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Nonalcoholic fatty liver disease burden – Saudi Arabia and United Arab Emirates, 2017–2030

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Title: Nonalcoholic fatty liver disease burden – Saudi Arabia and United Arab Emirates, 2017–2030
Authors: Khalid Alswat, Abdulrahman A Aljumah, Faisal M Sanai, Faisal Abaalkhail, Mohamed Alghamdi, Waleed K Al Hamoudi, Abdullah Al Khathlan, Huda Al Quraishi, Ahmed Al Rifai, Mohamed Al Zaabi, Mohamed A Babatin, Chris Estes, Almoutaz Hashim, Homie Razavi
Source: The Saudi Journal of Gastroenterology, Vol 24, Iss 4, Pp 211-219 (2018)
Publisher Information: Wolters Kluwer Medknow Publications, 2018.
Publication Year: 2018
Collection: LCC:Diseases of the digestive system. Gastroenterology
Subject Terms: Burden of disease, cardiovascular disease, cirrhosis, decompensated cirrhosis, healthcare resource utilization, hepatocellular carcinoma, metabolic syndrome, nonalcoholic fatty liver, nonalcoholic fatty liver disease, nonalcoholic steatohepatitis, obesity, type 2 diabetes mellitus, Diseases of the digestive system. Gastroenterology, RC799-869
More Details: Background/Aim: Due to epidemic levels of obesity and type 2 diabetes mellitus (DM), nonalcoholic fatty liver disease (NAFLD) and resulting nonalcoholic steatohepatitis (NASH) will be driving factors in liver disease burden in the coming years in Saudi Arabia and United Arab Emirates (UAE). Materials and Methods: Models were used to estimate NAFLD and NASH disease progression, primarily based on changes in adult prevalence rates of adult obesity and DM. The published estimates and expert interviews were used to build and validate the model projections. Results: In both countries, the prevalence of NAFLD increased through 2030 parallel to projected increases in the prevalence of obesity and DM. By 2030, there were an estimated 12,534,000 NAFLD cases in Saudi Arabia and 372,000 cases in UAE. Increases in NASH cases were relatively greater than the NAFLD cases due to aging of the population and disease progression. Likewise, prevalent cases of compensated cirrhosis and advanced liver disease are projected to at least double by 2030, while annual incident liver deaths increase in both countries to 4800 deaths in Saudi Arabia and 140 deaths in UAE. Conclusions: Continued high rates of adult obesity and DM, in combination with aging populations, suggest that advanced liver disease and mortality attributable to NAFLD/NASH will increase across both countries. Reducing the growth of the NAFLD population, along with potential therapeutic options, will be needed to reduce liver disease burden.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1319-3767
1998-4049
Relation: http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2018;volume=24;issue=4;spage=211;epage=219;aulast=Alswat; https://doaj.org/toc/1319-3767; https://doaj.org/toc/1998-4049
DOI: 10.4103/sjg.SJG_122_18
Access URL: https://doaj.org/article/3aad780610b645a988e7e8cd66817399
Accession Number: edsdoj.3aad780610b645a988e7e8cd66817399
Database: Directory of Open Access Journals
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  Data: Nonalcoholic fatty liver disease burden – Saudi Arabia and United Arab Emirates, 2017–2030
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  Data: <searchLink fieldCode="AR" term="%22Khalid+Alswat%22">Khalid Alswat</searchLink><br /><searchLink fieldCode="AR" term="%22Abdulrahman+A+Aljumah%22">Abdulrahman A Aljumah</searchLink><br /><searchLink fieldCode="AR" term="%22Faisal+M+Sanai%22">Faisal M Sanai</searchLink><br /><searchLink fieldCode="AR" term="%22Faisal+Abaalkhail%22">Faisal Abaalkhail</searchLink><br /><searchLink fieldCode="AR" term="%22Mohamed+Alghamdi%22">Mohamed Alghamdi</searchLink><br /><searchLink fieldCode="AR" term="%22Waleed+K+Al+Hamoudi%22">Waleed K Al Hamoudi</searchLink><br /><searchLink fieldCode="AR" term="%22Abdullah+Al+Khathlan%22">Abdullah Al Khathlan</searchLink><br /><searchLink fieldCode="AR" term="%22Huda+Al+Quraishi%22">Huda Al Quraishi</searchLink><br /><searchLink fieldCode="AR" term="%22Ahmed+Al+Rifai%22">Ahmed Al Rifai</searchLink><br /><searchLink fieldCode="AR" term="%22Mohamed+Al+Zaabi%22">Mohamed Al Zaabi</searchLink><br /><searchLink fieldCode="AR" term="%22Mohamed+A+Babatin%22">Mohamed A Babatin</searchLink><br /><searchLink fieldCode="AR" term="%22Chris+Estes%22">Chris Estes</searchLink><br /><searchLink fieldCode="AR" term="%22Almoutaz+Hashim%22">Almoutaz Hashim</searchLink><br /><searchLink fieldCode="AR" term="%22Homie+Razavi%22">Homie Razavi</searchLink>
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  Data: The Saudi Journal of Gastroenterology, Vol 24, Iss 4, Pp 211-219 (2018)
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  Data: Wolters Kluwer Medknow Publications, 2018.
