{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T07:10:07Z","timestamp":1744528207688,"version":"3.40.4"},"reference-count":0,"publisher":"Academy of Family Physicians of Malaysia","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Malays Fam Physician"],"abstract":"<jats:p>Introduction: This study aimed to evaluate the prevalence and risk factors of non-alcoholic fatty liver disease (NAFLD) among Dayak communities in Malaysia, shedding light on an underexplored population.\nMethods: A cross-sectional study was undertaken among Dayak villagers in Sarawak aged 18 years and above using an interview-based questionnaire, followed by an anthropometric measurement, a blood test and an abdominal ultrasound.\nResults: A total of 324 participants met the inclusion criteria. Among them, 42.9% were men, and the mean age was 49.85\u00b114.9 years. The prevalence of NAFLD was substantially high at 58%, with 43.1% of the participants having mild fatty liver (grade 1). NAFLD was closely associated with waist circumference and body mass index (BMI) (P&lt;0.001). Central obesity, as indicated by waist circumference and BMI, emerged as a potent risk factor, with higher values correlating with an increased likelihood of NAFLD. A higher prevalence of NAFLD was observed in the participants with an advancing age, an elevated triglyceride level (66.7%) and a lower high-density lipoprotein cholesterol level (81.6%). However, these associations did not remain significant in the multivariate analysis. Gallstones, which share common risk factors with NAFLD, were not significantly associated with NAFLD in this population (P=0.853).\nConclusion: This study defines the prevalence and association of NAFLD with sociodemographic characteristics, health profiles and gallstone disease among indigenous villages in Dayak communities. A high BMI and central obesity are found to be independent risk factors of NAFLD.<\/jats:p>","DOI":"10.51866\/oa.634","type":"journal-article","created":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T06:54:41Z","timestamp":1744527281000},"page":"8","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence, risk factors and association with gallstone disease of non-alcoholic fatty liver disease among rural indigenous communities: A cross-sectional study in Sarawak, Malaysia"],"prefix":"10.51866","volume":"20","author":[{"given":"Ting Ting","family":"Yew","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Whye Lian","family":"Cheah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ai Jiun","family":"Koa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han Bing","family":"Chow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28286","published-online":{"date-parts":[[2025,2,20]]},"container-title":["Malaysian Family Physician"],"original-title":[],"deposited":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T06:54:42Z","timestamp":1744527282000},"score":1,"resource":{"primary":{"URL":"https:\/\/e-mfp.org\/wp-content\/uploads\/20.8_20Feb2025.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,20]]},"references-count":0,"URL":"https:\/\/doi.org\/10.51866\/oa.634","archive":["CLOCKSS"],"relation":{},"ISSN":["1985-207X","1985-2274"],"issn-type":[{"value":"1985-207X","type":"print"},{"value":"1985-2274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,20]]}}}