» Articles » PMID: 37449859

Assessing the Clinical Utility of Major Indices for Nonalcoholic Fatty Liver Disease in East Asian Populations

Overview
Journal Biomark Med
Date 2023 Jul 14
PMID 37449859
Authors
Affiliations
Soon will be listed here.
Abstract

Nonalcoholic fatty liver disease (NAFLD) is currently the most common form of chronic liver disease. The growing prevalence of NAFLD is strongly associated with the high incidence of metabolic syndrome. NAFLD affects as much as 19% of the US population with a disproportionate impact on minority racial groups such as Asian Americans. If not promptly managed, NAFLD may progress to more feared complications. Liver indices for NAFLD screening have been proposed but were often developed using study populations with different anthropometrics than patients of East Asian descent. This review compares the accuracy of five indices for NAFLD screening in Asian cohorts. The Fatty Liver Index performed well in multiple large-scale community studies, although other indices may be more suited for specific patient cohorts. This is important, as the utilization of liver indices could accelerate screening for NAFLD for early management and to reduce liver disease-related health disparities among Asian Americans.

References
1.
Castellana M, Donghia R, Guerra V, Procino F, Lampignano L, Castellana F . Performance of Fatty Liver Index in Identifying Non-Alcoholic Fatty Liver Disease in Population Studies. A Meta-Analysis. J Clin Med. 2021; 10(9). PMC: 8123596. DOI: 10.3390/jcm10091877. View

2.
Shah M, Gandrakota N, Gujral U, Islam N, Narayan K, Ali M . Cardiometabolic Risk in Asian Americans by Social Determinants of Health: Serial Cross-sectional Analyses of the NHIS, 1999-2003 to 2014-2018. J Gen Intern Med. 2022; 38(3):571-581. PMC: 9971386. DOI: 10.1007/s11606-022-07933-3. View

3.
Coronado G, Chio-Lauri J, Cruz R, Roman Y . Health Disparities of Cardiometabolic Disorders Among Filipino Americans: Implications for Health Equity and Community-Based Genetic Research. J Racial Ethn Health Disparities. 2021; 9(6):2560-2567. PMC: 9248953. DOI: 10.1007/s40615-021-01190-6. View

4.
Truong E, Yeo Y, Cook-Wiens G, Muthiah M, Yang J, Sundaram V . Nonalcoholic fatty liver disease prevalence and severity in Asian Americans from the national health and nutrition examination surveys 2017-2018. Hepatol Commun. 2022; 6(9):2253-2261. PMC: 9426392. DOI: 10.1002/hep4.1981. View

5.
Sheng G, Lu S, Xie Q, Peng N, Kuang M, Zou Y . The usefulness of obesity and lipid-related indices to predict the presence of Non-alcoholic fatty liver disease. Lipids Health Dis. 2021; 20(1):134. PMC: 8502416. DOI: 10.1186/s12944-021-01561-2. View