Smeltzer, S.C., & Bare, B.G. (2008). Brunner & Suddarth's Textbook of Medical-Surgical Nursing. Philadelphia, PA: LWW
The prevalence of non-alcoholic fatty liver disease (NAFLD) is highest in
populations with pre-existing metabolic conditions such as obesity and type II
diabetes.
Vernon, G., & Baranova, A. (30 May 2011). Systematic review: the epidemiology and
natural history of non-alcoholic fatty liver disease and non-alcoholic
steatohepatitis in adults. Wiley Online Library. Retrieved from
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2036.2011.04724.x/full
The management of patients with NAFLD
consists of treating liver disease as well as the associated metabolic
co-morbidities such as obesity, hyperlipidemia, insulin resistance and T2DM. As
patients with NAFLD without steatohepatitis have excellent prognosis from a
liver standpoint, treatments aimed at improving liver disease should be limited
to those with non-alcoholic steatohepatitis (NASH)...
The best evidence for weight loss as a
means to improve liver histology in NASH comes from a trial that randomized 31
obese persons with NASH to intensive lifestyle changes (diet, behavior
modification and 200 minutes a week of moderate physical activity for 48 weeks)
versus structured basic education alone.
Chalasani, N. & Younossi, Z. (29 May 2012).The diagnosis and management of
non-alcoholic fatty liver disease: Practice Guideline by the American
Association for the Study of Liver Diseases, American College of Gastroenterology,
and the American Gastroenterological Association. Wiley Online Library. Retrieved from
http://onlinelibrary.wiley.com/doi/10.1002/hep.25762/full
https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash
https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash
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