Esteatosis hepática (hígado graso) no alcohólica (EHNA) y su correlación con el índice de masa corporal, triglicéridos y transaminasas en los pacientes del Hospital General del Norte de Guayaquil Los Ceibos durante el 2019 – 2022.

Abstract

Introduction: Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease globally. It is characterized by lipid accumulation in hepatocytes in patients with no history of toxic alcohol consumption. Among the most important risk factors are obesity, metabolic syndrome and dyslipidemia. Abdominal ultrasound is mainly used for its diagnosis. Treatment is multifactorial and comprehensive, focusing on lifestyle and dietary changes. Objective: To determine the correlation between body mass index, triglycerides and transaminases, and NAFLD in patients of the Hospital General del Norte de Guayaquil IESS Los Ceibos (HGNGC) during 2019 to 2022. Materials and methods: Observational, retrospective, cross-sectional, correlational and analytical study with review of medical records, laboratories and images. Results: A higher prevalence of NAFLD was found in the female sex (56.55%), in the age group between 51 and 65 years (40.16%). ALT was elevated in 85 (69.67%) patients and a significant Spearman correlation was found. On the contrary, it was found that there was no relationship between AST values and the degree of NAFLD. Triglycerides were found to be elevated in 55%, but no correlation was found. About 89% of patients had elevated BMI values (≥ 25 kg/m2). Conclusion: Finally, a highly significant relationship was established between BMI and NAFLD; the higher the BMI value, the higher the degree of NAFLD the patient will present.