The establishment of public health policies and the burden of non-alcoholic fatty liver disease in the Americas

被引：49

作者：

Diaz, Luis Antonio ^{[1
]}

Fuentes-Lopez, Eduardo ^{[5
]}

Ayares, Gustavo ^{[1
]}

Idalsoaga, Francisco ^{[1
]}

Arnold, Jorge ^{[1
]}

Marquez-Lomas, Andrea ^{[7
]}

Ramirez, Carolina A. ^{[8
]}

Medel, Maria Paz ^{[2
]}

Vinuela, Francisca ^{[4
]}

Lacalle, Lucas ^{[5
]}

Pablo Roblero, Juan ^{[9
]}

Ferreccio, Catterina ^{[3
,10
]}

Lazo, Mariana ^{[11
,12
]}

Brahmania, Mayur ^{[13
]}

Singal, Ashwani K. ^{[14
]}

Dirchwolf, Melisa ^{[15
]}

Mendez-Sanchez, Nahum ^{[16
]}

Chavez-Tapia, Norberto ^{[17
]}

Guerra, Patricia ^{[18
]}

Restrepo, Juan Carlos ^{[19
]}

Oliveira, Claudia P. ^{[20
]}

Lombardo, Julissa ^{[21
]}

Sanchez, Abel ^{[22
]}

Elizondo, Martin ^{[23
,24
]}

Tagle, Martin ^{[25
]}

Padilla, Martin ^{[26
]}

Sanchez, Marco ^{[27
]}

Carrera, Enrique ^{[28
]}

Girala, Marcos ^{[29
]}

Chery, Omega ^{[30
]}

Castellanos-Fernandez, Marlen ^{[31
]}

Barrera, Francisco ^{[1
]}

Lazarus, Jeffrey, V ^{[32
]}

Kamath, Patrick S. ^{[33
]}

Bataller, Ramon ^{[34
]}

Arrese, Marco ^{[1
,6
]}

Pablo Arab, Juan ^{[1
]}

机构：

[1] Pontificia Univ Catolica Chile, Dept Gastroenterol, Santiago, Chile

[2] Pontificia Univ Catolica Chile, Dept Med Familiar, Santiago, Chile

[3] Pontificia Univ Catolica Chile, Publ Hlth Dept, Santiago, Chile

[4] Pontificia Univ Catolica Chile, Escuela Med, Santiago, Chile

[5] Pontificia Univ Catolica Chile, Dept Ciencias Salad, Fac Med, Santiago, Chile

[6] Univ Anahuac Mayab, Escuela Med, Fac Ciencias Biol, Ctr Envejedmiento & Regenerac CARE, Merida, Yucatan, Mexico

[7] Univ Anahuac Mayab, Escuela Med, Merida, Yucatan, Mexico

[8] Clin Las Condes, Dept Anestesiol, Santiago, Chile

[9] Univ Chile, Escuela Med, Hosp Clin Univ Chile, Secc Gastroenterol, Santiago, Chile

[10] ACCDis, Adv Ctr Chron Dis, Santiago, Chile

[11] Drexel Univ, Dornsife Sch Publ Hlth, Dept Community Hlth & Prevent & Urban Hlth Collab, Philadelphia, PA 19104 USA

[12] Johns Hopkins Univ, Sch Med, Div Gen Internal Med, Baltimore, MD USA

[13] Western Univ, London Hlth Sci Ctr, Div Gastroenterol, Dept Med, London, ON, Canada

[14] Univ South Dakota, Dept Med, Sanford Sch Med, Div Transplant Hepatol,Avera Transplant Inst, Sioux Falls, SD USA

[15] Hosp Privado Rosario, Serv Hepatol, Unidad Trasplante Hepat, Rosario, Argentina

[16] Univ Nacl Autonoma Mexico, Liver Res Unit, Fac Med, Mexico City, DF, Mexico

[17] Univ Nacl Autonoma Mexico, Fac Med, Med Sur Clin & Fdn, Mexico City, DF, Mexico

[18] Inst Gastroenterol Boliviano Japones, Cochabamba, Bolivia

[19] Univ Antioquia, Grp Gastrohepatol, Hosp Pablo Tobon Uribe, Unidad Hepatol, Medellin, Colombia

[20] Univ Sao Paulo, Fac Med, Dept Gastroenterol, Hosp Clin HCFMUSP,Div Clin Gastroenterol & Hepato, Sao Paulo, Brazil

[21] Hosp Punta Pacifica, Ciudad De Panama, Panama

[22] Hosp Roosevelt, Gastroenterol Endoscopia Digest Hepatol, Ciudad De Guatemala, Guatemala

[23] Mil Hosp, Hepat Biliary & Pancreat Natl Ctr, Teaching & Assistance Unit UDA, Montevideo, Uruguay

[24] Mil Hosp, Biinst Unit Liver Transplantat, Montevideo, Uruguay

[25] Univ Peruana Cayetano Heredia, Fac Med Alberto Hurtado, Lima, Peru

[26] Univ Natl Mayor San Marcos, Hosp Nacl Guillermo Almenara, Lima, Peru

[27] Hosp Escuela Tegucigalpa, Tegucigalpa, Honduras

[28] Hosp Eugenio Espejo, Quito, Ecuador

[29] Univ Natl Asuncion, Hosp Clin, Asuncion, Paraguay

[30] Minist Publ Hlth, Port Au Prince, Haiti

[31] Univ Med Sci Havana, Inst Gastroenterol, Dept Res & Teaching, Havana, Cuba

[32] Univ Barcelona, Hosp Clin, Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain

[33] Mayo Clin, Div Gastroenterol & Hepatol, Rochester, MN USA

[34] Univ Pittsburgh, Med Ctr, Div Gastroenterol Hepatol & Nutr, Ctr Liver Dis, Pittsburgh, PA 15260 USA

来源：

LANCET GASTROENTEROLOGY & HEPATOLOGY | 2022年 / 7卷 / 06期

关键词：

HEPATOCELLULAR-CARCINOMA HCC; PRACTICE GUIDANCE; UNITED-STATES; RISK; STEATOHEPATITIS; ASSOCIATION; NAFLD; GUIDELINES; TRANSPLANTATION; POLYMORPHISM;

D O I：

10.1016/S2468-1253(22)00008-5

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Non-alcoholic fatty liver disease (NAFLD) affects 20-25% of the general population and is associated with morbidity, increased mortality, and elevated health-care costs. Most NAFLD risk factors are modifiable and, therefore, potentially amenable to being reduced by public health policies. To date, there is no information about NAFLD-related public health policies in the Americas. In this study, we analysed data from 17 American countries and found that none have established national public health policies to decrease NAFLD-related burden. There is notable heterogeneity in the existence of public health policies to prevent NAFLD-related conditions. The most common public health policies were related to diabetes (15 [88%] countries), hypertension (14 [82%] countries), cardiovascular diseases (14 [82%] countries), obesity (nine [53%] countries), and dyslipidaemia (six [35%] of countries). Only seven (41%) countries had a registry of the burden of NAFLD, and efforts to raise awareness in the Americas were scarce. The implementation of public health policies are urgently needed in the Americas to decrease the burden of NAFLD.

引用

页码：552 / 559

页数：8

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