Sunday, 5 July 2015

FAT .. Transfat ...FATTY LIVER ....Metabolic Disorders

Few days back there was a news in TOI (Times of india) about the fatty liver, Liver transplants in India are facing a strange hurdle — fatty liver”, not shocking to me, In routine i am interacting with fatty liver patients and understand the problems they  face in there routine and how they land up in sever life threatening metabolic disorders if not get a proper guidance in early stage of fatty liver that can be reversible .

According to the news top surgeons say nearly 50% of livers from live donors and 80% of those from cadavers are rejected because there is excess accumulation of fat in the organ.
We all know there is continuous increase in metabolic disorders , like obesity, diabetes, etc  and hand to hand the artificial food too in the market without any strong regulation. Things will be more worse if we will not get aware and conscious about these health & food issues in our golden sparrow – turning to IT eagle

In Indian our eating habits are so bad and the use of transfat is so much , thanks to TOI for its another news , “Indian snacks are loaded with trans fat”. Both of the news are correlated and must read.

What is this fatty liver, what are its causes and what we can do to prevent this condition that can be a major cause of metabolic disorders and visa versa.

What is a fatty liver?

A fatty liver is the result of the excess fat in liver cells. Fatty tissue slowly builds up in the liver when a person’s diet exceeds the amount of fat his or her body can handle. A person has a fatty liver when fat makes up at least 5% of the liver . Simple fatty liver can be a completely benign condition and usually does not lead to liver damage. However, once there is a buildup of simple fat, the liver becomes vulnerable to further injury, which may result in inflammation and scarring of the liver . 

What causes fatty liver disease?

Genetic predisposition, lack of exercise, and a diet rich in ghee, sugar, and oils, all conspire to make fatty liver a major health problem in India.
Other causes of fat accumulation within liver cells are excessive alcohol intake, many drugs (particularly chemotherapeutic agents and certain antiviral medications), pregnancy, and chemicals such as carbon tetrachloride.

Nutritional causes of fatty liver disease are:

  • starvation and protein malnutrition,
  • long term use of total parenteral nutrition (a feeding procedure that involves infusing nutrients directly into the blood stream),
  • intestinal bypass surgery for obesity,
  • rapid weight loss.
  • Trans fat in our daily diet

Certain conditions often accompany and may contribute to fatty liver disease:

  • obesity
  • diabetes mellitus,
  • hyperlipidemia (elevated lipids in the blood),
  • insulin resistance and high blood pressure.
Trans fat as a major cause :

Partially hydrogenated oils (PHOs) / Artificial trans fat , are widely used in bakery products (cakes, biscuits, pizzas, pastries, etc), fried products (potato, corn chips, etc), deep fried foods like French fries, doughnuts, fried chicken and various Indian deep fried snacks, coffee creamer, margarine etc. In India, trans fat is consumed a lot in the form of vanaspati, a cheaper source of fat that improves taste as well. Indian restaurants use vanaspati for cooking bhaturas, paranthas, puris and tikkis among others. Repeated use of the same oil for frying adds to the problem. 

There is no regulation of artificial trans fat in India. Manufacturers merely put a label on them, mentioning the trans fat content, but it is written in a small font that's hard to notice, and we consume in our daily routine

A fatty liver is reversible in its early stages through right dietary correction and lifestyle modification.

If the offending causes are curtailed or ceased, but continued injury can ultimately cause progression to NASH (non alcoholic fatty liver), cirrhosis, and liver cancer.

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