Jian Shijie, a doctor at Chengda hospital, pointed out that, according to the research, one in four people in China suffer from non-alcoholic fatty liver disease. (Provided by Chengda hospital)
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[Reporter Wang Junzhong/Tainan Report]According to the research, about 1 in 4 people in China have “non-alcoholic fatty liver disease (MAFLD)”, which is a patient who does not drink alcohol but has fatty liver. According to recent changes in the International Society of Liver Medicine, doctors at Chengda hospital refer to the fact that as long as the patient has fatty liver and is associated with abnormal conditions related to metabolic syndrome, such as obesity, diabetes, hyperlipidemia or l ‘hypertension, regardless of whether there are other reasons such as alcohol consumption or viral hepatitis, will be diagnosed as “metabolic fatty liver”.
Cheng Yi doctor Jian Shijie explained that fatty liver metabolic disorder is the manifestation of metabolic syndrome in the liver, and the impact on the body is systemic, not just limited to the liver.The most common complications of MAFLD patients are unrelated liver disease, but cardiovascular disease and cancer; in addition, patients with fatty liver have a higher risk of chronic kidney disease, including proteinuria, than the general population. As for the most common cancers, men are colorectal cancer and women are breast cancer.Although liver cancer is not the most common cancer in MAFLD patients, its incidence is 16. 73 times that of the general population.
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The degree of liver fibrosis in MALFD patients is the most important factor in determining patient prognosis. When patients develop significant liver fibrosis or even cirrhosis, the mortality rate increases significantly and the risk of liver-related complications also increases, including liver failure and liver replacement due to liver failure.
Jian Shijie, a doctor from Chengda hospital, pointed out that weight loss is the best way to cure fatty liver. (Provided by Chengda hospital)
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Jian Shijie said that weight loss is the best way to improve fatty liver. The simple accumulation of liver fat without inflammation or fibrosis, the weight loss goal is 3% of body weight; if you combine liver inflammation or cirrhosis, it is recommended to lose weight 7-10% above. According to statistics, when weight loss exceeds 10%, about 60% chance of liver cirrhosis will improve and soften, however, only about 1/10 of patients can achieve more than 10% weight loss.
For weight loss, through diet adjustment and exercise, first reduce the calorie intake of food, ingest only 1200-1500 calories per day, or reduce your intake by 500-1000 calories per day; therefore implement the Mediterranean diet, reduce the accumulation of fat in the liver and improve the body’s insulin resistance It is especially important to reduce the intake of starch and meat, increase the ratio of fruit and vegetables and avoid meat products that have been roasted at a high temperature, such as fried chicken, sausages, etc. ., and foods containing saturated fatty acids, and reduce your intake of red meat. is to cut back on sugary drinks, especially drinks with industrial fructose added.
Exercise has a very high correlation with liver-related mortality in patients with MAFLD. Dr. Jian said that if daily exercise is increased, it can reduce the accumulation of fat in the liver and the inflammation index of the liver. liver, thereby reducing the risk of death. Some studies have found that exercise can significantly reduce intrahepatic fat accumulation by 69% and significantly reduce the ALT hepatic index.Whether it is aerobic exercise or weight training, it can actually improve the liver index and the accumulation of intrahepatic fat.
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