Early Signs of Non-Alcoholic Fatty Liver Disease (NAFLD) (2024)

We are seeing a rising tide of Non-alcoholic Fatty Liver Disease (NAFLD) around the world. In simple terms, NAFLD is an accumulation of excess fat in liver cells, taking up 5-10 percent of the entire organ. NAFLD is now the leading cause of Chronic Liver Disease in some parts of the world. In the UK, as high as 1 in 3 of us are estimated to be living with Non-alcoholic Fatty Liver Disease.

So why are the numbers going up rapidly? Scientists and public health officials blame the lack of symptoms and poor awareness as the primary reasons for the increase. We've put together a list of early signs that could help identify warning signals for NAFLD in time before it becomes dangerous.

1. Weight in your belly

Early Signs of Non-Alcoholic Fatty Liver Disease (NAFLD) (1)

Those who are overweight are at an increased risk of NAFLD. A BMI of over 30 significantly correlates with the prevalence of NAFLD. If you have visible abdomen fat giving a bigger gut, then it time to change your lifestyle to reduce the excess fat.

2. Raised cholesterol

Cholesterol and liver health has long been linked with the irregular functioning of liver affecting cholesterol levels and vice versa. So, if you've recently been diagnosed with high cholesterol, perhaps it's worth looking at how your liver is functioning.

3. High blood pressure

Studies have shown an increased risk of hypertension for those suffering from NAFLD. One particular study done by German researchers analysed data from over 3,000 individuals, found that those with NAFLD were three times more likely to have hypertension than those who didn’t have the disease. Regular monitoring of blood pressure could help you identify any potential heart health issues as well as liver health issues.

4. Pain in the upper right abdomen

Early Signs of Non-Alcoholic Fatty Liver Disease (NAFLD) (4)

Potentially the clearest sign of a strained liver, though unlikely to appear in the early days of liver damage. If you are experiencing any pain in the upper right abdomen on a regular basis, we would recommend you to visit your doctor before leaving it for too long.

5. Constant Tiredness / Fatigue

Early Signs of Non-Alcoholic Fatty Liver Disease (NAFLD) (5)

Fatigue & weakness are symptoms of many different conditions. However, if you are experiencing fatigue and weakness along with some of the signs mentioned above, it could be as a result of poor liver health.

6. Binge eating

Early Signs of Non-Alcoholic Fatty Liver Disease (NAFLD) (6)

If you are feeling hungry all the time or having a craving for sugar on a regular basis, it could be an early sign of liver damage. Researchers based at the German Diabetes Center discovered that individuals who ate a meal rich in saturated fat even once experienced an immediate increase in their body's fat accumulation as well as alterations in their liver's metabolic function. These alterations have a significant impact on how we feel hunger. While it's important to stop binge eating, it might also be important to get your liver health checked out to if that is a contributory factor.

Early Signs of Non-Alcoholic Fatty Liver Disease (NAFLD) (2024)

FAQs

Early Signs of Non-Alcoholic Fatty Liver Disease (NAFLD)? ›

Initial evaluation

How long does it take for NAFLD to turn into cirrhosis? ›

If a person consumes these levels of alcohol daily, their AFLD may progress to cirrhosis in 10–12 years. People with NAFLD may develop NASH and NAFLD-related cirrhosis over 3–6 years . However, a person's risk depends on multiple factors, including: diabetes.

How long can you live with nonalcoholic fatty liver disease? ›

If NASH cirrhosis is diagnosed early, the life expectancy is about 10 to 15 years. However, if you develop complications such as swelling or fluid in the abdomen, confusion, or bleeding from the gastrointestinal tract, life expectancy decreases dramatically to three to five years without a liver transplant.

Can NAFLD be reversed? ›

If you have NAFLD without any other medical problems, you don't need any special treatment. But making some lifestyle changes can control or reverse the fat buildup in your liver.

What are the lifestyle factors for NAFLD? ›

Meanwhile, many studies have shown that smoking [9], physical inactivity [10], sedentary behavior [11,12], higher weight [13] and an unhealthy diet [14] were individually related to an increased risk of NAFLD.

