Division of Gastroenterology, Department of Medicine, Washington University in Saint Louis, St. Louis, Missouri.
Division of Public Health Sciences, Department of Surgery, Washington University in Saint Louis, St. Louis, Missouri.
Clin Gastroenterol Hepatol. 2022 Nov;20(11):2638-2640. doi: 10.1016/j.cgh.2021.05.035. Epub 2021 May 25.
Nonalcoholic fatty liver disease (NAFLD) is a global public health crisis that affects one quarter of the world population. Preventing either cardiometabolic or liver-related complications by achieving weight loss and resolving hepatic steatosis would be the central goal of a NAFLD screening program in the primary care setting. Despite the overwhelming prevalence and the multimodal impact on health posed by NAFLD, specialty society guidelines do not recommend screening for NAFLD in the general population, partly owing to the as-yet unproven cost benefit.
非酒精性脂肪性肝病(NAFLD)是一个全球性的公共健康危机,影响着全球四分之一的人口。通过减轻体重和消除肝脂肪变性来预防与代谢或肝脏相关的并发症,这将是初级保健环境中 NAFLD 筛查计划的核心目标。尽管 NAFLD 的患病率极高,对健康的影响也多种多样,但专业学会指南并未建议在一般人群中筛查 NAFLD,部分原因是其成本效益尚未得到证实。