Background: Non Alcoholic Fatty Liver Disease (NAFLD) is common hepatic disorder which is recognized as a great health problem causing different diseases worldwide. To determine non-alcoholic fatty liver and assess the relation of fasting total lipids with different grades of fatty liver (NAFLD) subjects diagnosed through ultrasound. By identifying the risk factors of Lipid Profile and NAFLD, the health care provider can properly manage it, even awareness specific for patients and community as general being launched to diminish the morbidity and mortality by this study. Methods: This cross-sectional research carried out at Medicine Department of PMCH, Shaheed Benazirabad. This study comprises 300 subjects of NAFLD. Patients who attended the medicine department with abdominal complains after examination consultant advised ultrasound. The ultrasound performed in Radiology department, patients with findings of fatty liver selected, and history taken from all the patients with special regard to alcoholism. Fasting lipid profile done in all patients included in present study. The blood samples collected from a vein and immediately sent to the laboratory. Results: This present study enlisted total 300 patients out of them 203 (67.7%) belonged to male gender and 97 (32.3%) were females. A ratio of 2.1:1 observed in male and female subjects. There were 176 (58.7%) patients in grade I, while 82 (27.3%) patients in grade II and 42 (14%) patients in grade III. The cholesterol value was abnormal in 186 (62%), while normal in remaining 114 (38%) patients. Triglycerides were abnormal in 152 (50.7%) while in 148 (49.3%) patients were normal. HDL in 155 (51.7%) patients was abnormal while 145 (48.3%) patients had normal values. Low density lipoprotein value in 117 (39%) patient was abnormal and 183 (61%) patient normal. Very low-density lipoprotein in 117 (39%) patients was abnormal and 183 (61%) patient normal. The mean age and SD of patients in present study was 46.83 ± 8.82, with minimum 30 years and maximum age 65 years respectively (p value 0.000). The mean and SD of total cholesterol value was 154.66 ± 58.88 mg/dl (p value 1.000), TG 180.98 ± 96.46 mg/dl (p value 0.974), HDL-C 32.13 ± 5.88 mg/dl (p value 0.000), LDL-C 116.41 ± 41.002 mg/dl (p value 0.000), and VLDL-C was 43.47 ± 34.34 mg/dl (p value 0.000). Conclusions: In current study, variable changes in lipid profile observed amongst NAFLD (non-alcoholic fatty liver disease) patients who diagnosed on ultrasound. Early diagnosis and treatment
References
[1]
Ludwig, J., Viggiano, T.R., McGill, D.B. and Oh, B.J. (1980) Nonalcoholic Steatohepatitis Mayo Clinic Experiences with a Hitherto Unnamed Disease. Mayo Clinic Proceedings, 55, 434-438.
[2]
Mahaling, D.U. and Basavaraj, M.M. (2013) Comparison of Lipid Profile in Different Grades of Non-Alcoholic Fatty Liver Disease Diagnosed on Ultrasound. Asian Pacific Journal of Tropical Biomedicine, 3, 907-912.
https://doi.org/10.1016/S2221-1691(13)60177-X
[3]
Angulo, P. (2002) Nonalcoholic Fatty Liver Disease. The New England Journal of Medicine, 346, 1221-1231. https://doi.org/10.1056/NEJMra011775
[4]
Pandey, G. and Balakrishnan, V. (2009) Clinico-Pathological Spectrum of Non-Alcoholic Fatty Liver Disease among Patients in Kerala. Indian Journal of Clinical Biochemistry, 24, 155-158. https://doi.org/10.1007/s12291-009-0028-8
[5]
David, A.S., Chang, P. and Chopra, K. (2005) Non-Alcoholic Fatty Liver Disease: Clinical Review. Digestive Diseases and Sciences, 50, 171-180.
https://doi.org/10.1007/s10620-005-1267-z
[6]
Sen, A., Kumar, J., Misra, R.P., Uddin, M. and Shukla, P.C. (2013) Lipid Profile of Patients Having Non-Alcoholic Fatty Liver Disease as per Ultrasound Findings in North Indian Population: A Retrospective Observational Study. Journal of Medical and Allied Sciences, 3, 59-62.
[7]
Schild, B.Z., Santos, L.N. and Alves, M.K. (2013) Non-Alcoholic Fatty Liver Disease and Its Association with Metabolic Syndrome in the Preoperative Period in Patients Undergoing Bariatric Surgery. Revista da Associa Medica Brasileira, 59, 155-160.
https://doi.org/10.1016/j.ramb.2012.10.004
[8]
McCullough, A.J. and Hawkins, C. (2015) Clinical Spectrum of Non-Alcoholic Fatty Liver Disease in Diabetic and Non-Diabetic Patients. BBA Clinical, 3, 141-145.
https://doi.org/10.1016/j.bbacli.2014.09.001
[9]
Obika, M. and Noguchi, H. (2012) Diagnosis and Evaluation of Nonalcoholic Fatty Liver Disease. Experimental Diabetes Research, 2012, 1-12.
https://doi.org/10.1155/2012/145754
[10]
Sertoglu, E. and Ercin, C.N. (2014) The Relationship of Serum Uric Acid with Non-Alcoholic Fatty Liver Disease. Clinical Biochemistry, 47, 383-388.
https://doi.org/10.1016/j.clinbiochem.2014.01.029
[11]
Javed, M. (2014) Fatty Liver: Yet another Silent Killer. Journal of Ayub Medical College Abbottabad, 26, 26-30.
