Evidence map›Paper›PMID 25339806›Full record

ReviewWorld journal of gastroenterology2014

Nonalcoholic fatty liver disease and aging: epidemiology to management.

Marco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria

Open access · bronzeAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 172 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
172citing papers in PubMed, 4 pooled it
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

172 citing papers in PubMed, 4 syntheses or guidelines pooled it, 301 citations in OpenAlex.

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112 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Marco BertolottiMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
Amedeo LonardoMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
Chiara MussiMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
Enrica BaldelliMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
Elisa PellegriniMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
Stefano BallestriMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
Dante RomagnoliMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
Paola LoriaMarco Bertolotti, Amedeo Lonardo, Chiara Mussi, Enrica Baldelli, Elisa Pellegrini, Stefano Ballestri, Dante Romagnoli, Paola Loria, Department of Biomedical, Metabolic and Neural Sciences, Nuovo Ospedale Civile di Modena, University of Modena and Reggio Emilia and Azienda USL of Modena, Baggiovara, 41126 Modena, Italy.
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonalcoholic fatty liver disease (NAFLD) is common in the elderly, in whom it carries a more substantial burden of hepatic (nonalcoholic steatohepatitis, cirrhosis and hepatocellular carcinoma) and extra-hepatic manifestations and complications (cardiovascular disease, extrahepatic neoplasms) than in younger age groups. Therefore, proper identification and management of this condition is a major task for clinical geriatricians and geriatric hepatologists. In this paper, the epidemiology and pathophysiology of this condition are reviewed, and a full discussion of the link between NAFLD and the aspects that are peculiar to elderly individuals is provided; these aspects include frailty, multimorbidity, polypharmacy and dementia. The proper treatment strategy will have to consider the peculiarities of geriatric patients, so a multidisciplinary approach is mandatory. Non-pharmacological treatment (diet and physical exercise) has to be tailored individually considering the physical limitations of most elderly people and the need for an adequate caloric supply. Similarly, the choice of drug treatment must carefully balance the benefits and risks in terms of adverse events and pharmacological interactions in the common context of both multiple health conditions and polypharmacy. In conclusion, further epidemiological and pathophysiological insight is warranted. More accurate understanding of the molecular mechanisms of geriatric NAFLD will help in identifying the most appropriate diagnostic and therapeutic approach for individual elderly patients.

Indexed as

AgingAdultAgedAged, 80 and overAge FactorsCardiovascular DiseasesComorbidityDementiaFrail ElderlyGeriatric AssessmentHost-Pathogen InteractionsHumansIntestinesLife StyleMiddle AgedNon-alcoholic Fatty Liver DiseaseAdipose tissueAortic valve sclerosisArrhythmiaAtherosclerosisAutonomic dysfunctionCirrhosisDementiaFallsFrailtyHepatocellular carcinomaMicrobiotaNuclear receptorsPathogenesisSarcopeniaTreatment

Identifiers

PMID25339806
PMCPMC4202348
OpenAlexW2090213675

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.