Non-alcoholic fatty liver disease (NAFLD)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who have fatty liver by abdominal ultrasonography or abdominal CT. 2. Non-drinkers (alcohol consumption is pure alcohol and men 30 g / day, females less than 20 g / day). 3. Patients who got adequate explanation when participating in this study, fully understand and obtained document consent by the patient's free will.
Exclusion criteria
Exclusion criteria: 1. HCV antibody and HBs antigen positive patients. 2. Patients who screened ANA, AMA-M2 antibody, IgG, IgM, etc. and autoimmune diseases (autoimmune hepatitis, primary biliary cholangitis, etc.) can not be excluded. 3. Patient with drug-induced liver injury. 4. Patients with metabolic liver disease (hemochromatosis, Wilson's disease, alpha-1 antitrypsin deficiency etc.) 5. Patients with severe heart disease (unstable angina, acute heart failure, severe valvular disease, severe arrhythmia, active myocarditis, moderate aortic aneurysm, severe hypertension and thrombophlebitis). 6. Patients with acute systemic disease or fever. 7. Patients with severe cirrhosis (Child-Pugh score B or C). 8. Patients with severe kidney disease (BUN 25 mg / dL or more or serum creatinine 2.0 mg / dL or more). 9. Patients who judged unsuitable as subjects by doctors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change rate of controlled attenuation parameter (CAP) by Fibroscan 4 months after starting the test. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Change rate of ALT value and insulin resistance (HOMA-IR) 4 months after the start of the test. 2. Change rate of adipocytokine (TNF-alpha, leptin, adiponectin) and myoctane (irisin, myostatin, follistatin) 4 months after the start of the test. 3. Change rate of body weight, body fat composition, and hepatic elasticity. 4. Change rate of FIB-4 index, 4 type collagen 7S, CK-18 fragment, and pro-C3 4 months after starting the test. 5. Achievement of diet and exercise therapy. 6. The rate of change between the continuation group and the discontinuation group at the time of the follow-up inspection of each factor of 1-5. | — |
Countries
Japan
Contacts
Graduate School of Medicine, Osaka City University Department of Hepatology