Journal article
Epidemiology of NAFLD and Type 2 Diabetes: Health Disparities Among Persons of Hispanic Origin
Current diabetes reports, v 15(12), pp 116-116
01 Dec 2015
PMID: 26468154
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver condition in the USA and world-wide and affects Hispanics disproportionally. In this review, we aim to document and contrast the epidemiology of NAFLD and type 2 diabetes, provide a framework to study health disparities in NAFLD in Hispanic populations, and identify points of action within the health care system to tackle these health disparities. NAFLD shares many common risk factors with type 2 diabetes, specially obesity and insulin resistance, but shows different prevalence patterns by ethnicity: while Hispanics are disproportionately affected by both NAFLD and type 2 diabetes, non-Hispanic black populations have a low prevalence of NAFLD. The current literature suggests a strong role of polymorphisms in the PNPLA3 gene and potential interactions with environmental factors in the pathogenesis of NAFLD. However, given potential interactions and the shared risk factors with type 2 diabetes, a health disparity approach that acknowledges upstream determinants is needed. Solutions to these determinants can also be found in the health system. The role of interventions that have shown efficacy in type 2 diabetes, like community health workers, may be implemented to prevent and control NAFLD.
Metrics
Details
- Title
- Epidemiology of NAFLD and Type 2 Diabetes: Health Disparities Among Persons of Hispanic Origin
- Creators
- Mariana Lazo - Johns Hopkins UniversityUsama Bilal - Johns Hopkins UniversityRafael Perez-Escamilla - Yale University
- Publication Details
- Current diabetes reports, v 15(12), pp 116-116
- Publisher
- Current Medicine Group
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000366806700014
- Scopus ID
- 2-s2.0-84944447059
- Other Identifier
- 991019189167404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism