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Nonalcoholic fatty liver disease (NAFLD) pathophysiology in obese children and adolescents: update
Silvana Neves Ferraz de Assunção1, Ney Christian Boa Sorte, Crésio Dantas Alves
1Universidade Federal da Bahia. anest.silvana@gmail.com.
Insights
Nonalcoholic fatty liver disease (NAFLD) pathophysiology is complex and unclear, impacting obese children globally. This review updates current knowledge on NAFLD mechanisms, aiming to improve treatment and outcomes.
Area of Science:
- Hepatology
- Pediatric Gastroenterology
- Metabolic Disorders
Background:
- Nonalcoholic fatty liver disease (NAFLD) was identified in 1980 but its pathophysiology remains multifactorial and unclear.
- NAFLD is a significant cause of morbidity and mortality, particularly affecting obese children worldwide.
Purpose of the Study:
- To provide an updated review of the pathophysiological mechanisms of NAFLD.
- To focus on histological, anatomical, and biochemical aspects contributing to steatohepatitis and cirrhosis.
Main Methods:
- A literature search was conducted using PubMed and Cochrane Library databases.
- Articles published within the last three decades related to NAFLD were included.
Main Results:
- The review synthesizes current knowledge on NAFLD pathophysiology.
- It highlights various determinants involved in disease progression.
Conclusions:
- Clinical research and technology have identified several pathophysiological mechanisms of NAFLD.
- Understanding these mechanisms is crucial for developing effective treatments and altering the disease's natural course.
Objective:
Although the nonalcoholic fatty liver disease was first identified in 1980, it presents multifactorial and unclear pathophysiology. In this review, we intend to update the pathophysiological mechanisms of a high morbidity and mortality associated disease that is affecting obese children worldwide.
Data Sources:
The PubMed and the Cochrane Library databases were used in the search strategy for articles related to nonalcoholic fatty liver disease and published in the last three decades.
Data Summary:
This review describes the current knowledge on the different mechanisms related to the pathophysiology of nonalcoholic fatty liver disease focused on histological, anatomical and biochemical aspects involved in triggering steatohepatitis and leading to cirrhosis.
Conclusions:
The clinical research and advanced technological resources demonstrated several determinants pathophysiological mechanisms of nonalcoholic fatty liver disease trying to assist in their treatment and change its natural course.
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