Articles Vol. 67 No. 6 25/06/2026

SURVEY OF NON-ALCOHOLIC FATTY LIVER DISEASE USING ULTRASOUND-GUIDED ATTENUATION PARAMETER (UGAP) IN ELDERLY PATIENTS WITH METABOLIC DISORDERS.

Ha Thuy Dung1,2, Hoang Dinh Au1,2,3,4,5,6, Nguyen Phuong Lan1,2
1 National Geriatric Hospital
2 Bệnh viện Lão khoa Trung Ương
3 Hanoi Medical University Hospital
4 Hanoi Medical University
5 Bệnh viện Đại học Y Hà Nội
6 Trường Đại học Y Hà Nội
DOI: 10.52163/yhc.v67i6.5506
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Keywords
Fatty liver; NAFLD; quantitative ultrasound assessment of hepatic steatosis; UGAP; metabolic disorders; elderly.
Abstract

Objective: To evaluate non-alcoholic fatty liver disease (NAFLD) in elderly patients with metabolic disorders using quantitative ultrasound assessment of hepatic steatosis (UGAP).

Materials and Methods: A cross-sectional descriptive study was conducted on 168 patients aged ≥60 years with at least one metabolic disorder (diabetes mellitus, dyslipidemia, hypertension, or abdominal obesity [waist circumference ≥90 cm in men and ≥80 cm in women]) who attended National Geriatric Hospital from November 15, 2025 to December 30, 2025. Hepatic steatosis was assessed using the ultrasound-guided attenuation parameter (UGAP) technique on the LOGIQ Fortis (GE Healthcare). Results: The prevalence of NAFLD among the 168 elderly patients with metabolic disorders was 44.6%. Regression analysis showed that age and abdominal obesity were two factors associated with NAFLD. Abdominal obesity was associated with the severity of hepatic steatosis. Conclusion: Abdominal obesity is a predictor of NAFLD in elderly individuals. In contrast, diabetes mellitus, dyslipidemia, and hypertension were not associated with an increased risk of NAFLD in this population

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