Non-Alcoholic Fatty Liver Disease (NAFLD) is a global problem, affecting up to 25% of all individuals. The disease not only increases the risk of liver disease, but also of cardiovascular disease and liver cancer.
During this course, you will learn the essentials of NAFLD. We will begin with an introduction to the physiology of the human liver followed by epidemiology, pathophysiology, clinical medicine, and genetics. Diagnosing NAFLD based on blood tests, diagnostic imaging and histology will be discussed. Complications and treatment options will also be covered in this course including the link between NAFLD and the development of diabetes. Finally, experts will discuss data driven identification of new biomarkers by omics technologies.
After completing this course, you will have a broad knowledge about NAFLD ranging from the aetiology and pathophysiology to bedside examinations and treatments.
The liver contributes to overall body homeostasis through several biochemical processes and without these functions we cannot maintain life. In the first lectures, Professor Jens Juul Holst will discuss the physiology of the human liver focusing on biochemical concepts as gluconeogenesis, glycogenolysis, lipid and amino acid metabolism. The videos will also cover how external hormonal systems such as pancreatic islets regulate liver metabolism. After completing module 1 you will have a broad and basic understanding of the physiology and pathophysiology of the liver. In the subsequent modules, we will build on top of module 1 by exploring fatty liver disease.
What's included
5 videos2 readings1 assignment1 discussion prompt
Show info about module content
5 videos•Total 40 minutes
The Liver – Our Most Important Organ•4 minutes
Anatomy and Function of the Liver•9 minutes
The Liver and Bile Acids•9 minutes
The Liver Controls Body Metabolism•13 minutes
Introduction to NAFLD•6 minutes
2 readings•Total 105 minutes
Physiology of the liver•45 minutes
Clinical Practice Guidelines for the management of NAFLD•60 minutes
1 assignment•Total 22 minutes
Week 1•22 minutes
1 discussion prompt•Total 10 minutes
The role of the metabolic homeostasis•10 minutes
Causes
Module 2•5 hours to complete
Module details
What causes non-alcoholic fatty liver disease? This is the core question of module 2.
We will kickstart this module by reviewing epidemiological data on non-alcoholic fatty liver disease by professor Peter Jepsen. In the second half, professor Bente Kiens will dig into which nutrients that may drive fat infiltration of the liver. The diversity in the risk of developing non-alcoholic fatty liver disease and NASH will be discussed from a genetic approach by doctor Stefan Stender.
What's included
3 videos5 readings1 assignment1 discussion prompt
Show info about module content
3 videos•Total 39 minutes
Epidemiology•10 minutes
Nutrients and Insulin Resistance•19 minutes
Genetics•11 minutes
5 readings•Total 250 minutes
Fibrosis stage and mortality in NAFLD•60 minutes
Are Lifestyle Therapies Effective for NAFLD Treatment?•45 minutes
Rapid Metabolic Benefits of a Carbohydrate-Restricted Diet•60 minutes
Role of Carbohydrate and Energy Availability•45 minutes
Genetic Aspects of NAFLD•40 minutes
1 assignment•Total 18 minutes
Week 2•18 minutes
1 discussion prompt•Total 10 minutes
Focus on lifestyle interventions for treatment, yes or no?•10 minutes
Pathophysiological aspects
Module 3•1 hour to complete
Module details
Professor Henning Grønbæk will commence module 3 with an overview of the multiple hit hypothesis followed by Hendrik Vilstrup who will describe how the liver function is affected in patients with NAFLD.
