Non-alcoholic fatty liver disease (NAFLD) has become of major interest worldwide, it is estimated that more than 20% of the general population suffer from liver steatosis. NAFLD is highly associated with metabolic risk factors like type 2 diabetes mellitus, obesity and dyslipidemia, the patients diagnosed with NAFLD should adopt a high fiber low calorie diet, with reduced saturated fat and carbohydrates content, leading to weight loss and improvement of metabolic profile. Our study is aiming to shape the profile of the patient interested in being informed related to food quality and chemical composition and to evaluate the aspects on the food products label which are important for the customer. Between June 2017 and December 2017, 83 patients diagnosed with NASH were included in the study, representing the study group, while 33 subjects, without metabolic syndrome or digestive diseases, selected from patient list belonging to two general practitioners, constituted the control group. Related to the interest of being informed about the chemical composition and nutritional value of the products bought, the study showed a low interest for the provided information on nutritional value. lack of confidence in the provided information and complexity of the information are understandable, the high number of subject reasoning through lack of immediate clinical benefit is surprising. Among the healthy population the willingness to pay attention to this aspect is extremely low.
Background: The assessment of fibrosis in chronic liver diseases using non-invasive methods is an important topic in hepatology. Aim: To compare Shear Wave and Transient elastography and in what the possible measurement biases and discordance factors are concerned. Material and Methods: This study enrolled 139 patients with non-alcoholic fatty liver disease, who underwent assessment of hepatic fibrosis by Shear Wave and Transient elastography. Results: The results obtained by the two methods were correlated in the most cases, but discordance in one or more degrees of fibrosis stage was also found. The multiple correlations analysis regarding the predictors of discordance indicated that a significant influence was exercised by the fibrosis degree, steatosis, BMI and necroinflammatory activity. Conclusions: Shear Wave and Transient elastography appear as comparably reliable methods for assessment of liver fibrosis, but there are possible discrepancies in evaluating fibrosis stage.
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