Survey of health status, nutrition and geography of food selection of chronic liver disease patients Leslie T, et al. The present global epidemic of obesity has implications not only for the incidence of cardio-metabolic disease but also for the incidence of chronic liver disease (CLD). While non-alcoholic fatty liver disease (NAFLD) is more prevalent among obese individuals and is a predictor of incident cardio-metabolic disease, further studies are needed to determine whether NAFLD is an independent predictor of mortality. Simple NAFLD, i.e. NAFLD without inflammation or fibrosis, is not associated with increased liver-related mortality. Although HBV and HCV infections are increasingly less incident in Western countries, they are responsible for most of the global burden of liver disease and are established predictors of death. Since there is some evidence that excess weight may worsen the prognosis of HBV and HCV infection, obesity has become a problem transversal to both metabolic and infectious liver disease. Knowing how patients with CLD eat may help to understand better the role of nutrition in both the pathogenesis and treatment of liver disease. However, Nutritional Epidemiology is acknowledged to have two main problems: 1) the generally low accuracy with which foods/nutrients are measured and, 2) the generally low respondent rate. Problems 1 and 2 do of course interact, as the more accurate is the measuring instrument, the higher is the burden of the respondent and the lower the respondent rate.
2014-08-28 | 267 visitas | Evalua este artículo 0 valoraciones
Vol. 13 Núm.5. Septiembre-Octubre 2014 Pags. 480-481 Ann Hepatol 2014; 13(5)