Department of Transplant, Mayo Clinic College of Medicine, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Nurs Clin North Am. 2021 Dec;56(4):543-552. doi: 10.1016/j.cnur.2021.07.009.
Obesity and nonalcoholic fatty liver disease (NAFLD) have a significant global impact, and their complications are quickly becoming a reason for primary care visits and hospitalizations. This article provides an overview of NAFLD and obesity, pathogenesis of NAFLD and nonalcoholic steatohepatitis, clinical presentation and diagnostic criteria, and a review of practice guidelines. The current mainstay of treatment for NAFLD are lifestyle modifications and include a plan to eat, move, and change behavior. The future holds potential for new drug therapies in treating NAFLD. More research is needed to move these treatments forward.
肥胖症和非酒精性脂肪性肝病(NAFLD)在全球范围内有重大影响,其并发症正迅速成为基层医疗就诊和住院的原因。本文概述了 NAFLD 和肥胖症、NAFLD 和非酒精性脂肪性肝炎的发病机制、临床表现和诊断标准,并回顾了实践指南。目前,NAFLD 的主要治疗方法是生活方式的改变,包括饮食、运动和行为改变计划。在治疗 NAFLD 方面,未来可能会有新的药物疗法。需要进一步的研究来推动这些治疗方法的进展。