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Excess Weight Risk Factor for Alcoholic Liver Disease
Abstract
Though the hepatotoxicity of ethanol has been established, only 8% to 20% of chronic alcoholics develop cirrhosis. The aim of this study was to assess whether being overweight is a risk factor for alcoholic liver disease. One thousand six hundred four alcoholic patients were studied. According to the liver biopsies, 194 patients had a normal liver; 402 had steatosis without fibrosis; 281 presented with fibrosis, with or without steatosis; 119 presented with acute alcoholic hepatitis (AAH) without cirrhosis; 232 indicated cirrhosis without AAH; and 179 presented with cirrhosis with AAH. One hundred ninety-seven patients had clinically obvious cirrhosis. In the study, five variables were studied as risk factors: age, sex, daily consumption of alcohol during the previous 5 years, the total duration of alcohol abuse, and tendency to be overweight (body mass index [BMI] > or = 25 in women and > or = 27 in men). The BMI was calculated according to the minimum weight over the 10 previous years. In the first stepwise logistic regression analysis, age, being overweight for at least 10 years, being of the female sex, and the total duration of alcohol abuse were independently correlated with the presence of cirrhosis. In the second analysis, female sex being overweight were the two independent risk factors of AAH. In the third analysis, being overweight for at least 10 years was the only independent risk factor of steatosis. These results show that the presence of excess weight for at least 10 years is a risk factor for cirrhosis, AAH, and steatosis. Our results suggest that there is a possible potential for the metabolic effects of ethanol ingestion caused by excess weight in patients with alcoholic liver disease.
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“This corroborates older fi ndings of BMI as an independent risk factor for fi brosis in individuals with ALD.”
From EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). (2024) · cites this paper as [85]
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“Most patients with AH have a history of alcohol use, usually more than 100 g/day for two or more decades [1, 2].”
BackgroundDefining recompensation of alcohol‐related liver disease: A step beyond decompensated cirrhosis
Gratacós‐Ginès, J., & Pose, E. (2023) · Liver International · doi:10.1111/liv.15690 · Cited by 3
Alcohol and Nutrition as Risk Factors for Chronic Liver Disease
Bellentani, S., Tiribelli, C., & Bedogni, G. (2012) · Humana Press eBooks · doi:10.1007/978-1-62703-047-2_38 · Cited by 3
O’Shea, R., Dasarathy, S., & McCullough, A. J. (2008) · Cambridge University Press eBooks · doi:10.1017/cbo9780511547416.007 · Cited by 3
The Liver in Type 2 Diabetes Mellitus
Diehl, A., & Choi, S. S. (2008) · Humana Press eBooks · doi:10.1007/978-1-60327-043-4_21 · Cited by 2
“For example, obesity is an independent risk factor for cirrhosis in alcoholic fatty liver disease ( 41 ).”
BackgroundGenetically obese (ob/ob) mice are resistant to the lethal effects of thioacetamide hepatotoxicity
Won, Y., Song, J., Lim, J.-H., et al. (2015) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2015.12.001 · Cited by 3
Diagnostic Approaches and Clinical End Points of Treatment in Alcoholic Liver Disease
Cheong, J. Y., Stein, E. J., & Bataller, R. A. (2015) · Springer eBooks · doi:10.1007/978-3-319-20538-0_10 · Cited by 3
Metadata
- Authors
- Naveau, S., Giraud, V., Borotto, E., Aubert, A., Capron, F., & Chaput, J.
- Affiliations
- Hôpital Antoine-Béclère (FR)
- Venue
- Hepatology
- Published
- 1997-01
- Volume
- 25
- Issue
- 1
- Pages
- 108-111
- ISSN
- 0270-9139 (ISSN-L)
- OpenAlex
- W1987296974
- Cited by
- 666
- References
- 0
- Citations by year
- 2026: 4 · 2025: 19 · 2024: 27 · 2023: 40 · 2022: 19 · 2021: 21 · 2020: 27 · 2019: 22 · 2018: 41 · 2017: 29 · 2016: 36 · 2015: 45 · 2014: 37 · 2013: 21 · 2012: 27
- FWCI
- 6.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Keywords
- alcoholic liver disease, overweight, body mass index, alcoholic cirrhosis, alcoholic hepatitis, steatosis, risk factors, sex differences, ethanol-induced hepatotoxicity
- MeSH terms
- Adult, Aged, Female, Humans, Liver Cirrhosis, Alcoholic, Male, Middle Aged, Obesity, Risk Factors, Multivariate Analysis
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