Table 1. Definitions of MAFLD and NAFLD.
MAFLD | NAFLD | |
---|---|---|
Presence of hepatic steatosis | Yes | Yes |
Metabolic criteria | The diagnosis is made if a patient has hepatic steatosis and is overweight or obese, has T2D, or two or more of the following: Central obesity by ethnic-specific waist circumference cutoffs; Blood pressure ≥135/85 mmHg or specific drug treatment; Plasma triglycerides ≥150 mg/dL or specific drug treatment; Plasma HDL-cholesterol <40 mg/dL for men and <50 mg/dL for women or specific drug treatment; Fasting plasma glucose ≥100 mg/dL, 2-h post-load glucose ≥140 mg/dL, or hemoglobin A1c ≥5.7%; Homeostasis model assessment of insulin resistance ≥2.5; Plasma high-sensitivity C-reactive protein >2 mg/L | Not required |
Other liver diseases | No need to exclude; a patient can have MAFLD and another liver disease at the same time | By definition, the presence of another liver disease (e.g., chronic viral hepatitis, autoimmune liver disease) would lead to the exclusion of NAFLD |
Secondary causes of hepatic steatosis | No need to exclude; also use the term “alternative causes” instead of “secondary causes” | By definition, the presence of secondary causes of hepatic steatosis (e.g., use of systemic steroids, total parenteral nutrition) would lead to the exclusion of NAFLD |
HDL, high density lipoprotein; MAFLD, metabolic (dysfunction)-associated fatty liver disease; NAFLD, nonalcoholic fatty liver disease; T2D, type 2 diabetes.