title: Correlates of nonalcoholic fatty liver among women receiving residential mental health care.
abstract: OBJECTIVE
  To review the risk factors for diagnosis of nonalcoholic fatty liver disease (NAFLD) in women in a mental health, dual diagnosis, treatment facility.
  
  
  METHODS
  A review of the literature and retrospective chart reviews of patients to identify factors within this population of women most closely associated with diagnosis of NAFLD.
  
  
  CONCLUSIONS
  NAFLD is a common diagnosis and as obesity rates increase in the United States the incidence for this disease is also increasing. Identifiable risk factors are associated with the presence of this disease. Advanced practice nurses, as prescribers, need to be aware that the presence of NAFLD may interfere with drug metabolism and toxin elimination in their patients.
  
  
  CONCLUSIONS
  Numerous physical conditions, behavioral symptoms, and laboratory findings are identified as associated conditions of NAFLD. Patients seen in primary care practices have NAFLD, but patients in treatment centers for mental health disorders are also affected. This population is particularly at risk because of the hepatotoxic effects of many medications used in psychiatric-mental health settings.
authors.affiliation: Soldier Health Services, Fort Campbell, Kentucky.
authors.forename: Lu Ann
authors.initials: LA
authors.lastname: Cook
mesh_terms: D000328:Adult; D015992:Body Mass Index; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008055:Lipids / Q000097:blood; D008605:Mental Health Services; D008875:Middle Aged; D065626:Non-alcoholic Fatty Liver Disease / Q000150:complications* / Q000175:diagnosis / Q000523:psychology*; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult
chemical_list: D008055:Lipids
keywords: Behavioral health; hyperlipidemia; insulin resistance; liver; midlife women; obesity; prescribing