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Animal protein intake and hepatic steatosis in the elderly: authors' response
  1. Louise Johanna Maria Alferink1,
  2. Jessica Christina Kiefte-de Jong2,3,
  3. Sarwa Darwish Murad1
  1. 1 Department of Gastroenterology and Hepatology, Erasmus MC University Medical Centre, Rotterdam, The Netherlands
  2. 2 Department of Epidemiology, Erasmus MC University Medical Centre, Rotterdam, The Netherlands
  3. 3 Department of Public Health and Primary Care, Leiden University Medical Centre, The Hague, The Netherlands
  1. Correspondence to Dr Sarwa Darwish Murad, Department of Gastroenterology and Hepatology, Erasmus Medical Centre, Rotterdam, CA 3000, The Netherlands; s.darwishmurad{at}erasmusmc.nl

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We would like to thank Tang and Mann for their interest in our study in which we showed that animal protein intake was independently associated with higher prevalence of non-alcoholic fatty liver disease (NAFLD) in an overweight, predominantly aged Caucasian population.1 2

Rightfully so, the authors express their concerns regarding the generalisability of our findings towards younger patients with clinically significant non-alcoholic steatohepatitis (NASH).1 Indeed, our results only pertain to our study population, consisting of an elderly and presumably healthy population in which the vast majority will have NAFLD, not NASH. Nonetheless, we …

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