{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T21:20:53Z","timestamp":1787692853606,"version":"build-2784847793"},"reference-count":57,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T00:00:00Z","timestamp":1681430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017418","name":"Universidad de Especialidades Esp\u00edritu Santo","doi-asserted-by":"publisher","award":["1500"],"award-info":[{"award-number":["1500"]}],"id":[{"id":"10.13039\/100017418","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Non-alcoholic liver steatosis is currently considered an epidemic. It involves a broad spectrum of liver diseases, in which older adults constitute a susceptible group. The aim of this study is to identify the role of waist circumference as a risk factor for non-alcoholic fatty liver disease. Methods: A cross-sectional study was carried out in 99 older adults who regularly attended five gerontological centers in the city of Guayaquil, Ecuador. The variables studied were age, gender, independent life, access to complete meals, waist circumference, and NAFLD diagnosed by ultrasound. Results: A significant relationship exists between waist circumference, body mass index, and fat mass percentage. However, only age and waist circumference were significant in the multivariate logistic regression model. Our results suggest that in the presence of waist circumference, body mass index loses its significance and age may be a protective factor due to adipose tissue loss and redistribution. Conclusion: Anthropometric measurements such as waist circumference can be used as complement indicators of NAFLD.<\/jats:p>","DOI":"10.3390\/geriatrics8020042","type":"journal-article","created":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T02:03:38Z","timestamp":1681437818000},"page":"42","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Waist Circumference as a Risk Factor for Non-Alcoholic Fatty Liver Disease in Older Adults in Guayaquil, Ecuador"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0987-0745","authenticated-orcid":false,"given":"Dayana","family":"Cabrera","sequence":"first","affiliation":[{"name":"Syneos Health, 1951 NW 7th Avenue, Miami, FL 33136, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9231-4503","authenticated-orcid":false,"given":"Jorge","family":"Moncayo-Rizzo","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Universidad de Especialidades Espiritu Santo, Guayaquil 092301, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Cevallos","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Universidad de Especialidades Espiritu Santo, Guayaquil 092301, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5928-9812","authenticated-orcid":false,"given":"Geovanny","family":"Alvarado-Villa","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Universidad de Especialidades Espiritu Santo, Guayaquil 092301, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,14]]},"reference":[{"key":"ref_1","first-page":"434","article-title":"Nonalcoholic Steatohepatitis: Mayo Clinic Experiences with a Hitherto Unnamed Disease","volume":"55","author":"Ludwig","year":"1980","journal-title":"Mayo Clin. 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