Multipronged approach to assess risk factors for Non-alcoholic fatty liver disease

We read with great interest the article by Mohamed et al,1 recently published in the Oman Medical Journal. The article has highlighted the prevalence and risk factors of non-alcoholic fatty liver disease (NAFLD) among patients with type 2 diabetes mellitus in Bahrain. We agree that the authors have...

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Bibliographic Details
Main Authors: Aizuddin Hidrus, Serene En Hui Tung, Syed Sharizman Syed Abdul Rahim, Firdaus Hayati
Format: Article
Language:English
Published: Oman Medical Journal 2022
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Online Access:https://eprints.ums.edu.my/id/eprint/42566/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/42566/
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Summary:We read with great interest the article by Mohamed et al,1 recently published in the Oman Medical Journal. The article has highlighted the prevalence and risk factors of non-alcoholic fatty liver disease (NAFLD) among patients with type 2 diabetes mellitus in Bahrain. We agree that the authors have included an impressive number of covariates in determining the risk factors of NAFLD. However, we notice that in the case of metabolic syndrome, the reference used was Adult Treatment Panel III guidelines instead of the harmonized criteria which is ethnic-specific in waist circumference measures with a lower cut-off for fasting blood glucose.2 In future studies, we suggest that the authors may consider using the harmonized criteria to ensure all possible causes of metabolic syndrome are detected. In addition, the demographic data in Table 1 mentioned cardiovascular risks as one of the variables; however, we could not elicit it in the univariate analysis.1 We are wondering whether it is associated with physical activity or other variables.