[12]
Uzma, B., Murtaza, G. and Shaheen, M. (2008) Evaluation of Risk Factors of Non Alcoholic Fatty Liver Disease (NAFLD) in a Tertiary Care Hospital at Rawalpindi, Pakistan: A Local Experience. Journal of Postgraduate Medical Institute, 22, 189-195.
[13]
Santoshini, A., Swathi, P. and Ravindra, B. (2016) Estimation of Lipid Profile in Various Grades of Non Alcoholic Fatty Liver Disease Diagnosed on Ultrasonography. International Journal of Pharma and Bio Sciences, 7, 1198-1203.
[14]
Holterman, A. and Somma, N.D. (2014) Nonalcoholic Fatty Liver Disease and Bariatric Surgery in Adolescents. Seminars in Pediatric Surgery, 23, 49-57.
https://doi.org/10.1053/j.sempedsurg.2013.10.016
[15]
Chalasani, N., Younossi, Z., Lavine, J.E., Diehl, A.M., Brunt, E.M., Cusi, K., et al. (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. Hepatology, 55, 2005-2023. https://doi.org/10.1002/hep.25762
[16]
Machado, M.V. and Cortez-Pinto, H. (2007) Noninvasive Diagnosis of Non-Alcoholic Fatty Liver Disease a Critical Appraisal. Journal of Hepatology, 49, 156-162.
[17]
Donnelly, K.L., Smith, C.I., Schwarzenberg, S.J., Jessurun, J., Boldt, M.D. and Parks, E.J. (2005) Sources of Fatty Acids Stored in Liver and Secreted via Lipoproteins in Patients with Nonalcoholic Fatty Liver Disease. Journal of Clinical Investigation, 115, 1343-1351. https://doi.org/10.1172/JCI23621
[18]
Lazo, M., Hernaez, R., Eberhardt, M.S., Bonekamp, S., Kamel, I., Guallar, E., Koteish, A., et al. (2013) Prevalence of Nonalcoholic Fatty Liver Disease in the United States: The Third National Health and Nutrition Examination Survey, 1988-1994. American Journal of Epidemiology, 178, 38-45. https://doi.org/10.1093/aje/kws448
[19]
Agrawal, R., Mishra, S., Dixit, V.K. and Rai, S. (2009) Association of Non-Alcoholic Fatty Liver Disorder with Obesity. Indian Journal of Preventive and Social Medicine, 40, 126-129.
[20]
Amarapurkar, D.N. and Amarapurkar, A.D. (2000) Nonalocholic Steatohepatitis: Clinicopathologic Profile. Journal of the Association of Physicians of India, 48, 311-313.
[21]
Clark, J.M. (2006) The Epidemiology of Nonalcoholic Fatty Liver Disease in Adults. Journal of Clinical Gastroenterology, 40, 5-10.
[22]
Leite, N.C., Salles, G.F., Araujo, A.L., et al. (2009) Prevalence and Associated Factors of Non-Alcoholic Fatty Liver Disease in Patients with Type-2 Diabetes Mellitus. Liver International, 29, 113-119. https://doi.org/10.1111/j.1478-3231.2008.01718.x
[23]
Lizardi-Cervera, J., Laparra, D.I., Chávez-Tapia, N.C., et al. (2006) Prevalence of NAFLD and Metabolic Syndrome in Asym-Tomatics Subjects. Revista de Gastroenterología de México, 71, 453-459.
[24]
Sathiaraj, E., Chutke, M., Reddy, M.Y., et al. (2011) A Case-Control Study on Nutritional Risk Factors in Non-Alcoholic Fatty Liver Disease in Indian Population. European Journal of Clinical Nutrition, 65, 533-537.
https://doi.org/10.1038/ejcn.2011.3
[25]
Bajaj, S., Nigam, P. and Luthra, A. (2009) A Case-Control Study on Insulin Resistance, Metabolic Co-Variates & Prediction Score in Non-Alcoholic Fatty Liver Disease. Indian Journal of Medical Research, 129, 285-292.
[26]
El-Koofy, N.M., Anwar, G.M. and EI-Raziky, M.S. (2012) The Association of Metabolic Syndrome, Insulin Resistance and Non-Alcoholic Fatty Liver Disease in Overweight/Obese Children. Saudi Journal of Gastroenterology, 18, 44-49.
https://doi.org/10.4103/1319-3767.91738