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For: Zeng J, Yang RX, Sun C, Pan Q, Zhang RN, Chen GY, Hu Y, Fan JG. Prevalence, clinical characteristics, risk factors, and indicators for lean Chinese adults with nonalcoholic fatty liver disease. World J Gastroenterol 2020; 26(15): 1792-1804 [PMID: 32351294 DOI: 10.3748/wjg.v26.i15.1792]
URL: https://www.wjgnet.com/1007-9327/full/v26/i15/1792.htm
Number Citing Articles
1
Shang-Yu Chai, Ru-Ya Zhang, Gail Fernandes, Yi-Man Zheng, Lai Wei. Epidemiology of metabolic dysfunction-associated steatotic liver disease/metabolic dysfunction-associated steatohepatitis and associated cardiometabolic factors in adults in China (2013-2023): A systematic review and meta-analysisWorld Journal of Gastroenterology 2025; 31(46): 113608 doi: 10.3748/wjg.v31.i46.113608
2
Anand K. Pyati, Sakthivadivel Varatharajan, Abhishek Arora, Vaman Kulkarni, Aparna Varma Bhongir, Sangeetha Sampath, Gomathi Ramaswamy, Madhu Latha Karra, Priyanka Das, Pawan Pagaku. Study of association and diagnostic utility of novel anthropometric and lipid indices for nonalcoholic fatty liver disease: A hospital-based studyJournal of Family Medicine and Primary Care 2025; 14(6): 2365 doi: 10.4103/jfmpc.jfmpc_1609_24
3
Naoto Hashimoto, Kyu-Ho Han, Manabu Wakagi, Yuko Ishikawa-Takano, Katsunari Ippoushi, Michihiro Fukushima. Bile acids induced hepatic lipid accumulation in mice by inhibiting mRNA expression of patatin-like phospholipase domain containing 3 and microsomal triglyceride transfer proteinNutrition Research 2021; 92: 12 doi: 10.1016/j.nutres.2021.05.006
4
Gerard Stupecki, Emilia Kowalczyk, Agnieszka Ciba-Stemplewska, Magdalena Dolecka-Ślusarczyk, Iwona Gorczyca-Głowacka. Metabolic dysfunction-associated steatotic liver disease: Prevalence and progression in lean patientsPolish Annals of Medicine 2025; : 1 doi: 10.29089/paom/203734
5
Kemin Li, Ji Li, Xiaoyun Cheng, Jing Wang, Jingnan Li. Association between the atherogenic index of plasma and new-onset non-alcoholic fatty liver disease in non-obese participantsFrontiers in Endocrinology 2022; 13 doi: 10.3389/fendo.2022.969783
6
Xiaojuan Wu, Ying Wang, Yumei Jia, Jia Liu, Guang Wang, Ferdinando Carlo Sasso. Risk Factors for Nonalcoholic Fatty Liver Disease with Different Insulin Resistance in a Nonobese Chinese PopulationJournal of Diabetes Research 2022; 2022: 1 doi: 10.1155/2022/9060405
7
Xian Wen, Leibo Wang, Kaiyi Mao. The association of fatty liver index and metabolic syndrome with cardiovascular outcomes, liver-related mortality, and all-cause mortality, a nationwide cohort study:commentInternal and Emergency Medicine 2025; 20(7): 2271 doi: 10.1007/s11739-025-03969-5
8
Rui Xue, Rui Xu Yang, Jian Gao Fan. Epidemiological trends and clinical characteristic of NAFLD/MAFLD in AsiaJournal of Digestive Diseases 2022; 23(7): 354 doi: 10.1111/1751-2980.13117
9
Qian Gao, Lei Feng, Weiling Zhou, Xiaoli Li, Lanzi Yin, Yuan Wang. Non-Traditional Blood Lipid Indices for Metabolism Dysfunction-Associated Fatty Liver Disease Prediction in Non-Obese Type 2 Diabetes MellitusDiabetes, Metabolic Syndrome and Obesity 2023; : 2345 doi: 10.2147/DMSO.S418020
10
Haohong Zhan, Xiaoli Nong, Senzhi Zhu, Ting Luo, Tian Li, Mingjing Cao, Qi Li, Zhuosen He, Junyan Hu, Xi Liu. Clinical value of γ-glutamyl transpeptidase to platelet ratio and triglyceride measurement in the diagnosis of nonalcoholic fatty liver disease: A cross-sectional studyHeliyon 2024; 10(16): e36193 doi: 10.1016/j.heliyon.2024.e36193
