Non-alcoholic steatohepatitis (NASH) is a liver condition characterized by inflammation and damage caused by a build-up of fat in the liver. As the prevalence of NASH continues to rise worldwide, it becomes essential to educate ourselves about this silent but potentially serious condition. Let’s explore the causes, prevention and treatment of NASH.
What is NASH?
NASH is a progressive form of non-alcoholic fatty liver disease (NAFLD) that goes beyond simple fat accumulation in the liver. It is often referred to as a “silent” disease because it may not present any symptoms in its early stages. However, if left untreated, it can progress to liver fibrosis, cirrhosis, and even liver failure.
What causes NASH?
The exact cause NASH is not known, but several factors could contribute to its development. They are Obesity and excess body weight, Insulin resistance and metabolic syndrome, Type 2 diabetes, High levels of triglycerides and cholesterol, Genetics factors, Certain medications and medical conditions like polycystic ovary syndrome (PCOS), sleep apnea, and hypothyroidism.
Can NASH be prevented?
Yes, NASH can be prevented, and taking proactive steps to reduce the risk factors associated with the condition is crucial. Here are some measures that can help prevent NASH:
Maintain a healthy weight
Adopt a balanced diet and engage in regular physical activity to help maintain a healthy weight and reduce the risk of NASH.
Follow a balanced diet
Incorporate a diet rich in fruits, vegetables, whole grains, and lean proteins while limiting the intake of saturated fats, refined sugars, and processed foods. This can help manage weight, control blood sugar levels, and improve overall liver health.
Exercise regularly
Exercise regularly to reduce the accumulation of fat in the liver. Aim for at least 150 minutes of moderate aerobic exercise or 75 minutes of vigorous activity each week.
Limit alcohol consumption
Although alcohol consumption does not lead to NASH, excessive alcohol intake can worsen liver damage. It is best to avoid alcohol, or limit intake.
Manage medical conditions
Certain medical conditions like diabetes, high blood pressure, and high cholesterol can increase the risk of NASH. If you have them, manage them through medication, lifestyle modifications, and regular check-ups to reduce the likelihood of developing NASH.
Can NASH be treated?
Yes, NASH can be treated. The primary goal of treatment is to manage the underlying causes of NASH, reduce liver inflammation, and prevent or slow down the progression of liver damage. Treatment options for NASH include Lifestyle modifications, Medications to treat underlying conditions, and in the most severe cases, liver transplantation. In the early stages of NASH, lifestyle changes can give excellent results. Losing just 3-5% of body weight can lead to significant improvements in liver health.
NASH is a cause of concern as it can progress to severe liver damage. However, by taking proactive steps to prevent NASH, managing associated risk factors, and seeking medical advice for underlying conditions you can prevent and manage NASH effectively. If you suspect you may have NASH or are at risk, consult our gastroenterologist at Zymus Hospital. We can guide you on the appropriate prevention strategies and treatment options available.
