Non-alcoholic fatty liver disease (NAFLD) is the most common and fastest growing cause of chronic liver disease in children and adults worldwide. 1 The prevalence of NAFLD in children is estimated at 7%, but with obesity being the major risk factor, this increases to 34% in those with obesity. 2 It is characterised by hepatic fat accumulation in the absence of other causes of the liver-or metabolic disease.The first stage of disease, that is, simple steatosis or non-alcoholic fatty liver (NAFL), can progress into steatohepatitis (NASH), fibrosis

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