Review Article

Mechanisms and Implications of Age-Related Changes in the Liver: Nonalcoholic Fatty Liver Disease in the Elderly

Table 2

Natural history data on NAFLD.

Adams et al. 2005 [57]Ekstedt et al. 2006 [75]Ong et al. 2008 [76]Rafiq et al. 2009 [77]
NAFLDNASHNNFLNAFLDNASHNNFL

N435715881772101
Age at diagnosis (in years) 4 9 ± 1 5 5 5 ± 1 2 4 7 ± 1 2 1 7 + 5 1 ± 1 3 4 9 ± 1 5
Males/females213/22230/7047/53
Study period1980–20001988–19931988–19941979–1987
Followup (in years) 7 . 6 ± 4 1 3 . 7 ± 1 . 3 8.4 (median)10.5 (median)13.0 (median)
Advanced cirrhosis13 (3.1%)7 (9.8%)0
HCC2 (0.5%)2 (2.8%)0
Deaths (total)53 (12.1%)26 (20.3%)80 (9.7%)
 IHD13 (2.9%)11 (15.5%)5 (8.6%)20 (2.4%)7 (12.3%)15 (20.3%)
 Non-HCC cancer15 (3.4%)4 (5.6%)1 (1.7%)19 (2.3%)5 (8.8%)9 (12.2%)
 Liver*7 (1.6%)2 (2.8%)05 (0.6%)10 (17.5%)2 (2.7%)

NNLF: non-NASH fatty liver (which equates with simple steatosis referred to in the text); *liver related mortality.