What Is Metabolic Dysfunction-Associated Steatotic Liver Disease? (2024)

What is metabolic dysfunction-associated steatotic liver disease (MASLD)?

Steatotic (fatty) liver disease (SLD) occurs when your body begins storing fat in your liver. Some fat in your liver is normal, but when more than 10% of your liver’s weight is fat, it may begin to suffer. Excessive alcohol use is one common reason for SLD. But many people develop it without using alcohol. This is called metabolic dysfunction-associated steatotic liver disease (MASLD).

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How common is this condition?

MASLD affects up to 25% of people worldwide. Most people won’t have symptoms, and some may never know they have the condition. But 2% to 5% of people will experience complications from the fat in their livers. When fat leads to inflammation and cell damage in your liver, it’s called steatohepatitis. The non-alcohol related version is called metabolic dysfunction-associated steatohepatitis (MASH).

Previously, MASH was known as non-alcohol related steatohepatitis (NASH).

Who does MASLD affect?

It can affect anyone, including all ages and races. But it’s more common in people of Hispanic descent and less common in Black people. Middle age, weight and diabetes are also commonly associated with MASLD. For example, up to 75% of people who have obesity or diabetes, and up to 90% of people who have advanced or class III obesity, have MASLD.

What Is Metabolic Dysfunction-Associated Steatotic Liver Disease? (2024)

FAQs

What is a metabolic dysfunction of the liver? ›

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a type of steatosis that's caused by factors other than excessive alcohol use. The exact cause isn't completely understood, but it often occurs with other metabolic disorders such as high cholesterol, obesity and diabetes.

What is the life expectancy of someone with liver steatosis? ›

Severe Levels of Damage

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.

What is the meaning of steatosis of the liver? ›

“Steatosis” is a term healthcare providers use to describe fat buildup in an organ (usually your liver). A healthy, high-functioning liver contains a small amount of fat. Fat buildup becomes a problem when it reaches over 5% of your liver's weight.

What is the life expectancy with cirrhosis of the liver? ›

In the early stages of compensated cirrhosis, life expectancy may still be upwards of 15 years. When portal hypertension develops, it reduces that expectancy, primarily due to the risk of internal bleeding it can cause. Decompensated cirrhosis has an average life expectancy of seven years.

How do you treat metabolic liver disease? ›

How is metabolic liver disease treated?
  1. Eating a specific diet.
  2. Using special medication or dietary supplements.
  3. Restricting intake of certain nutrients.
  4. Avoiding fasting.
  5. Liver transplantation in serious cases.

What is an example of a metabolic liver disease? ›

The three most common metabolic liver diseases are: hereditary hemochromatosis, Alpha-I antitrypsin deficiency (AATD), and Wilson Disease. Hereditary hemochromatosis, also called iron overload disease, is genetic disorder in which the body absorbs and stores too much iron.

What stage of liver disease is ascites? ›

Ascites is the main complication of cirrhosis,3 and the mean time period to its development is approximately 10 years. Ascites is a landmark in the progression into the decompensated phase of cirrhosis and is associated with a poor prognosis and quality of life; mortality is estimated to be 50% in 2 years.

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.

Can liver steatosis reversed? ›

Is fatty liver disease reversible? Here's the good news. Fatty liver disease is treated with a combination of diet and exercise. With this regimen, the liver can heal itself and actually reverse the damage that has occurred over the years.

Should I be worried about hepatic steatosis? ›

“Many people, and even some doctors, think fatty liver is just something you have to live with.” says Dr. Halegoua-DeMarzio, “But it's not. If ignored, it can lead to serious complications including cancer or liver transplant.”

What is the best drink for fatty liver? ›

Below, we explore 11 drinks that are often reported to support liver health — and tell you what the research says about each one.
  • Ginger tea. ...
  • Grapefruit juice. ...
  • Apple cider vinegar. ...
  • Lemon water. ...
  • Cranberry juice. ...
  • Coffee. ...
  • Oat tea. ...
  • Beetroot juice. Several studies have been done to evaluate the potential benefits of beetroot juice.
Mar 1, 2024

What is the difference between steatosis and cirrhosis of the liver? ›

Hepatic steatosis is characterized by the buildup of fat in the liver; however, cirrhosis involves the development of scarring on top of healthy tissue. Both variations of fatty liver disease (AFLD and NAFLD) may cause cirrhosis if not addressed in time.

What are the signs your liver is shutting down? ›

Acute liver failure can develop quickly in an otherwise healthy person, and it is life-threatening. If you or someone you know suddenly develops a yellowing of the eyes or skin; tenderness in the upper abdomen; or any unusual changes in mental state, personality or behavior, seek medical attention right away.

How do you know death is near with cirrhosis of the liver? ›

Someone with liver failure who is nearing death is described as having end-stage liver disease. This can cause symptoms such as jaundice, confusion and uncertainty, severe tiredness, a build-up of fluid in the abdomen, shortness of breath, and bleeding easily.

What are the four warning signs of a dying liver? ›

You know that your liver function is worsening if the signs of liver failure have started or are increasing. Look out for jaundice (yellowing of the eyes and skin), nausea, fatigue, and pain on the right side of the abdomen.

What are the symptoms of metabolic dysfunction? ›

Metabolic disorders are conditions that affect any aspect of metabolism. Examples of metabolic disorders include diabetes, Gaucher's disease, and hemochromatosis. Symptoms can include tiredness, weight loss or gain, and nausea and vomiting.

What is metabolic dysfunction? ›

A metabolic [met-uh-BOL-ik] disorder is when something is wrong with the body's metabolism — the ability to turn food into energy and get rid of waste. The body has many different chemicals and processes that make metabolism work.

What causes metabolic dysfunction? ›

Overweight and obesity are the main risk factors for metabolic syndrome because they can raise “bad” LDL cholesterol, blood triglycerides, and blood pressure, and lower “good” HDL cholesterol.

What are the symptoms of dysfunctional liver? ›

Liver problems
  • Yellowing of the skin and the whites of the eyes, called jaundice. Yellowing of the skin might be harder to see on Black or brown skin.
  • Belly pain and swelling.
  • Swelling in the legs and ankles.
  • Itchy skin.
  • Dark urine.
  • Pale stool.
  • Constant tiredness.
  • Nausea or vomiting.
Feb 13, 2024

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