F irst-line treatment for nonalcoholic fatty liver disease (NAFLD) focuses on weight loss through lifestyle modifications. 1,2 Weight loss 5% results in reduction of steatosis and weight loss 10% has been associated with improvement in hepatic inflammation and fibrosis. 3 The incidence and sustainability of weight loss among patients with NAFLD were estimated and associating factors identified.
Chinese American children with obesity are at high risk for NAFLD. They should be screened accordingly, including testing for metabolic disorders and low vitamin D levels. Early identification of NAFLD in childhood will allow for intervention with lifestyle modification, providing a means to reduce the prevalence of NAFLD in children and adults.
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