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From NAFLD to MASLD and MetALD: Conceptual Shifts in Metabolic Liver Disease and Their Implications for Mexico.

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Screening for MAFLD: who, when and how?

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Metabolic-associated fatty liver disease (MAFLD) is a growing global health issue. Universal, non-invasive screening using blood tests, imaging, and clinical data is crucial for early detection in at-risk individuals.

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Area of Science:

  • Hepatology
  • Metabolic Disorders
  • Public Health

Background:

  • Metabolic-associated fatty liver disease (MAFLD) is a prevalent condition with rising global incidence.
  • MAFLD encompasses a spectrum from simple steatosis to hepatocellular carcinoma, posing significant health risks.
  • Extra-hepatic manifestations of MAFLD include cardiovascular diseases, malignancies, and cognitive/respiratory issues.

Purpose of the Study:

  • To emphasize the need for standardized, universal screening methods for MAFLD.
  • To highlight the importance of early identification of high-risk populations with metabolic dysfunction.

Main Methods:

  • Proposing universal non-invasive screening strategies.
  • Utilizing blood tests for metabolic assessment.
  • Employing imaging techniques like ultrasound.
  • Leveraging clinical information and scoring systems from patient-physician interactions.

Main Results:

  • Current lack of standardized screening methods for MAFLD.
  • MAFLD's broad impact on hepatic and extra-hepatic systems.
  • The potential of combined non-invasive methods for effective screening.

Conclusions:

  • Timely identification of individuals at high risk for MAFLD is essential.
  • Non-invasive screening approaches, integrating various data sources, are feasible and necessary.
  • Standardized screening protocols are needed to manage the growing burden of MAFLD.