Non-alcoholic fatty liver disease: a global concern

Abstract

Non-alcoholic fatty liver disease is an umbrella term used to describe a build-up of fat in the liver. Gerri Mortimore provides an overview of the condition, its diagnosis, treatment and the role of the practice nurse in health promotion In the early stages of non-alcoholic fatty liver disease (NAFLD), the condition does not cause damage and is reversible. If left untreated, it can develop into the more serious form of non-alcoholic steatohepatitis (NASH), where the liver becomes inflamed, and over time can further develop into fibrosis and cirrhosis. Obesity is associated with the development of NAFLD. Any patient who falls in the obese category and/or has type 2 diabetes or insulin resistance and/or is diagnosed with metabolic syndrome should be tested for NAFLD. Nurses are often in the best position to prompt early investigation. Health promotion in the form of lifestyle advice is the mainstay of treatment, with an emphasis on weight reduction and healthy diet.