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Liver steatosis and metabolic dysfunction-associated fatty liver disease among HIV-positive and negative adults in urban Zambia.

Belinda Varaidzo ChihotaCarlotta RiebensahmGuy MuulaEdford SinkalaRoma ChilengiLloyd MulengaSamuel BosomprahMichael J VinikoorCarolyn Bolton-MooreMatthias EggerAndri RauchAnnalisa BerzigottiGilles Wandelernull null
Published in: BMJ open gastroenterology (2022)
The prevalence of liver steatosis in this urban cohort of HIV-positive and negative adults in Zambia was low, despite a large proportion of patients with high BMI and central obesity. Our study is among the first to report data on MAFLD among adults in Africa, demonstrating that metabolic risk factors are key drivers of liver steatosis and supporting the adoption of the criteria for MAFLD in African populations.
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