title: Prevalence of Non-alcoholic Fatty Liver Disease and Its Related Factors in Iran.
abstract: BACKGROUND
  Non-alcoholic fatty liver disease (NAFLD) is the most prevalent chronic liver disease in developing and developed countries. Estimating the total prevalence of NAFLD by means of appropriate statistical methods can provide reliable evidence for health policy makers.
  
  
  OBJECTIVE
  To determine the prevalence of NAFLD in Iran using a systematic review and meta-analysis.
  
  
  METHODS
  We identified relevant studies by searching national and international databases. Standard error of the prevalence reported in each study was calculated assuming a binomial distribution. The heterogeneity between the results of the studies was determined using Cochran's Q and I square indices. We used a random effect model to combine the prevalence rates reported in the studies.
  
  
  RESULTS
  We entered 23 eligible studies in this systematic review investigated NAFLD among 25,865 Iranian people. The total prevalence of NAFLD, prevalence of mild, moderate and severe fatty liver disease were estimated at 33.9% (95% CI 26.4%-41.5%), 26.7% (95% CI 21.7%-31.7%), 7.6% (95% CI 5.7%-9.4%), and 0.5% (95% CI 0.1%-0.9%), respectively. The majority of studies reported that NAFLD was more common among men (seven of eight studies), obese person (15 of 15 studies), older people (10 of 10 studies), patients with systolic hypertension (5 of 8 studies), patients with diastolic hypertension (7 of 9 studies), patients with hypertriglyceridemia (14 of 16 studies), patients with high HOMA level (4 of 4 studies), patients with metabolic syndrome (4 of 4 studies), and those with elevated serum ALT (8 of 12 studies).
  
  
  CONCLUSIONS
  Our study showed that the prevalence of NAFLD in Iran was relatively high and male gender, old age, diabetes, metabolic syndrome, systolic/diastolic hypertension, high serum ALT, and hypertriglyceridemia may be determinants of NAFLD.
authors.affiliation: Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: I
authors.initials: I
authors.lastname: Moghaddasifar
authors.affiliation: Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: K B
authors.initials: KB
authors.lastname: Lankarani
authors.affiliation: Health Sciences Research Center, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Moosazadeh
authors.affiliation: Department of Community Medicine, Zabol University of Medical Sciences, Zabol, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Afshari
authors.affiliation: Department of Basic Science and Nutrition, Health Sciences Research Center, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: A
authors.initials: A
authors.lastname: Ghaemi
authors.affiliation: Research Center for Health Services Management, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Aliramezany
authors.affiliation: Urumia University of Medical Sciences, Urumia, Iran.
authors.forename: R
authors.initials: R
authors.lastname: Afsar Gharebagh
authors.affiliation: Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: M
authors.initials: M
authors.lastname: Malary
keywords: Iran; Meta-analysis [Publication type]; Non-alcoholic fatty liver disease; Prevalence; Review [Publication type]