“…In the original publication of DSI [18], the authors mentioned that DSIespecially the higher risk thresholdscould be used as a diagnostic surrogate for NAFLD in epidemiologic studies, similar to other NAFLD indexes like HSI [27][28][29][30][31][32], FLI [27,[33][34][35][36][37][38][39][40][41][42] and LFS [43]. However, this claim should be confirmed in the context of large-scale epidemiological studies in relation to major outcomes such as cardiovascular diseases, type 2 diabetes, liver cancer, or mortality [44].…”