{"id":1193,"date":"2024-01-17T13:58:16","date_gmt":"2024-01-17T13:58:16","guid":{"rendered":"https:\/\/www.the-nash-education-program.com\/?page_id=1193"},"modified":"2024-01-17T13:58:16","modified_gmt":"2024-01-17T13:58:16","slug":"cual-es-el-predominio-de-nash","status":"publish","type":"page","link":"https:\/\/www.the-nash-education-program.com\/es\/que-es-nash\/cual-es-el-predominio-de-nash\/","title":{"rendered":"\u00bfCU\u00c1L ES EL PREDOMINIO DE NASH?"},"content":{"rendered":"\n<p><strong>Debido a que es dif\u00edcil identificar NASH hasta las etapas avanzadas de la enfermedad,<sup>1,2<\/sup>&nbsp;solo se puede estimar su predominio. Sin embargo, las tendencias en estas estimaciones del predominio de NASH y NAFLD son alarmantes y no deben ignorarse.<\/strong><\/p>\n\n\n\n<ul>\n<li>La enfermedad del h\u00edgado graso no alcoh\u00f3lica (NAFLD) es la afecci\u00f3n hep\u00e1tica cr\u00f3nica m\u00e1s com\u00fan en las poblaciones occidentales, y las epidemias de obesidad y diabetes tipo 2 influyen en esta enfermedad.<sup>3-6<\/sup><\/li>\n\n\n\n<li>Se espera que el predominio de NASH aumente en un 63 % entre 2015 y 2030.<sup>7<\/sup><\/li>\n\n\n\n<li>Se espera que NASH se convierta en la causa principal del trasplante de h\u00edgado en los Estados Unidos entre 2020 y 2025.<sup>8<\/sup><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.waybackmachinedownloader.com\/scraping\/files\/live\/the-nash-education-program.com_georgenjenga69_yahoo.com_zyrp7w0mtc\/wp-content\/uploads\/2018\/03\/population.png\" alt=\"\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">EL PREDOMINIO EN EL MUNDO:<\/h2>\n\n\n\n<p>En un metaan\u00e1lisis de varios estudios que utilizaron diversas metodolog\u00edas, la prevalencia mundial es el siguiente:<sup>9<\/sup><\/p>\n\n\n\n<ul>\n<li>NAFLD:&nbsp;<strong><em>25.2%<\/em><\/strong><\/li>\n\n\n\n<li>NASH:&nbsp;<strong><em>1.5\u20136.45%<\/em><\/strong><\/li>\n<\/ul>\n\n\n\n<p>Otro estudio fundamentado en una de las bases de datos m\u00e1s grandes de los Estados Unidos (12.317&nbsp;personas) inform\u00f3 que el 34&nbsp;% de la poblaci\u00f3n adulta general de los Estados Unidos padece NAFLD, lo cual asciende a por lo menos 43&nbsp;millones de adultos.<sup>10<\/sup><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.waybackmachinedownloader.com\/scraping\/files\/live\/the-nash-education-program.com_georgenjenga69_yahoo.com_zyrp7w0mtc\/wp-content\/uploads\/2018\/03\/population.png\" alt=\"\"\/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">PREDOMINIO EN LOS ESTADOS UNIDOS:<sup>10-11<\/sup><\/h3>\n\n\n\n<ul>\n<li>NAFLD:&nbsp;<strong><em>34%<\/em><\/strong><\/li>\n\n\n\n<li>NASH:&nbsp;<strong><em>12%<\/em><\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.waybackmachinedownloader.com\/scraping\/files\/live\/the-nash-education-program.com_georgenjenga69_yahoo.com_zyrp7w0mtc\/wp-content\/uploads\/2018\/03\/population.png\" alt=\"\"\/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">PREDOMINIO POR ORIGEN \u00c9TNICO EN LOS ESTADOS UNIDOS<sup>11<\/sup><\/h3>\n\n\n\n<h5 class=\"wp-block-heading\">NAFLD:<\/h5>\n\n\n\n<ul>\n<li>Hispanos:&nbsp;<strong><em>58.3%<\/em><\/strong><\/li>\n\n\n\n<li>Cauc\u00e1sicos:&nbsp;<strong><em>44.6%<\/em><\/strong><\/li>\n\n\n\n<li>Afroamericanos:&nbsp;<strong><em>35.1%<\/em><\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.waybackmachinedownloader.com\/scraping\/files\/live\/the-nash-education-program.com_georgenjenga69_yahoo.com_zyrp7w0mtc\/wp-content\/uploads\/2018\/03\/population.png\" alt=\"\"\/><\/figure>\n\n\n\n<h5 class=\"wp-block-heading\">Predominio de NASH:<\/h5>\n\n\n\n<ul>\n<li>Hispanos:&nbsp;<strong><em>19.4%<\/em><\/strong><\/li>\n\n\n\n<li>Cauc\u00e1sicos:&nbsp;<strong><em>9.8%<\/em><\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/www.waybackmachinedownloader.com\/scraping\/files\/live\/the-nash-education-program.com_georgenjenga69_yahoo.com_zyrp7w0mtc\/wp-content\/uploads\/2018\/03\/pediatric.png\" alt=\"\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">NAFLD Y NASH PEDI\u00c1TRICAS<\/h2>\n\n\n\n<p>La NAFLD en los ni\u00f1os, impulsada por la creciente epidemia de obesidad infantil, se ha convertido en un problema de salud importante para la comunidad m\u00e9dica. Desde el primer caso informado en 1983, NAFLD se ha convertido en una causa principal de la enfermedad hep\u00e1tica cr\u00f3nica pedi\u00e1trica.