Non-alcoholic fatty liver disease (NAFLD) in Asia-More efforts are needed.

We read with interest the study by Zhang et al1 where they explored the association between lifestyle habits and the severity of non-alcoholic fatty liver disease (NAFLD) in different Asian regions. The authors found that unhealthy lifestyles and physical inactivity were common across all the regions and that patients with a liver stiffness <10 kPa were more likely to report participating in some vigorous activity. The focus on physical activity besides weight control is also timely as up to 40% of the NAFLD population are not obese.2.