11
Kongting Xing, Chaoying Ge, Lingli Xu, Linjian Liu. Association of waist-to-height ratio with nonalcoholic fatty liver disease and liver fibrosis detected by vibration-controlled transient elastography: NHANES 2017-2020Medicine 2026; 105(1): e46675 doi: 10.1097/MD.0000000000046675
12
Song Xiao, Ziqi Chen, Tingyu Mai, Jiansheng Cai, Yulu Chen, Xu Tang, Ruoyu Gou, Tingyu Luo, Kailian He, Tingjun Li, Jian Qin, Zhiyong Zhang, You Li. Analysis of the association between dietary patterns and nonalcoholic fatty liver disease in a county in GuangxiBMC Gastroenterology 2023; 23(1) doi: 10.1186/s12876-023-02864-7
13
Xueying Wang, Song Leng. Serum uric acid may be a mediator of risk factors in metabolic dysfunction associated steatotic liver diseaseScandinavian Journal of Gastroenterology 2025; 60(6): 581 doi: 10.1080/00365521.2025.2490994
14
Melchor Alpízar Salazar, Samantha Estefanía Olguín Reyes, Andrea Medina Estévez, Julieta Alejandra Saturno Lobos, Jesús Manuel De Aldecoa Castillo, Juan Carlos Carrera Aguas, Samary Alaniz Monreal, José Antonio Navarro Rodríguez, Dulce María Fernanda Alpízar Sánchez. Natural History of Metabolic Dysfunction-Associated Steatotic Liver Disease: From Metabolic Syndrome to Hepatocellular CarcinomaMedicina 2025; 61(1): 88 doi: 10.3390/medicina61010088
15
Zhen Song, Hai-Qi Gu, Cheng Xu. Association of the non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio with non-alcoholic fatty liver disease and hepatic steatosis in United States adults: insights from NHANES 2017–2020Frontiers in Nutrition 2025; 12 doi: 10.3389/fnut.2025.1540903
16
Yilin Zhang, Minhua Li, Shanshan Du, Yifeng Chen, Qingyu Li, Zitong Zhang, Rong Xu, Qing Zu, Zihu Lv, Weimin Ye, Wei Zheng, Jianjun Xiang. Machine learning-driven analysis of occupational heat exposure and metabolic associated fatty liver disease in petrochemical workersEcotoxicology and Environmental Safety 2026; 309: 119512 doi: 10.1016/j.ecoenv.2025.119512
17
Ines Bilic-Curcic, Maja Cigrovski Berkovic, Lucija Virovic-Jukic, Anna Mrzljak. Shifting perspectives – interplay between non-alcoholic fatty liver disease and insulin resistance in lean individuals World Journal of Hepatology 2021; 13(1): 80-93 doi: 10.4254/wjh.v13.i1.80
18
Nachum Lebovics, Gabriel Heering, William H. Frishman, Edward Lebovics. Lean MASLD and Cardiovascular Disease: A ReviewCardiology in Review 2025;  doi: 10.1097/CRD.0000000000000893
19
Ran Lu, Ye Liu, Tianpei Hong. Epidemiological characteristics and management of nonalcoholic fatty liver disease/nonalcoholic steatohepatitis in China: A narrative reviewDiabetes, Obesity and Metabolism 2023; 25(S1): 13 doi: 10.1111/dom.15014
20
Soyoung Hur, Soyeon An, Eujin Kim, Cho-Hyun Hwang, Eungyeong Jang, Youngchul Kim, Jang-Hoon Lee. Case Report of a Patient Diagnosed with Fatty Liver Accompanied by HypertriglyceridemiaThe Journal of Internal Korean Medicine 2021; 42(2): 207 doi: 10.22246/jikm.2021.42.2.207
21
Abdulrahman Ismaiel, Blal El Hosiny, Mohamed Ismaiel, Daniel-Corneliu Leucuta, Stefan-Lucian Popa, Cristina Sorina Catana, Dan L. Dumitrascu. Waist to height ratio in nonalcoholic fatty liver disease – Systematic review and meta-analysisClinics and Research in Hepatology and Gastroenterology 2023; 47(7): 102160 doi: 10.1016/j.clinre.2023.102160
22