What's included
3 videos2 readings1 assignment1 discussion prompt
Show info about module content
3 videos•Total 27 minutes
Pathophysiology•8 minutes
The Multiple-Hit Hypothesis•10 minutes
Impact on Liver Function•10 minutes
2 readings•Total 20 minutes
The role of macrophages in NAFLD and NASH (abstract only)•10 minutes
NAFLD causes dissociated changes in metabolic liver functions•10 minutes
1 assignment•Total 12 minutes
Week 3•12 minutes
1 discussion prompt•Total 10 minutes
The pathophysiology of NAFLD•10 minutes
Diagnostics
Module 4•4 hours to complete
Module details
Professors Flemming Bendtsen and Lise Lotte Gluud will discuss how to diagnose non-alcoholic fatty liver disease with or without fibrosis by non-invasive tests and describe when additional tests including histological assessment is required. Professor Mogens Vyberg will take us into the world of liver diagnostic by zooming in on the histological traits of liver tissue from patients with non-alcoholic fatty liver disease. The module will be concluded by perspectives on how ‘omics’ technologies such as protemics may contribute to identification of novel biomarkers in a lecture by Associate Professor Nicolai J. Wewer Albrechtsen and an interview with Professor Matthias Mann.
Mass-Spectrometry Based Diagnostics and Other Omics Technologies •8 minutes
Mass-Spectrometry Based Proteomics•9 minutes
Ultrasound•1 minute
Liver Biopsy•1 minute
Transjugular Liver Biopsy•3 minutes
Diagnostic and Therapeutic Paracenthesis•1 minute
Assessment of Hepatic Encephalopathy•1 minute
3 readings•Total 150 minutes
Interpreting diagnostic accuracy studies for patient care•30 minutes
Noninvasive assessment of liver disease in patients with NAFLD•60 minutes
Design and validation of a histological scoring system for NAFLD•60 minutes
1 assignment•Total 28 minutes
Week 4•28 minutes
1 discussion prompt•Total 10 minutes
Diagnose NAFLD or just calculate the BMI?•10 minutes
Treatment
Module 5•2 hours to complete
Module details
Exercise is an important tool to improve the health of your liver. How exercise affect your liver will be introduced by Professor Bente Klarlund Pedersen and Associate Professor Nicolai J. Wewer Albrechtsen. Personal Trainer Samantha Mølgaard will give a practical guide on how to ‘exercise to improve your liver’. The evidence concerning the pharmacological treatment of non-alcoholic fatty liver disease is growing rapidly. Professor Guruprasad Aithal will introduce us to the current evidence and provide an insight into future drugs developed specifically for the treatment of non-alcoholic fatty liver disease.
What's included
4 videos1 reading1 assignment1 discussion prompt
Show info about module content
4 videos•Total 36 minutes
Life-Style Interventions •12 minutes
Exercise Your Liver•5 minutes
Patient Relevant Outcomes•6 minutes
Pharmacological Treatment•12 minutes
1 reading•Total 40 minutes
Effects of Moderate and Vigorous Exercise on NAFLD: A Randomized Clinical Trial•40 minutes
1 assignment•Total 12 minutes
Week 5•12 minutes
1 discussion prompt•Total 10 minutes
Is it enough to lose weight to treat NAFLD?•10 minutes
Complications and Perspective
Module 6•4 hours to complete
Module details
In the final module, Professor Henning Grønbæk will discuss the close relation between non-alcoholic fatty liver disease and type 2 diabetes. Furthermore, why it is important to screen individuals with type 2 diabetes for non-alcoholic fatty liver disease. Professor Jonel Trebicka will discuss the management of patients who have developed cirrhosis due to non-alcoholic fatty liver disease. Finally, Professor Lise lotte Gluud and Associate Professor Nicolai J. Wewer Albrechtsen will revisit some general aspects of non-alcoholic fatty liver disease and discuss its future aspects.
The University of Copenhagen is the oldest University in Denmark; founded in 1479, and with over 38,000 students and more than 9,000 employees. The purpose of the University is to conduct research and provide education to the highest academic level. Based in Denmark's capital city it is one of the top research institutions in Europe.
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R
RM
5·
Reviewed on Mar 9, 2021
The course material and the discussions are very professional and the matter in the course really helps a person progress in the study of NAFLD
D
DM
5·
Reviewed on Jul 27, 2021
Excellent, informative course. I recommend for all primary care physicians.
G
GL
5·
Reviewed on Aug 13, 2023
I took this course for personal reasons, and found some of it very hard because, of my lack of knowledge. How ever I learned much that will help me going forward.
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