Scientists have identified three factors that increase the risk of liver disease

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Progressive liver disease in individuals who consume alcohol regularly is significantly influenced by cardiometabolic risk factors such as diabetes, hypertension, and increased waist circumference, which elevate the likelihood of advanced liver fibrosis.

by @akmenra

A study published in Clinical Gastroenterology and Hepatology highlights that

“people who drink heavily and have diabetes, high blood pressure, or a high waist circumference are 2.4 times more likely to develop advanced liver disease” (Brian P. Lee, MD, MAS).
These conditions contribute to fat accumulation in the liver, exacerbating the damaging effects of alcohol and explaining the variability in liver disease progression among individuals with similar drinking habits.

The research, based on data from over 40,000 participants in the US National Health and Nutrition Examination Survey, established a strong correlation between alcohol use, metabolic disorders, and significant liver fibrosis. Specifically, diabetes and increased waist circumference were associated with a 2.4-fold higher risk of liver disease, while hypertension increased the risk by 1.8 times. Other metabolic factors, such as elevated triglycerides and reduced levels of high-density lipoprotein (HDL) cholesterol, played a lesser role in disease progression.

Although the exact mechanisms remain under investigation, researchers hypothesize that diabetes, obesity, and hypertension promote hepatic fat accumulation, intensifying alcohol-induced liver damage.

“We know that alcohol is toxic to the liver, and all heavy drinkers are at risk of developing advanced liver disease,” states Brian P. Lee.
This underscores that excessive alcohol consumption alone remains a significant health hazard, even in the absence of metabolic comorbidities.

These findings have critical clinical implications, aiding healthcare professionals in identifying high-risk populations and implementing timely preventive measures. Given the rise in alcohol consumption following the COVID-19 pandemic and worsening metabolic health trends, particularly among younger demographics, a personalized approach to risk assessment could be instrumental in reducing severe liver disease cases.

This article is for informational purposes only and should not replace professional medical advice from qualified healthcare providers.

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Igor Foliush
In 1998 he graduated from the Lviv Institute of Physical Education Department of physical rehabilitation From 1998 to 2000 he was an intern at the Istituto Di MedicinaDello Sport Di Roma From 2000 to 2007 he worked as a physiotherapist at the Hospital Santa Maria della Stella (Orvieto) In 2007 he returned to Ukraine From 2007 to 2013 worked as a physiotherapist at the private pediatric clinic "Vita Puer" In 2013, he completed his master's degree at the Melitopol Institute of Ecology and Social Technologies In 2014, he founded the "Dr Foliush Massage Centre" where he works to this day

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