Metabolic dysfunction: The silenced connection with fatty liver disease

Non-alcoholic fatty liver disease (NAFLD) represents a global public health burden. Despite the increase in its prevalence, the disease has not received sufficient attention compared to the associated diseases such as diabetes mellitus and obesity. In 2020 it was proposed to rename NAFLD to metaboli...

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Main Authors: Mariana M. Ramírez-Mejía, Xingshun Qi, Ludovico Abenavoli, Manuel Romero-Gómez, Mohammed Eslam, Nahum Méndez-Sánchez
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Annals of Hepatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1665268123002429
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author Mariana M. Ramírez-Mejía
Xingshun Qi
Ludovico Abenavoli
Manuel Romero-Gómez
Mohammed Eslam
Nahum Méndez-Sánchez
author_facet Mariana M. Ramírez-Mejía
Xingshun Qi
Ludovico Abenavoli
Manuel Romero-Gómez
Mohammed Eslam
Nahum Méndez-Sánchez
author_sort Mariana M. Ramírez-Mejía
collection DOAJ
description Non-alcoholic fatty liver disease (NAFLD) represents a global public health burden. Despite the increase in its prevalence, the disease has not received sufficient attention compared to the associated diseases such as diabetes mellitus and obesity. In 2020 it was proposed to rename NAFLD to metabolic dysfunction-associated fatty liver disease (MAFLD) in order to recognize the metabolic risk factors and the complex pathophysiological mechanisms associated with its development. Furthermore, along with the implementation of the proposed diagnostic criteria, the aim is to address the whole clinical spectrum of the disease, regardless of BMI and the presence of other hepatic comorbidities. As would it be expected with such a paradigm shift, differing viewpoints have emerged regarding the benefits and disadvantages of renaming fatty liver disease. The following review aims to describe the way to the MAFLD from a historical, pathophysiological and clinical perspective in order to highlight why MAFLD is the approach to follow.
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spelling doaj.art-a3116ef3e42444d488c75a7f124b78372023-10-29T04:19:30ZengElsevierAnnals of Hepatology1665-26812023-11-01286101138Metabolic dysfunction: The silenced connection with fatty liver diseaseMariana M. Ramírez-Mejía0Xingshun Qi1Ludovico Abenavoli2Manuel Romero-Gómez3Mohammed Eslam4Nahum Méndez-Sánchez5Plan of Combined Studies in Medicine (PECEM-MD/PhD), Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico; Liver Research Unit, Medica Sur Clinic & Foundation, Mexico City, MexicoDepartment of Gastroenterology, General Hospital of Northern Theater Command (formerly General Hospital of Shenyang Military Area), Liaoning Province, ChinaDepartment of Health Sciences, University Magna Graecia of Catanzaro, ItalyDigestive Diseases Unit, Department of Medicine, SeLiver Group, Institute of Biomedicine of Sevilla (HUVR/CSIC/US), University of Seville, Hospital Universitario Virgen del Rocío, Seville, SpainStorr Liver Centre, Westmead Institute for Medical Research, Westmead Hospital and University of Sydney, NSW, AustraliaLiver Research Unit, Medica Sur Clinic & Foundation, Mexico City, Mexico; Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico; Corresponding author.Non-alcoholic fatty liver disease (NAFLD) represents a global public health burden. Despite the increase in its prevalence, the disease has not received sufficient attention compared to the associated diseases such as diabetes mellitus and obesity. In 2020 it was proposed to rename NAFLD to metabolic dysfunction-associated fatty liver disease (MAFLD) in order to recognize the metabolic risk factors and the complex pathophysiological mechanisms associated with its development. Furthermore, along with the implementation of the proposed diagnostic criteria, the aim is to address the whole clinical spectrum of the disease, regardless of BMI and the presence of other hepatic comorbidities. As would it be expected with such a paradigm shift, differing viewpoints have emerged regarding the benefits and disadvantages of renaming fatty liver disease. The following review aims to describe the way to the MAFLD from a historical, pathophysiological and clinical perspective in order to highlight why MAFLD is the approach to follow.http://www.sciencedirect.com/science/article/pii/S1665268123002429MAFLDNAFLDMetabolic syndromeMetabolic dysfunctionLiverDiabetes
spellingShingle Mariana M. Ramírez-Mejía
Xingshun Qi
Ludovico Abenavoli
Manuel Romero-Gómez
Mohammed Eslam
Nahum Méndez-Sánchez
Metabolic dysfunction: The silenced connection with fatty liver disease
Annals of Hepatology
MAFLD
NAFLD
Metabolic syndrome
Metabolic dysfunction
Liver
Diabetes
title Metabolic dysfunction: The silenced connection with fatty liver disease
title_full Metabolic dysfunction: The silenced connection with fatty liver disease
title_fullStr Metabolic dysfunction: The silenced connection with fatty liver disease
title_full_unstemmed Metabolic dysfunction: The silenced connection with fatty liver disease
title_short Metabolic dysfunction: The silenced connection with fatty liver disease
title_sort metabolic dysfunction the silenced connection with fatty liver disease
topic MAFLD
NAFLD
Metabolic syndrome
Metabolic dysfunction
Liver
Diabetes
url http://www.sciencedirect.com/science/article/pii/S1665268123002429
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AT manuelromerogomez metabolicdysfunctionthesilencedconnectionwithfattyliverdisease
AT mohammedeslam metabolicdysfunctionthesilencedconnectionwithfattyliverdisease
AT nahummendezsanchez metabolicdysfunctionthesilencedconnectionwithfattyliverdisease