Issued amid rising cases, what Centre's new norms on managing non-alcoholic fatty liver disease say

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New Delhi: The Centre Friday came out with new guidelines and a training manual on managing cases of Non-Alcoholic Fatty Liver Disease (NAFLD), the prevalence of which is rising alarmingly in the country..

The guidelines have been released as part of the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), as NAFLD is closely associated with obesity, type 2 diabetes mellitus, dyslipidemia or high cholesterol, hypertension, coronary artery disease and several cancers...

The new guidelines prepared by a 13-member expert panel under the chairmanship of Director General of Health Services Dr Atul Goel and senior hepatologist Dr S K Sarin say that as the condition predates many non-communicable diseases and has a bi-directional link with them, it requires a robust primary care component for prevention and control...

Excess body weight, especially abdominal obesity, is a significant risk factor for NAFLD as the accumulation of fat around the abdomen contributes to insulin resistance and inflammation in the liver...

Those identified as high-risk, like people with personal and family history of diabetes, hypertension, coronary heart disease, liver diseases, gallstones and cancers, or people with high waist circumference or body mass index will be referred to primary health centres or Ayushman Arogya Mandirs (formerly Ayushman Bharat-Health and Wellness Centres) for further assessment...