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Article: Unhealthy lifestyle habits and physical inactivity among Asian patients with non‐alcoholic fatty liver disease

TitleUnhealthy lifestyle habits and physical inactivity among Asian patients with non‐alcoholic fatty liver disease
Authors
Keywordsalcohol
coffee
liver fibrosis
non‐alcoholic steatohepatitis
physical activity
Issue Date2020
PublisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=1478-3223&site=1
Citation
Liver International, 2020, Epub 2020-08-16 How to Cite?
AbstractBackground & Aims: Lifestyle modification is the cornerstone for the management of non‐alcoholic fatty liver disease (NAFLD). We aim to understand lifestyle habits of NAFLD patients, compare across Asian regions and identify area of deficiency. Methods: In the multi‐centre controlled attenuation parameter (CAP)‐Asia study, we collected clinical data and lifestyle habit data of NAFLD patients from Singapore, mainland China, Hong Kong, Taiwan and Malaysia. Physical activity was assessed using the International Physical Activity Questionnaire. Results: A total of 555 patients were included in the final analysis (mean age 54.5 ± 11.2 years, 54.1% men and median liver stiffness 6.7 kPa). More patients from mainland China (27.4%) and Taipei (25.0%) were smokers. Modest drinking was more common in Taiwan (25.0%) and Hong Kong (18.2%); only 1.3% had binge drinking. Majority of patients drank coffee (64.0%) and tea (80.2%), with varying amounts and durations in different regions. Soft drinks consumption was most common in Singapore (62.2%) and Malaysia (57.7%). Only 29.7% of patients met the Physical Activity Guidelines Recommendations, with no major differences across regions. Patients with liver stiffness <10 kPa were more likely to report any vigorous activity, and sitting time was an independent factor associated with high CAP. Tea and coffee consumption were independently associated with high CAP and liver stiffness, respectively. Conclusions: Despite some heterogeneity, unhealthy lifestyle and physical inactivity are common across Asian regions. Patients with liver stiffness <10 kPa were more likely to report any vigorous activity. Healthcare providers may use the comparative data to identify areas of deficiency.
Persistent Identifierhttp://hdl.handle.net/10722/286684
ISSN
2020 Impact Factor: 5.828
2020 SCImago Journal Rankings: 1.873
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhang, X-
dc.contributor.authorGoh, GBB-
dc.contributor.authorChan, WK-
dc.contributor.authorWong, GLH-
dc.contributor.authorFan, JG-
dc.contributor.authorSeto, WK-
dc.contributor.authorHuang, YH-
dc.contributor.authorLin, HC-
dc.contributor.authorLee, IC-
dc.contributor.authorLee, HW-
dc.contributor.authorKim, SU-
dc.contributor.authorChow, WC-
dc.contributor.authorWong, VWS-
dc.date.accessioned2020-09-04T13:28:58Z-
dc.date.available2020-09-04T13:28:58Z-
dc.date.issued2020-
dc.identifier.citationLiver International, 2020, Epub 2020-08-16-
dc.identifier.issn1478-3223-
dc.identifier.urihttp://hdl.handle.net/10722/286684-
dc.description.abstractBackground & Aims: Lifestyle modification is the cornerstone for the management of non‐alcoholic fatty liver disease (NAFLD). We aim to understand lifestyle habits of NAFLD patients, compare across Asian regions and identify area of deficiency. Methods: In the multi‐centre controlled attenuation parameter (CAP)‐Asia study, we collected clinical data and lifestyle habit data of NAFLD patients from Singapore, mainland China, Hong Kong, Taiwan and Malaysia. Physical activity was assessed using the International Physical Activity Questionnaire. Results: A total of 555 patients were included in the final analysis (mean age 54.5 ± 11.2 years, 54.1% men and median liver stiffness 6.7 kPa). More patients from mainland China (27.4%) and Taipei (25.0%) were smokers. Modest drinking was more common in Taiwan (25.0%) and Hong Kong (18.2%); only 1.3% had binge drinking. Majority of patients drank coffee (64.0%) and tea (80.2%), with varying amounts and durations in different regions. Soft drinks consumption was most common in Singapore (62.2%) and Malaysia (57.7%). Only 29.7% of patients met the Physical Activity Guidelines Recommendations, with no major differences across regions. Patients with liver stiffness <10 kPa were more likely to report any vigorous activity, and sitting time was an independent factor associated with high CAP. Tea and coffee consumption were independently associated with high CAP and liver stiffness, respectively. Conclusions: Despite some heterogeneity, unhealthy lifestyle and physical inactivity are common across Asian regions. Patients with liver stiffness <10 kPa were more likely to report any vigorous activity. Healthcare providers may use the comparative data to identify areas of deficiency.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing, Inc. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=1478-3223&site=1-
dc.relation.ispartofLiver International-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Postprint This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectalcohol-
dc.subjectcoffee-
dc.subjectliver fibrosis-
dc.subjectnon‐alcoholic steatohepatitis-
dc.subjectphysical activity-
dc.titleUnhealthy lifestyle habits and physical inactivity among Asian patients with non‐alcoholic fatty liver disease-
dc.typeArticle-
dc.identifier.emailSeto, WK: wkseto@hku.hk-
dc.identifier.authoritySeto, WK=rp01659-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/liv.14638-
dc.identifier.pmid32799384-
dc.identifier.scopuseid_2-s2.0-85092421374-
dc.identifier.hkuros314075-
dc.identifier.volumeEpub 2020-08-16-
dc.identifier.isiWOS:000578707000001-
dc.publisher.placeUnited States-
dc.identifier.issnl1478-3223-

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