PMID- 31789677 OWN - NLM STAT- MEDLINE DCOM- 20210616 LR - 20210616 IS - 1473-6535 (Electronic) IS - 0957-9672 (Linking) VI - 31 IP - 1 DP - 2020 Feb TI - Fatty liver, cardiometabolic disease and mortality. PG - 27-31 LID - 10.1097/MOL.0000000000000652 [doi] AB - PURPOSE OF REVIEW: We discuss the findings of the most recent metanalyses on the association between nonalcoholic fatty liver disease (NAFLD), cardiometabolic disease and mortality. RECENT FINDINGS: Recent metanalyses have shown that NAFLD is associated with incident type 2 diabetes mellitus (T2DM) and incident cardiovascular disease (CVD). Nonalcoholic steatohepatitis, which can be diagnosed by liver biopsy only in tertiary care centers, is often associated with liver fibrosis, which has been shown by metanalyses to increase both cardiovascular and liver-related mortality. Hyperlipidemia, lipotoxicity and impaired insulin secretion are among the possible mechanisms underlying the association of NAFLD with T2DM and CVD. Metanalyses of the association between NAFLD and mortality in the general population, where risk stratification cannot be performed on the basis of liver biopsy, have given contradictory results. SUMMARY: To establish conclusively whether NAFLD adds to known prognostic factors of death in the general population will require a shared operational definition of NAFLD, purposefully designed cohort studies, and the use of clinically relevant measures of effect size. FAU - Bedogni, Giorgio AU - Bedogni G AD - Liver Research Center, Italian Liver Foundation, Basovizza, Trieste. FAU - Gastaldelli, Amalia AU - Gastaldelli A AD - Institute of Clinical Physiology, National Research Council, Pisa. FAU - Foschi, Francesco G AU - Foschi FG AD - Department of Internal Medicine, Ospedale di Faenza, AUSL Romagna, Faenza, Italy. LA - eng PT - Journal Article PT - Review PL - England TA - Curr Opin Lipidol JT - Current opinion in lipidology JID - 9010000 SB - IM MH - Animals MH - Cardiovascular Diseases/metabolism/*mortality/pathology MH - Fatty Liver/complications/*mortality MH - Humans MH - Metabolic Diseases/metabolism/*mortality/pathology MH - Risk Factors MH - Survival Rate EDAT- 2019/12/04 06:00 MHDA- 2021/06/17 06:00 CRDT- 2019/12/03 06:00 PHST- 2019/12/04 06:00 [pubmed] PHST- 2021/06/17 06:00 [medline] PHST- 2019/12/03 06:00 [entrez] AID - 00041433-202002000-00006 [pii] AID - 10.1097/MOL.0000000000000652 [doi] PST - ppublish SO - Curr Opin Lipidol. 2020 Feb;31(1):27-31. doi: 10.1097/MOL.0000000000000652.