-organ relationships and lead to poorer outcomes. NAFLD induces insulin resistance and exacerbates systemic chronic inflammation and oxidative stress, which leads to organ dysfunction in extra-hepatic tissues. Although more research is needed to identify the pathophysiological mechanisms and causal relationship between NAFLD and cardiometabolic and renal diseases, screening for heart, brain, and kidney diseases, risk assessment for diabetes, and a multidisciplinary approach for managing these patients should be highly encouraged.
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spelling doaj.art-92c2d826f6ba4a7297a279825abfa8b82022-12-22T01:43:04ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872017-11-0141643043710.4093/dmj.2017.41.6.430Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal DiseasesEugene Han0Yong-ho Lee1Division of Endocrinology and Metabolism, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Graduate School, Yonsei University College of Medicine, Seoul, Korea.As the number of individuals with non-alcoholic fatty liver disease (NAFLD) has increased, the influence of NAFLD on other metabolic diseases has been highlighted. Accumulating epidemiologic evidence indicates that NAFLD not only affects the liver but also increases the risk of extra-hepatic diseases such as type 2 diabetes mellitus, metabolic syndrome, dyslipidemia, hypertension, cardiovascular or cerebrovascular diseases, and chronic kidney disease. Non-alcoholic steatohepatitis, an advanced type of NAFLD, can aggravate these inter-organ relationships and lead to poorer outcomes. NAFLD induces insulin resistance and exacerbates systemic chronic inflammation and oxidative stress, which leads to organ dysfunction in extra-hepatic tissues. Although more research is needed to identify the pathophysiological mechanisms and causal relationship between NAFLD and cardiometabolic and renal diseases, screening for heart, brain, and kidney diseases, risk assessment for diabetes, and a multidisciplinary approach for managing these patients should be highly encouraged.https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-41-430.pdfArrhythmias, cardiacAtherosclerosisDiabetes mellitusHypertensionInsulin resistanceMetabolismNon-alcoholic fatty liver diseaseObesityRenal insufficiencyStroke
spellingShingle Eugene Han
Yong-ho Lee
Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases
Diabetes & Metabolism Journal
Arrhythmias, cardiac
Atherosclerosis
Diabetes mellitus
Hypertension
Insulin resistance
Metabolism
Non-alcoholic fatty liver disease
Obesity
Renal insufficiency
Stroke
title Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases
title_full Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases
title_fullStr Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases
title_full_unstemmed Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases
title_short Non-Alcoholic Fatty Liver Disease: The Emerging Burden in Cardiometabolic and Renal Diseases
title_sort non alcoholic fatty liver disease the emerging burden in cardiometabolic and renal diseases
topic Arrhythmias, cardiac
Atherosclerosis
Diabetes mellitus
Hypertension
Insulin resistance
Metabolism
Non-alcoholic fatty liver disease
Obesity
Renal insufficiency
Stroke
url https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-41-430.pdf
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