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Nonalcoholic Fatty Liver Disease-Related Chronic Kidney Disease
Camelia Cojocariu1,2, Ana-Maria Singeap1,2, Irina Girleanu1,2
1Department of Gastroenterology, Grigore T. Popa University of Medicine and Pharmacy, Iasi 700115, Romania.
Abstract:
Nonalcoholic fatty liver disease has become the main concern of hepatologists around the world and the main research topic for identifying effective and safe therapy. Advances in the treatment of chronic viral hepatitis in recent years have opened the way towards reducing mortality in patients with chronic liver disease. This goal has not yet been reached, as the burden of chronic liver disease remains a future major health problem as the incidence of the nonalcoholic fatty liver disease continues to rise. The proportion of patients with liver cirrhosis and those with hepatocellular carcinoma due to nonalcoholic liver disease on the liver transplant waiting list has increased in the last years. The upward trend in the incidence and prevalence of the disease in recent decades raises concern over a possible global epidemic, especially as the disease is still underestimated and underdiagnosed. Chronic kidney disease presented an increase in incidence and prevalence during the last years, and it has been associated not only with increased morbidity and mortality but also with high costs for the health system. During the last decade, several studies have shown the association between nonalcoholic fatty disease and chronic kidney disease, two major worldwide health problems.
Insights
Nonalcoholic fatty liver disease (NAFLD) is a growing global health concern, increasing liver cirrhosis and cancer rates. Research highlights a significant association between NAFLD and chronic kidney disease, another major health issue.
Area of Science:
- Hepatology and Nephrology
- Public Health
- Epidemiology
Background:
- Nonalcoholic fatty liver disease (NAFLD) is a primary concern for hepatologists globally, driving research for effective therapies.
- While viral hepatitis treatments have improved, NAFLD's rising incidence makes chronic liver disease a persistent health challenge.
- NAFLD is increasingly linked to severe outcomes like liver cirrhosis and hepatocellular carcinoma, impacting liver transplant lists.
Purpose of the Study:
- To investigate the association between nonalcoholic fatty liver disease and chronic kidney disease.
- To highlight the growing global burden of both NAFLD and chronic kidney disease.
Main Methods:
- Review of recent epidemiological studies and clinical data.
- Analysis of trends in NAFLD and chronic kidney disease incidence and prevalence.
- Examination of documented associations between these two conditions.
Main Results:
- Nonalcoholic fatty liver disease incidence and prevalence are rising globally, posing a significant public health threat.
- Chronic kidney disease also shows increasing incidence and prevalence, associated with high morbidity, mortality, and healthcare costs.
- Multiple studies indicate a clear association between nonalcoholic fatty liver disease and chronic kidney disease.
Conclusions:
- The rising trends of NAFLD and chronic kidney disease underscore their status as major global health problems.
- The established link between NAFLD and CKD warrants further investigation and integrated management strategies.
- Increased awareness and diagnosis are crucial for both underdiagnosed conditions to mitigate future health burdens.
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