What are the 4 stages of NAFLD? ›

NAFLD has several phases of progression, which include simple steatosis, steatohepatitis, fibrosis, cirrhosis, and ultimately could even progress to hepatocellular carcinoma.

What is the first stage of NAFLD? ›

The main stages of NAFLD are: simple fatty liver (steatosis) – a largely harmless build-up of fat in the liver cells that may only be diagnosed during tests carried out for another reason. non-alcoholic steatohepatitis (NASH) – a more serious form of NAFLD, where the liver has become inflamed.

What is the best drink for fatty liver? ›

Green tea

One review of multiple studies suggests that green tea can help protect against all liver disease. Another study shows that EGCG — a specific catechin in green tea — can protect your liver if you have non-alcoholic fatty liver disease (NAFLD).

How fast does NAFLD progress? ›

Fibrosis progresses at a speed of 0.07 stages/year in NAFL and 0.14 stages/year in NASH, so NAFL progresses by 1 stage every 14 years and NASH by 1 stage every 7 years (4).

What does a liver belly look like? ›

If your midsection looks like a pot and your arms and legs are rather thin, you're likely to have a LIVER body type or liver belly.

What are the 5 liver super foods? ›

Top foods and drinks for liver health
  • Coffee. A 2021 study analyzed data from 494,585 people in the United Kingdom to learn how different types of coffee might affect the risk of chronic liver disease, including decaffeinated, instant, and ground coffee. ...
  • Oatmeal. ...
  • Green tea. ...
  • Garlic. ...
  • Berries. ...
  • Grapes. ...
  • Grapefruit. ...
  • Prickly pear.

What is the fastest way to cure NAFLD? ›

Losing at least 3% to 5% of your body weight can reduce fat in the liver. You may need to lose up to 7% to 10% of your body weight to reduce liver inflammation and fibrosis. Physical activity alone, even without weight loss, is also beneficial. Doctors recommend gradually losing weight to improve NAFLD.

What is the end stage of NAFLD? ›

At its most severe, a fatty liver may develop into cirrhosis, which causes permanent liver damage. The liver may become enlarged or shrink, liver cells are replaced by scar tissue, and the liver cannot function properly. Cirrhosis can be fatal and is typically the final stage before a transplant becomes necessary.

What is the number one cause of NAFLD? ›

In NAFLD, too much fat builds up in the liver. It is seen most often in people who are overweight or obese. NAFLD is becoming more common, especially in Middle Eastern and Western nations as the number of people with obesity rises. It is the most common form of liver disease in the world.

What is the leading cause of death in people with NAFLD? ›

The leading cause of death in individuals with NAFLD is cardiovascular disease (summarized in Table 2), followed by extra-hepatic cancer and then liver-related mortality (summarized in Table 3) [12,15].

What is the common age for NAFLD? ›

The incidence rate of NAFLD increased in a stepwise manner with age, 11.7%, 15.9%, 21.5% and 22.8% in the 20–34, 35–49, 50–64 and over-65-year-old groups, respectively (P < 0.001). The incidence of NAFLD was highest in the 35–49-year-old group in men (23.5%) and in over-65-years-old group in women (23.4%) (Fig. 1B).

How often does fatty liver turn into cirrhosis? ›

Patients can live for many years with NAFLD, but many – about 30% – eventually end up with an inflamed liver or NASH (non-alcoholic steatohepatitis), and scarring. Of these, about 20% will develop end-stage cirrhosis, which can lead to liver failure and cancer.

How do you know when fatty liver turns to cirrhosis? ›

Possible symptoms of NASH and cirrhosis, or severe scarring, include: Itchy skin. Abdominal swelling, also called ascites (uh-SY-tee*z). Shortness of breath.

How long does it take for liver cirrhosis to develop? ›

Drinking too much alcohol can damage the liver's cells. Alcohol-related cirrhosis usually develops after 10 or more years of heavy drinking. Women who drink heavily are more likely to get liver damage than men, partly because of their different size and build.

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