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本帖最后由 StephenW 于 2017-7-20 20:31 编辑
Effects of lifestyle modification on liver enzyme and Fibroscan in Indian patients with non-alcoholic fatty liver disease
Jayanta Paul
Raj Vigna Venugopal
Lorance Peter
Shihaz Hussain
Kula Naresh Kumar Shetty
Mohit P. Shetti
Gastroenterol Rep (Oxf) gox020.
DOI:
Https://doi.org/10.1093/gastro/gox020
Published:
17 May 2017
Abstract
Background and goal: Non-alcoholic fatty liver disease (NAFLD) is remarkably increasing in developing countries like India, in parallel with the increasing incidence of obesity. Lifestyle modification is a recommended treatment for NAFLD. In most of the previous studies Modified was arrested by liver fibrosis through liver biopsy, but we can not do a serial liver biopsy in every NAFLD patient. Liver fibrosis can also be assessed by fibroscan non-invasively in NAFLD. This study was designed to evaluate the effect of lifestyle modification on liver Enzymes and Fibroscan values in a population with NAFLD.
Methods: Initially, 50 NAFLD patients were included in this prospective follow-up study; however, after 6 months of season modification, only 39 participants were studied. During both the first and second revised, Fibroscan was carried out. All participants underwent a careful Interview, anthropometry measurements and radiological and biochemical tests during every consultation.
Results: After 6 months of lifestyle modification, Fibroscan values improved significantly (8.31 ± 0.11kPa vs 7.87 ± 0.12kPa, p=0.009). Alanine aminotransferase (ALT) values also showed improvement during the second consultation (97.25 ± 2.62 U/L vs 66.69 ± 3.95 U/L, p <0.001).
Conclusion: Measured by Fibroscan and liver enzymes, it has been found that lifestyle modification is an effective therapy to downgrade hepatic injury in NAFLD patients. Serial Fibroscan can be used to assess the treatment response in NAFLD patients due to its non-
Non-alcoholic fatty liver disease, lifestyle modification, alanine aminotransferase, Fibroscan
Topic:
Obesity consultation liver, injury of hepatic fibrosis alanine transaminase follow-up liver biopsy lifestyle changes non-alcoholic fatty liver disease liver enzyme
Issue Section:
Original Article
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