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Review
. 2022 Jun;7(6):552-559.
doi: 10.1016/S2468-1253(22)00008-5. Epub 2022 Apr 14.

The establishment of public health policies and the burden of non-alcoholic fatty liver disease in the Americas

Luis Antonio Díaz  1 , Eduardo Fuentes-López  2 , Gustavo Ayares  1 , Francisco Idalsoaga  1 , Jorge Arnold  1 , Andrea Márquez-Lomas  3 , Carolina A Ramírez  4 , María Paz Medel  5 , Francisca Viñuela  6 , Lucas Lacalle  2 , Juan Pablo Roblero  7 , Catterina Ferreccio  8 , Mariana Lazo  9 , Mayur Brahmania  10 , Ashwani K Singal  11 , Melisa Dirchwolf  12 , Nahum Méndez-Sánchez  13 , Norberto Chavez-Tapia  14 , Patricia Guerra  15 , Juan Carlos Restrepo  16 , Claudia P Oliveira  17 , Julissa Lombardo  18 , Abel Sánchez  19 , Martín Elizondo  20 , Martín Tagle  21 , Martín Padilla  22 , Marco Sánchez  23 , Enrique Carrera  24 , Marcos Girala  25 , Omega Chery  26 , Marlen Castellanos-Fernández  27 , Francisco Barrera  1 , Jeffrey V Lazarus  28 , Patrick S Kamath  29 , Ramon Bataller  30 , Marco Arrese  31 , Juan Pablo Arab  32
Affiliations
Review

The establishment of public health policies and the burden of non-alcoholic fatty liver disease in the Americas

Luis Antonio Díaz et al. Lancet Gastroenterol Hepatol. 2022 Jun.

Abstract

Non-alcoholic fatty liver disease (NAFLD) affects 20-25% of the general population and is associated with morbidity, increased mortality, and elevated health-care costs. Most NAFLD risk factors are modifiable and, therefore, potentially amenable to being reduced by public health policies. To date, there is no information about NAFLD-related public health policies in the Americas. In this study, we analysed data from 17 American countries and found that none have established national public health policies to decrease NAFLD-related burden. There is notable heterogeneity in the existence of public health policies to prevent NAFLD-related conditions. The most common public health policies were related to diabetes (15 [88%] countries), hypertension (14 [82%] countries), cardiovascular diseases (14 [82%] countries), obesity (nine [53%] countries), and dyslipidaemia (six [35%] of countries). Only seven (41%) countries had a registry of the burden of NAFLD, and efforts to raise awareness in the Americas were scarce. The implementation of public health policies are urgently needed in the Americas to decrease the burden of NAFLD.

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Conflict of interest statement

Declaration of interests NC-T received speaking fees from Bayer. The other authors declare no conflicts of interest.

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