Estimation of Nonalcoholic Fatty Liver Disease in Patients with Normal BMI on Ultrasound

Umme Habiba ,Waqas Ahmad ,Rana Muhammad Athar Azeem Shams ,Mansoor Bkhtiary ,Laraib Afzal ,Rana Muhammad Bakhtawar Khan Sajawal ,Uttroba Shahid ,Amna Babar

doi:10.7176/jhmn/92-03

Abstract

Background: Non-Alcoholic fatty liver disease is common in adults and it is increasing in patients with normal BMI in Asian countries. Non-alcoholic fatty liver disease (NAFLD) occurs not only in obese individuals but also in non-obese ones. The association between NAFLD and metabolic events in a non-obese population is also evident.. Objective: To estimate nonalcoholic fatty liver disease in patients with normal BMI on ultrasound. Methodology: Analytical Cross-sectional prospective study in which 59 patients were enrolled in the research. All the patient’s data had been composed from indoor of hospital, outdoor of hospital, DHA Medical Center, Lahore. After well-versed consent, data was composed through ultrasound machine. The data, such as patient characteristics, hypertension, impaired fasting glucose, were extracted from medical records, and statistical analysis was performed. Results: The present study is retrospective cross sectional observational study.60 patients (29males 49.2% 31 female 50.8%) were enrolled in this study. According to abdominal ultrasonography, 72.9% of patients with normal BMI were diagnosed to have Non-alcoholic fatty liver disease and identified to have fatty changes in the liver. Conclusion: In our study we estimated that nonalcoholic fatty liver disease was present in patients with normal body mass index by imaging the echotexture of liver on ultrasound. Having increased echogenicity, due to poor diet and other associated diseases such as high blood pressure, impaired fasting glucose and low HDL cholesterol patients were getting NAFLD. Keywords: Nonalcoholic fatty liver disease (NAFLD), Body Mass Index (BMI), Ultrasonography (USG). DOI: 10.7176/JHMN/92-03 Publication date: August 31 st 2021

Highlights

A chronic liver disease that has showed progress in cirrhosis and hepatocellular cancer is nonalcoholic fatty liver disorder (NAFLD)
NAFLD seems closely associated with obesity and insulin resistance, including diabetes, and other metabolic syndrome characteristics, such as high triglycerides and low HDL
Hepatic fat can be associated with infections other than the metabolic conditions, which could lead to the differential conclusion of a common fatty liver disease

Summary

Introduction

A chronic liver disease that has showed progress in cirrhosis and hepatocellular cancer is nonalcoholic fatty liver disorder (NAFLD). Because of the evident amount of fatty tissue in lean patients, i.e. BMI da 25.0 kg/m2, there may be contrasts among sleek and contrasting NAFLD disease components with heavy patients.[3] Liver is a sequestered, reddish earthy structure with two flaps of varying form and size. In the middle area of the hepatic hilum, the opening known as the porta hepatis is integrated, which provides the standard bile channel and the base liver duct On condition that these parts are useful, the ductal, vein and course division into left and right branches and the regions of the hepatic make protrusions of the left and right side.[5] It takes a role in the production, multiplication and development of chemical digestion and process transporting proteins. It is vital for patients with NAFLD to be investigated for metabolic syndrome and to have detrimental outcomes with respect to the normal BMI.[8]

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