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. 2020 Sep 15;15(2):206–216. doi: 10.5009/gnl20127

Table 2.

Global Incidence and Prevalence of NAFLD

Author (year) Country Description of study Diagnostic method Incidence or prevalence of NAFLD (%)
Incidence
Younossi
et al. (2016)9
Asia and Israel 5 Studies Ultrasonography, computed tomography scan OR magnetic resonance spectroscopy OR blood testing For Asia, 52.3 per 1,000
(95% CI, 28.31–96.77);
Israel, 28.01 per 1,000 person-years (95% CI, 19.34–40.57)
Li et al. (2019)10 Asia 18 Studies Ultrasonography, computed tomography scan OR magnetic resonance imaging/spectroscopy OR liver biopsy OR blood testing/predictive indices (fatty liver index or hepatic steatosis index) or ICD-9-CM codes 50.9 per 1,000 person-years
(95% CI, 44.8–57.4)
Allen et al. (2018)11 USA Community cohort study
(n=3,869 subjects)
ICD-9-CM codes 329 per 100,000 person–years in 2014
Prevalence
Younossi
et al. (2016)9
Africa, Asia, Europe, Middle East, North America, South America 86 Studies included in meta-analysis from 22 countries, 1989-2015 (n=8,515,431) Ultrasonography, computed tomography scan OR magnetic resonance imaging/spectroscopy 25.2% (95% CI, 22.1–27.9)
Li et al. (2019)10 Asia 237 Observational studies included in meta-analysis 1999-2019 (n=13,044,518) Ultrasonography, computed tomography scan OR magnetic resonance imaging/spectroscopy, serum based indicies, OR liver biopsy 30.5% (95% CI, 29.3–30.9)
Kim et al. (2013)15 USA US national representative samples (n=11,154) Ultrasonography 34.0%
3.2% (advanced fibrosis)
Abeysekera
et al. (2020)16
UK UK Avon Longitudinal Study of Parents and Children (ALSPAC) cohort (n=4,021) Transient elastography with controlled attenuation parameter (CAP) score 20.7% (95% CI, 19.4–22.0) for steatosis
2.7% (95% CI, 2.2–3.2) for suspected fibrosis (F2-F4)

NAFLD, nonalcoholic fatty liver disease; CI, confidence interval; ICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical Modification.