<sup>12<\/sup><\/p>\n\n\n\n<p>Una cantidad de estudios cada vez mayor en las poblaciones pedi\u00e1tricas informan un aumento significativo del predominio de NAFLD en ni\u00f1os y adolescentes durante las \u00faltimas d\u00e9cadas, con del predominio de NAFLD que oscilaba entre el 3 % y el 10 % y hasta el 70 % en las poblaciones obesas.<sup>13,14<\/sup><\/p>\n\n\n\n<p><a href=\"https:\/\/www.waybackmachinedownloader.com\/scraping\/files\/live\/the-nash-education-program.com_georgenjenga69_yahoo.com_zyrp7w0mtc\/es\/que-es-nash\/quienes-estan-en-riesgo-de-padecer-nash\/\">\u00bfQUI\u00c9NES EST\u00c1N EN RIESGO DE PADECER NASH?<\/a><\/p>\n\n\n\n<p>\u00bfDesea incluir estas cifras en su pr\u00f3xima presentaci\u00f3n? Descargue la presentaci\u00f3n con diapositivas extra\u00edda de nuestra monograf\u00eda m\u00e9dica sobre NAFLD y NASH.<\/p>\n\n\n\n<p><a target=\"_blank\" href=\"https:\/\/www.waybackmachinedownloader.com\/scraping\/files\/live\/the-nash-education-program.com_georgenjenga69_yahoo.com_zyrp7w0mtc\/es\/folletos-educativos\/\" rel=\"noreferrer noopener\">DESCARGUE LA PRESENTACI\u00d3N CON DIAPOSITIVAS<\/a><\/p>\n\n\n\n<p>Referencias<\/p>\n\n\n\n<ol>\n<li>Mayo Clinic. Nonalcoholic fatty liver disease. https:\/\/www.mayoclinic.org\/diseases-conditions\/nonalcoholic-fatty-liver-disease\/symptoms-causes\/syc-20354567?p=1. Accessed October 7, 2019.<\/li>\n\n\n\n<li>Polis S, Fernandez R. Impact of physical and psychological factors on health-related quality of life in adult patients with liver cirrhosis: a systematic review protocol. JBI Database System Rev Implement Rep. 2015;13(1)39-51.<\/li>\n\n\n\n<li>European Association for the Study of the Liver (EASL); European Association for the Study of Diabetes (EASD); European Association for the Study of Obesity (EASO). EASL-EASD-EASO Clinical Practice Guidelines for the management of non-alcoholic fatty liver disease.&nbsp;<em>J Hepatol<\/em>, 2016;64(6):1388-1402.<\/li>\n\n\n\n<li>Younossi ZM, Blissett D, Blissett R, et al. The economic and clinical burden of nonalcoholic fatty liver disease in the United States and Europe.&nbsp;<em>Hepatology<\/em>. 2016;64(5):1577-1586.<\/li>\n\n\n\n<li>Organisation for Economic Co-operation and Development (OECD). Obesity Update 2017. https:\/\/www.oecd.org\/els\/health-systems\/Obesity-Update-2017.pdf. Published 2017. Accessed October 8, 2019.<\/li>\n\n\n\n<li>Guariguata L, Whiting DR, Hambleton I, et al. Global estimates of diabetes prevalence for 2013 and projections for 2035.&nbsp;<em>Diabetes Res Clin Pract<\/em>. 2014;103:137-149.<\/li>\n\n\n\n<li>Estes C, Razavi H, Loomba R, et al. Modeling the epidemic of nonalcoholic fatty liver disease demonstrates an exponential increase in burden of disease.&nbsp;<em>Hepatology<\/em>. 2018;67(1):123-133.<\/li>\n\n\n\n<li>Wong RJ, Aguilar M, Cheung R, et al. Nonalcoholic steatohepatitis is the second leading etiology of liver disease among adults awaiting liver transplantation in the United States.&nbsp;<em>Gastroenterology<\/em>. 2015;148:547-555.<\/li>\n\n\n\n<li>Younossi ZM, Koenig AB, Abdelatif D, et al. Global epidemiology of nonalcoholic fatty liver disease &#8211; Meta-analytic assessment of prevalence, incidence, and outcomes.&nbsp;<em>Hepatology<\/em>. 2016;64(1):73-84.<\/li>\n\n\n\n<li>Kim D, Kim WR, Kim HJ, et al. Association between non-invasive fibrosis markers and mortality among adults with non-alcoholic fatty liver disease in the United States.&nbsp;<em>Hepatology<\/em>. 2013;57(4):1357-1365.<\/li>\n\n\n\n<li>Williams CD, Stengel J, Asike MI, et al. Prevalence of nonalcoholic fatty liver disease and nonalcoholic steatohepatitis among a largely middle-aged population utilizing ultrasound and liver biopsy: a prospective study.&nbsp;<em>Gastroenterology<\/em>. 2011;140(1):124- 131.<\/li>\n\n\n\n<li>Selvakumar PKC, Kabbany MN, Nobili V, Alkhouri N. Nonalcoholic fatty liver disease in children: hepatic and extrahepatic complications.&nbsp;<em>Pediatr Clin North Am<\/em>. 2017;64(3):659-675.<\/li>\n\n\n\n<li>Doycheva I, Watt KD, Alkhouri N. Nonalcoholic fatty liver disease in adolescents and young adults: the next frontier in the epidemic. Hepatology. 2017;65:2100-2109.<\/li>\n\n\n\n<li>Welsh JA, Karpen S, Vos MB. Increasing prevalence of nonalcoholic fatty liver disease among United States adolescents, 1988-1994 to 2007-2010. J Pediatr. 2013;162(3):496- 500.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Debido a que es dif\u00edcil identificar NASH hasta las etapas avanzadas de la enfermedad,1,2&nbsp;solo se puede estimar su predominio. 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