Potentials for the early prophylaxis of progression of nonalcoholic fatty liver disease in the practice of clinicists


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Abstract

In developed countries, the prevalence of non-alcoholic fatty liver disease (NAFLD) is 10-40%. Data from epidemiological studies indicate a steady increase in its frequency in the world. In a variety of regional and international recommendations for drug treatment, there is no uniform opinion on the efficacy and safety of the use of certain drugs in the NAFLD. The use of essential phospholipids (EPLs) in liver diseases, in particular NAFLD, is pathogenetically justified and proved in a number of clinical studies. EPLs, however, is an easily decomposable substance, because they can be involved in lipid peroxidation processes with an increase in the level of lipid peroxides, which are an active oxidants, and consequently enhance oxidative stress. The creation of a domestic combined hepatoprotector BAA Hepaguard Active became an effective solution of this problem. One capsule of Hepaguard Active contains 222 mg of EPLs, 93 mg of L-carnitine and 1.25 mg of tocopherol acetate (vitamin E). These biologically active substances act synergistically, providing membrane-protective, lipotropic, lipid-lowering, and hypocholesterolemic effects. The course effect of BAA Hepaguard Active is manifested in a decrease in the severity of steatosis, and in non-alcoholic steatohepatitis - in the reduction of necroinflammatory processes and liver fibrosis, and also contributes to the normalization of body weight, and lipid profile. BAA Hepaguard Active has a prebiotic effect, helps to reduce insulin resistance, and is well tolerated, which allows to recommend it for primary and secondary prevention of NAFLD.

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About the authors

A. N Kazyulin

FSBEI HE MSMSU n.a. A.I. Evdokimov of RMH

Email: alexander.kazyulin@yandex.ru
MD, prof. at the Department of Propedeutics of Internal Medicine and Gastroenterology

References

  1. Ивашкин В.Т., Маевская М.В., Павлов Ч.С. Широкова Е.Н., Буеверов А.О., Драпкина О.М., Шульпекова Ю.О., Цуканов В.В. Маммаев С.Н., Пальгова Л.К., Тихонов И.Н. Методические рекомендации для врачей. М., 2015.
  2. Буеверов А.О., Богомолов П.О., Маевская М.В. Патогенетическое лечение неалкогольного стеатогепатита: обоснование, эффективность, безопасность. Тер. архив. 2007;8:88-92.
  3. Буеверов А.О., Богомолов П.О. Неалкогольная жировая болезнь печени: обоснование патогенетической терапии. Клин. перспективы гастроэнтерол. Гепатол. 2009;1:3-9.
  4. Драпкина О.М., Гацолаева Д.С., Ивашкин В.Т. Неалкогольная жировая болезнь печени как компонент метаболического синдрома. Рос. мед. вести. 2010;2:72-8.
  5. Корнеева О.Н., Драпкина О.М., Буеверов А.О., Ивашкин В.Т. Неалкогольная жировая болезнь печени как проявление метаболического син дрома. Клин. перспективы гастроэнтерол. гепатол. 2005;4:21-4.
  6. Kotronen A., Yki-Jarvinen H. Fatty liver: a novel component of the metabolic syndrome. Arterioscler. Thromb. Vasc. Biol. 2008;28:27-38.
  7. Селиверстов П.В. Неалкогольная жировая болезнь печени: от теории к практике. Архивь внутренней медицины. 2015;1(21):19-26.
  8. Chalasani N., Younossi Z., Lavine J.E., Mae Deiehl A., Brunt E.M., Cusi K., Charlton M., Sanyal A.J. The diagnosis and management of non-alcoholic fatty liver disease: practice guideline by the American Gastroenterological Association, American Association for the Study of Liver Diseases, and American College of Gastroenterology. Gastroenterology. 2012; 142:1592-609.
  9. Ивашкин В.Т., Драпкина О.М., Маев И.В., Трухманов А.С., Блинов Д.В., Пальгова Л.К., Цуканов В.В., Ушакова Т.И. Распространенность неалкогольной жировой болезни печени у пациентов амбулаторно-поликлинической практики в Российской Федерации: результаты исследования DIREG 2. Росс. журн. гастроэнтерол., гепатол., колопроктол. 2015;6:31-41.
  10. Мехтиева С.Н., Мехтиева О.А. Современный взгляд на перспективы терапии неалкогольной жировой болезни печени. Эффективная фармакотерапия. 2011;2:50-7.

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