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  Data: LCC:Diseases of the digestive system. Gastroenterology
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  Data: <searchLink fieldCode="DE" term="%22Burden+of+disease%22">Burden of disease</searchLink><br /><searchLink fieldCode="DE" term="%22cardiovascular+disease%22">cardiovascular disease</searchLink><br /><searchLink fieldCode="DE" term="%22cirrhosis%22">cirrhosis</searchLink><br /><searchLink fieldCode="DE" term="%22decompensated+cirrhosis%22">decompensated cirrhosis</searchLink><br /><searchLink fieldCode="DE" term="%22healthcare+resource+utilization%22">healthcare resource utilization</searchLink><br /><searchLink fieldCode="DE" term="%22hepatocellular+carcinoma%22">hepatocellular carcinoma</searchLink><br /><searchLink fieldCode="DE" term="%22metabolic+syndrome%22">metabolic syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22nonalcoholic+fatty+liver%22">nonalcoholic fatty liver</searchLink><br /><searchLink fieldCode="DE" term="%22nonalcoholic+fatty+liver+disease%22">nonalcoholic fatty liver disease</searchLink><br /><searchLink fieldCode="DE" term="%22nonalcoholic+steatohepatitis%22">nonalcoholic steatohepatitis</searchLink><br /><searchLink fieldCode="DE" term="%22obesity%22">obesity</searchLink><br /><searchLink fieldCode="DE" term="%22type+2+diabetes+mellitus%22">type 2 diabetes mellitus</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases+of+the+digestive+system%2E+Gastroenterology%22">Diseases of the digestive system. Gastroenterology</searchLink><br /><searchLink fieldCode="DE" term="%22RC799-869%22">RC799-869</searchLink>
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  Label: Description
  Group: Ab
  Data: Background/Aim: Due to epidemic levels of obesity and type 2 diabetes mellitus (DM), nonalcoholic fatty liver disease (NAFLD) and resulting nonalcoholic steatohepatitis (NASH) will be driving factors in liver disease burden in the coming years in Saudi Arabia and United Arab Emirates (UAE). Materials and Methods: Models were used to estimate NAFLD and NASH disease progression, primarily based on changes in adult prevalence rates of adult obesity and DM. The published estimates and expert interviews were used to build and validate the model projections. Results: In both countries, the prevalence of NAFLD increased through 2030 parallel to projected increases in the prevalence of obesity and DM. By 2030, there were an estimated 12,534,000 NAFLD cases in Saudi Arabia and 372,000 cases in UAE. Increases in NASH cases were relatively greater than the NAFLD cases due to aging of the population and disease progression. Likewise, prevalent cases of compensated cirrhosis and advanced liver disease are projected to at least double by 2030, while annual incident liver deaths increase in both countries to 4800 deaths in Saudi Arabia and 140 deaths in UAE. Conclusions: Continued high rates of adult obesity and DM, in combination with aging populations, suggest that advanced liver disease and mortality attributable to NAFLD/NASH will increase across both countries. Reducing the growth of the NAFLD population, along with potential therapeutic options, will be needed to reduce liver disease burden.
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  Data: http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2018;volume=24;issue=4;spage=211;epage=219;aulast=Alswat; https://doaj.org/toc/1319-3767; https://doaj.org/toc/1998-4049
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