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Role of Steatotic Liver Disease in Prediction and Prevention of Cardiometabolic Diseases

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Steatotic liver disease plays a decisive role in cardiometabolic disease prevention and prediction.

Medically reviewed by

Dr. Muhammad Zohaib Siddiq

Published At March 14, 2024
Reviewed AtMarch 14, 2024

What Is Steatotic Liver Disease?

Steatotic liver disease, otherwise called fatty liver disease, is a customarily confronted ailment. This liver condition is brought about by fat accumulation and accretion within the liver. In the initial phase, steatotic liver disease may not cause severe harm or liver function disability. However, upon advancing, steatotic liver diseases may call forth liver complications. Liver fibrosis (liver cells scarring and toughening), steatohepatitis (inflamed and puffy liver cells), and liver cirrhosis (substantial liver cell scarring) are often pulled off by steatotic liver disease.

Inappropriate alcohol ingestion, being overweight, hyperlipidemia (enhanced fat proportion), hormonal disparities, diabetes (inflated blood sugar levels), obstructive sleep apnea (breathing impediment while asleep), and high blood pressure (hypertension) can prompt steatotic liver disease.

Steatotic liver disease may, at times, remain masked with no pronounced manifestations. Routinely confronted manifestations concerning steatotic liver disease include:

  • Puffy and fuller stomach.

  • Abdominal discomfort.

  • Nauseous sensation (tendency to throw up).

  • Puffiness over extremities.

  • Abrupt drop in body weight.

  • Not feeling hungry.

  • Intestinal bleeding.

  • Skin yellowing.

There are two distinct steatotic liver disease categories:

1. Non-alcoholic fatty liver disease.

2. Alcoholic fatty liver disease.

Alcoholic fatty liver disease is drawn out by exaggerated alcohol intake, while the former is independent of alcohol ingestion. More than the medications, it is the lifestyle modifications that could bring forth appreciable outcomes for steatotic liver disease.

What Are Cardiometabolic Diseases?

Cardiometabolic diseases are a broad expression that embraces various metabolic and cardiac issues or comorbidities. Unhealthy and detrimental lifestyles and food patterns often bring on many cardiometabolic diseases. Heightened living standards pull off lifestyle alterations, which increases one’s susceptibility to these cardiometabolic diseases. A sedentary lifestyle, no exercise, alcoholism, fast food, and smoking can catalyze and set off cardiometabolic disease development.

Some of the cardiometabolic diseases include:

  • Heart Attack: Harm to cardiac muscle instigated by interrupted blood flow.

  • Diabetes Mellitus (Type 2): Raised blood sugar owing to non-responsiveness towards insulin hormone.

  • Insulin Resistance: Muted response to the hormone insulin, which modulates and tunes blood sugar levels.

  • Coronary Heart Disease: Tightening and consolidating the coronary artery (delivers blood to heart muscles) lumen, holding down the cardiac bloodstream.

  • Obesity: Overweight owing to an exceptional bodily fat gathering. It could be a driving force for other cardiometabolic conditions, heightening one’s propensity for cardiometabolic conditions.

  • Hyperlipidemia: Encouraged and uplifted bad cholesterol proportion in blood.

  • Hypertension: Appreciated blood pressure, which could overburden the heart.

How Does Steatotic Liver Disease Influence Cardiometabolic Disease?

Steatotic liver disease can gear up cardiometabolic disease through various aspects. Some of the mechanisms through which steatotic liver disease could bring out its causal connection with cardiometabolic diseases include the following:

  • Steatotic liver disease holds back and deranges how cellular activities are carried through. In steatotic liver disease, there will be intracellular fat gathering. Inflated intracellular fat-gathering hampers and mitigates the cell’s liability to insulin actions. Cellular insulin response scale-down, yielding insulin resistance and keeping blood sugar up. All these cellular moderations could favor and expedite cardiometabolic conditions, specifically diabetes mellitus (type 2).

  • Steatotic liver disease potentiates the lipogenesis (fat-forming) process. This upregulates the blood’s fat proportion, heightening the likelihood of hyperlipidemia. Similarly, steatotic liver disease also gears up very low-density lipoprotein (VLDL) genesis. Thus deepening the hyperlipidemia risks. Furthermore, steatotic liver disease may call forth inflammatory changes. Inflammatory changes are backed by the dissemination of certain signaling molecules, like cytokines. Hyperlipidemia could be accentuated by these cytokines, owing to their potency to derange lipid metabolism.

  • By favoring hyperlipidemia and insulin resistance, steatotic liver disease may expose one to cardiac complications. Hyperlipidemia escalates free fat percentage in active circulation. It is these free fat molecules that could cling over the arterial lining. As more fat molecules clung over, it could attenuate and taper down the arterial lumen. In this way, steatotic liver disease may instigate atherosclerosis (plaque or fat gathering over arterial lining). Atherosclerosis further drives the blood to channel through constricted space, intensifying the blood pressure.

  • Steatotic liver disease is buttressed by oxidative stress (cellular damage inflicted by reactive oxygen molecules). The oxidative stress may disable and impede the blood vessel’s functional status. In this way, steatotic disease may precipitate cardiovascular issues. Furthermore, certain metabolic channels inter-bridges the cardiac and liver functioning. Therefore, steatotic liver disease may bring forth cardiovascular anomalies and deviations. Steatotic liver disease, when coupled with metabolic conditions, may deepen one’s susceptibility to cardiac issues.

How Does Steatotic Liver Disease Aid in the Prediction and Prevention of Cardiometabolic Diseases?

As steatotic liver disease shares a causal connection with cardiometabolic disease, it is often employed as a predictive and preventive strategy to gear down cardiometabolic disease development. Few triggering and provocative quotients for both cardiometabolic disease and steatotic liver disease are the same. Addressing these shared risk factors could draw out positive outcomes concerning steatotic liver disease and cardiometabolic conditions. Advocating prompt therapeutic and remedial modalities for steatotic liver disease itself is a promising preventive tactic for cardiometabolic diseases. It aids in keeping a check on the steatotic liver disease advancement. Alongside, it scales down one’s openness to cardiometabolic diseases.

One should better understand the shared risk quotients when detecting steatotic liver disease. Many of the risk quotients, like unhealthy food, smoking, sedentary lifestyle, and alcoholism, are modifiable. By altering and moderating these habits and lifestyle choices, one can cut back their propensity for steatotic liver disease complications. Furthermore, it could also intercept and head off cardiometabolic disease development. Steatotic liver disease is often employed as a predictive tool for advancing cardiometabolic disease. Therefore, medical interventions, either medicinal or non-medicinal, are warranted for steatotic liver disease. Early and timely remedial measures may obviate liver complications.

Conclusion:

Steatotic liver disease could call forth not only liver complications but also cardiometabolic diseases. Steatotic liver disease, when left unattended, could expedite and augment cardiometabolic diseases. The timely detection of steatotic liver disease and the deed to prevent its progression are critical factors in intercepting cardiometabolic diseases. Healthy eating habits, engaging in methodical physical activities, abstaining from smoking, and a healthy lifestyle are promising for steatotic liver disease. An obese individual should focus on bringing down their body weight. Being obese can heighten the risk for cardiac and liver harm, posing alarming complications and health challenges. Cardiometabolic diseases are quite persistent and exhibit challenges in attaining a complete cure. Therefore, exercise caution while approaching and handling steatotic liver disease.

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Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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