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Nonalcoholic Fatty Liver Disease (NAFLD)

Fatty Liver: It's Serious

von Wartburg

Jan 13, 2011

" Fatty liver " doesn't sound very threatening. In fact, it sounds almost

cute, like Fatty Arbuckle. Unfortunately, like Fatty Arbuckle, it's not what

it seems. Nonalcoholic fatty liver disease is the most common liver disease

in the United States, comprising a quarter of all liver disease and

responsible for a rising number of liver transplants. Approximately 20

percent of Americans may be lugging around a fatty liver.

Because nonalcoholic fatty liver is associated with obesity and type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

<http://www.diabeteshealth.com/> , its incidence is rising along with

theirs. An estimated 70 to 90 percent of people with obesity and type 2

<http://www.diabeteshealth.com/browse/community/type-2-issues/> diabetes

have some degree of fatty liver, apparently caused by the metabolic

abnormalities that make up metabolic syndrome. These abnormalities,

including excess body weight, insulin

<http://www.diabeteshealth.com/browse/complications-and-care/insulin-resista

nce/> resistance, and high triglyceride levels in the blood, cause fat to

accumulate in liver cells.

Nonalcoholic fatty liver disease ranges from simple steatosis, meaning

" fattiness, " to nonalcoholic steatohepatitis (NASH), which means " fatty

liver with inflammation, " all the way to cirrhosis of the liver. It

resembles liver disease due to alcoholism, which also causes fatty liver,

steatohepatitis, and cirrhosis but has a worse prognosis. Only about five to

ten percent of people with nonalcoholic fatty liver go on to develop NASH.

Of those, an estimated 3 to 26 percent develop cirrhosis.

But what about the majority of people with fatty liver, those who don't

develop NASH? Recent research indicates that they are still at an increased

risk: of stroke. Between 2005 and 2009, researchers from St. 's

Hospital in Ontario looked at 103 adults who had a stroke and found that

they had high levels of markers indicating fatty liver disease compared to

people who had not had a stroke. In a letter published in Endocrinology

<http://www.diabeteshealth.com/browse/health-care/endocrinology/> , the

researchers noted that people with fatty liver may be three times more

likely to have a stroke than people without fatty liver.

In an earlier study, published in 2009 in the New England Journal of

Medicine, a connection between fatty liver and heart disease was reported.

The authors cited evidence that people with NASH are twice as likely to die

of heart attack or stroke as those without it. Overweight men with NASH have

higher levels of C-reactive protein, an inflammatory factor, and fibrinogen,

which causes clotting; the worse the NASH, the higher the levels. The

authors hypothesized that these and other factors associated with fatty

liver promote atherosclerosis, which damages arteries and increases the risk

of clots, making heart attack and stroke more likely.

Sources:

MedicineNet.com

e! Science News

Laboratoryequipment.com

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