WHY is fatty liver disease called a “silent epidemic?” And why does this silent disease have to co-exist with another pandemic?
It is because this disease affects millions of people around the world regardless of race, gender or economic status. The most dangerous part of it, however, is that it does not manifest any visible symptoms, specifically during its early stages. Being called a “silent epidemic” explains why many people are unaware that they have this disease until it’s too late.
In the Philippines, the Hepatology Society of the Philippines (HSP) says that at least 18 million Filipinos are either suffering from or at risk of this disease, an alarming piece of information revealed by the society during a recent virtual press conference titled “Fatty Liver Facts: What You Need to Know About This Silent Epidemic,” which was organized by the HSP.
“Fatty liver disease is a little-known, potentially fatal condition affecting many people,” noted Dr. Allan Policarpio, President of the Philippine Society of Gastroenterology. “The public can learn about it by listening to experts.”
Presently, there are two types of non-alcoholic fatty liver disease (NAFLD) — non-alcoholic fatty liver (NAFL) and its more advanced type, the non-alcoholic steatohepatitis (NASH). Both share the main characteristic of having too much fat stored in liver cells. Dr. Policarpio said having small amounts of fat in the liver is normal, but it becomes a problem if more than 5 percent to 10 percent of the liver’s weight is fat.
For her Dr. Edhel Tripon of HSP stated that fatty liver is the fastest rising cause of liver cancer and cirrhosis worldwide. “People who are overweight, diabetic, or hypertensive are prone to developing fatty liver.”
Dr. Diana Alcantara-Payawal, President of the Philippine College of Physicians, said about 18 million Filipinos are obese and overweight, and all are susceptible to NAFLD. “Some of them may already have fatty liver disease but are unaware of it,” she added.
Dr. Tripon stressed the importance of keeping the liver healthy. “The liver is a multitasking hard worker, so it is important to keep this organ as healthy as possible. A healthy liver is fundamental to wellness.”
To lower the risk of developing fatty liver disease, HSP Vice President Dr. Wendell Espinosa said there is a need to raise awareness about how to avoid modifiable risk factors among adolescents and young adults. “We need to increase the public’s awareness about non-alcoholic fatty liver disease, which would likely lead to better prevention, early detection, and treatment of the disorder.”
The Hepatology Society of the Philippines is the lead organization in the study and care of liver health and disease among Filipinos. The group provides research, education, and advocacy on liver health and liver-related diseases. Part of its mission is to share information, services, and expertise with the global community towards the prevention and treatment of liver diseases.