Prevalence of metabolic dysfunction-associated steatotic liver disease in the Middle East and North Africa

© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..

BACKGROUND AND AIMS: Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as nonalcoholic fatty liver disease (NAFLD), is common and closely associated with type 2 diabetes (T2D). We assessed the prevalence of NAFLD/MASLD in the general population and among patients with T2D in the Middle East and North Africa (MENA) region.

METHODS: We searched PubMed and Embase for English-language articles published between 1990 and 2023 according to PRISMA. Each country's NAFLD/MASLD prevalence in the general population and in T2D patients was predicted by using a multivariable meta regression model. Input data were extracted from our systematic review, GBD and NCD Risk Factor Collaboration. Confidence intervals were constructed by using prediction intervals with the delta method.

RESULTS: Meta-analytic pooling estimated the prevalence of NAFLD/MASLD as 39.43% in the general population and 68.71% among T2D patients. NAFLD/MASLD prevalence has increased from 35.42% (2008-2016) to 46.20% (2017-2020). Using GBD-2019 dataset, it was predicted that there are 141.51 million cases of NAFLD/MASLD in the MENA region. The highest number of NAFLD/MASLD cases were expected in Egypt (25.71 million), followed by Türkiye (23.33 million) and Iran (19.85 million). Estimated NAFLD prevalence exceeded 40% in 10 of 21 countries with the top countries being Kuwait (45.37%), Egypt (45.0%), Qatar (44.4%), and Jordan (43.3%). Furthermore, it was predicted that there are 24.96 million cases of NAFLD/MASLD with T2D in the MENA region.

CONCLUSIONS: In the MENA region, prevalence of NAFLD/MASLD is very high and growing, necessitating an urgent need for regional public policy to deal with this growing burden.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Liver international : official journal of the International Association for the Study of the Liver - 44(2024), 4 vom: 02. März, Seite 1061-1070

Sprache:

Englisch

Beteiligte Personen:

Younossi, Zobair M [VerfasserIn]
Golabi, Pegah [VerfasserIn]
Paik, James [VerfasserIn]
Owrangi, Soroor [VerfasserIn]
Yilmaz, Yusuf [VerfasserIn]
El-Kassas, Mohamed [VerfasserIn]
Alswat, Khalid [VerfasserIn]
Alqahtani, Saleh A [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
MASH
MASLD
MENA
Middle East
NAFLD
NASH
North Africa
Steatotic liver disease
Systematic Review
T2D

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/liv.15852

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367950022