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Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis
BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in the developed countries. The aim of this study was to evaluate the NAFLD prevalence in European adults and children/adolescents of the general population and specific subgroups. METHOD: Search f...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hellenic Society of Gastroenterology
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079871/ https://www.ncbi.nlm.nih.gov/pubmed/33948067 http://dx.doi.org/10.20524/aog.2021.0604 |
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author | Cholongitas, Evangelos Pavlopoulou, Ioanna Papatheodoridi, Margarita Markakis, George E. Bouras, Emmanouil Haidich, Anna-Bettina Papatheodoridis, George |
author_facet | Cholongitas, Evangelos Pavlopoulou, Ioanna Papatheodoridi, Margarita Markakis, George E. Bouras, Emmanouil Haidich, Anna-Bettina Papatheodoridis, George |
author_sort | Cholongitas, Evangelos |
collection | PubMed |
description | BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in the developed countries. The aim of this study was to evaluate the NAFLD prevalence in European adults and children/adolescents of the general population and specific subgroups. METHOD: Search for all articles published between 01/1990-06/2019 reporting NAFLD prevalence from European countries. RESULTS: Nineteen studies with adults and 9 with children/adolescents were included. Pooled NAFLD prevalence in adults was 26.9%, being higher in studies using ultrasonography (27.2%) or fatty liver index (FLI) (30.1%) than liver biochemical tests (19.1%) and without differences between Mediterranean and non-Mediterranean countries or publication periods. Pooled NAFLD prevalence was higher in men than women (32.8% vs. 19.6%) and in patients with than those without metabolic syndrome (75.3% vs. 17.9%) or any of its components (always P<0.01). Ultrasound and FLI performed equally in estimating NAFLD prevalence in most subgroups. A higher prevalence was reported using FLI in obese and in diabetic patients, whereas a higher prevalence was observed with ultrasound in non-obese patients and in individuals without metabolic syndrome. NAFLD prevalence was 2.7% in unselected and 31.6% in obese/overweight children/adolescents. CONCLUSIONS: NAFLD prevalence exceeds 25% in European adults, being higher in those with metabolic syndrome component(s)-related comorbidities. It remains low in unselected NAFLD population, but increased in overweight/obese European children/adolescents, particularly from Mediterranean countries. |
format | Online Article Text |
id | pubmed-8079871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hellenic Society of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-80798712021-05-03 Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis Cholongitas, Evangelos Pavlopoulou, Ioanna Papatheodoridi, Margarita Markakis, George E. Bouras, Emmanouil Haidich, Anna-Bettina Papatheodoridis, George Ann Gastroenterol Original Article BACKGROUND: Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in the developed countries. The aim of this study was to evaluate the NAFLD prevalence in European adults and children/adolescents of the general population and specific subgroups. METHOD: Search for all articles published between 01/1990-06/2019 reporting NAFLD prevalence from European countries. RESULTS: Nineteen studies with adults and 9 with children/adolescents were included. Pooled NAFLD prevalence in adults was 26.9%, being higher in studies using ultrasonography (27.2%) or fatty liver index (FLI) (30.1%) than liver biochemical tests (19.1%) and without differences between Mediterranean and non-Mediterranean countries or publication periods. Pooled NAFLD prevalence was higher in men than women (32.8% vs. 19.6%) and in patients with than those without metabolic syndrome (75.3% vs. 17.9%) or any of its components (always P<0.01). Ultrasound and FLI performed equally in estimating NAFLD prevalence in most subgroups. A higher prevalence was reported using FLI in obese and in diabetic patients, whereas a higher prevalence was observed with ultrasound in non-obese patients and in individuals without metabolic syndrome. NAFLD prevalence was 2.7% in unselected and 31.6% in obese/overweight children/adolescents. CONCLUSIONS: NAFLD prevalence exceeds 25% in European adults, being higher in those with metabolic syndrome component(s)-related comorbidities. It remains low in unselected NAFLD population, but increased in overweight/obese European children/adolescents, particularly from Mediterranean countries. Hellenic Society of Gastroenterology 2021 2021-02-26 /pmc/articles/PMC8079871/ /pubmed/33948067 http://dx.doi.org/10.20524/aog.2021.0604 Text en Copyright: © 2021 Hellenic Society of Gastroenterology https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Cholongitas, Evangelos Pavlopoulou, Ioanna Papatheodoridi, Margarita Markakis, George E. Bouras, Emmanouil Haidich, Anna-Bettina Papatheodoridis, George Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis |
title | Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis |
title_full | Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis |
title_fullStr | Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis |
title_full_unstemmed | Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis |
title_short | Epidemiology of nonalcoholic fatty liver disease in Europe: a systematic review and meta-analysis |
title_sort | epidemiology of nonalcoholic fatty liver disease in europe: a systematic review and meta-analysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079871/ https://www.ncbi.nlm.nih.gov/pubmed/33948067 http://dx.doi.org/10.20524/aog.2021.0604 |
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