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The nomenclature for Non-Alcoholic Fatty Liver Disease had recently been changed, based on a long consensus process and has been endorsed by EASL, AASLD and ALEH and a long list of other societies.

Which of the following statements is correct according to the new nomenclature?

A. A prerequisite for the diagnosis is the presence of steatosis, defined as >5% of hepatocytes on liver biopsy or based on MRI as the 2 gold standard methods for the diagnosis of steatosis

B. The term “steatotic” was preferred over “fatty” due to the stigma that is associated with the term “fatty” according to > 90% of the panel, especially in the paediatric setting

C. The term MetALD refers to people having steatosis and consuming more alcohol than the former “non-alcoholic” qualifier, but not more than 50/60 g of alcohol per day. Above the latter threshold, the panel considered this to be better labelled as ALD

D. Metabolic dysfunction was defined as either overweight/obesity or presence of T2D, as major criteria, or, in the absence hereof, 2 out of a list of minor criteria incl. parameters of glycaemic control & insulin resistance, lipid profile, blood pressure

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