Yi Du, Kendra L. Ratnapradipa, Dejun Su, Jianghu Dong, Fedja A. Rochling, Paraskevi A. Farazi. Effects of Interventions for Improving Awareness and Knowledge of Nonalcoholic Fatty Liver Disease Among Chinese Young Adults for Prevention of Liver Cancer—A Randomized Controlled TrialJournal of Cancer Education 2024; 39(3): 253 doi: 10.1007/s13187-024-02404-1
23
Satoko Takahashi, Marenao Tanaka, Yukimura Higashiura, Kazuma Mori, Nagisa Hanawa, Hirofumi Ohnishi, Masato Furuhashi. Prediction and validation of nonalcoholic fatty liver disease by fatty liver index in a Japanese populationEndocrine Journal 2022; 69(4): 463 doi: 10.1507/endocrj.EJ21-0563
24
Ruixu Yang, Qian Jin, Jiangao Fan. Metabolic dysfunction-associated fatty liver disease: from basic research to clinical applicationChinese Medical Journal 2022; 135(10): 1138 doi: 10.1097/CM9.0000000000002136
25
Ansel Tang, Cheng Han Ng, Poh Hui Phang, Kai En Chan, Yip Han Chin, Clarissa Elysia Fu, Rebecca Wenling Zeng, Jieling Xiao, Darren Jun Hao Tan, Jingxuan Quek, Wen Hui Lim, Lung Yi Mak, Jiong-wei Wang, Nicholas W.S. Chew, Nicholas Syn, Daniel Q. Huang, Mohammad Shadab Siddiqui, Arun Sanyal, Mark Muthiah, Mazen Noureddin. Comparative Burden of Metabolic Dysfunction in Lean NAFLD vs Non-lean NAFLD - A Systematic Review and Meta-analysisClinical Gastroenterology and Hepatology 2023; 21(7): 1750 doi: 10.1016/j.cgh.2022.06.029
26
Ziqin Lai, Zhu Li, Mengnan Huang, Yang Wang, Lin Li, Fanfan Liu, Tong Yang, Yijia Liu, Qiang Xu, Shan Gao, Chunquan Yu. Associations Between GGT/ALT Ratio and Carotid Plaque in Inpatients With Coronary Artery Disease: A RCSCD-TCM StudyAngiology 2025; 76(1): 40 doi: 10.1177/00033197231197441
27
Yanhui Lin, Min Fu, Ren Lin, Min Hong, Zhian Zheng, Jiangang Wang, Ting Peng, Tao Wang. Trends in the prevalence of steatotic liver disease among Chinese adults, 2015–2023: A nationwide cross-sectional studyHepatology Communications 2025; 9(9) doi: 10.1097/HC9.0000000000000785
28
Qinqiu Wang, Xiaoying Shi, Jinghua Wang, Juanwen Zhang, Chengfu Xu. Low serum vitamin D concentrations are associated with obese but not lean NAFLD: a cross-sectional studyNutrition Journal 2021; 20(1) doi: 10.1186/s12937-021-00690-9
29
Guotai Sheng, Qiyang Xie, Rongsheng Wang, Chong Hu, Mingchun Zhong, Yang Zou. Waist-to-height ratio and non-alcoholic fatty liver disease in adultsBMC Gastroenterology 2021; 21(1) doi: 10.1186/s12876-021-01824-3
30
Haozhe Cui, Yongliang Chen, Zhiming Zhao. The dynamic patterns of metabolic-associated fatty liver disease and its severity and risk of cardiovascular diseaseHepatology International 2025; 19(1): 131 doi: 10.1007/s12072-024-10745-8
31
Lampros Chrysavgis, Eleftheria Ztriva, Adonis Protopapas, Konstantinos Tziomalos, Evangelos Cholongitas. Nonalcoholic fatty liver disease in lean subjects: Prognosis, outcomes and managementWorld Journal of Gastroenterology 2020; 26(42): 6514-6528 doi: 10.3748/wjg.v26.i42.6514
32
Basile Njei, Prince Ameyaw, Yazan Al-Ajlouni, Lea-Pearl Njei, Sarpong Boateng. Diagnosis and Management of Lean Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A Systematic ReviewCureus 2024;  doi: 10.7759/cureus.71451
33
Ying-Xin Xian, Jian-Ping Weng, Fen Xu. MAFLD vs. NAFLD: shared features and potential changes in epidemiology, pathophysiology, diagnosis, and pharmacotherapyChinese Medical Journal 2021; 134(1): 8 doi: 10.1097/CM9.0000000000001263
34
Evangelia Makri, Antonis Goulas, Stergios A. Polyzos. Epidemiology, Pathogenesis, Diagnosis and Emerging Treatment of Nonalcoholic Fatty Liver DiseaseArchives of Medical Research 2021; 52(1): 25 doi: 10.1016/j.arcmed.2020.11.010
35
Jie Li, Na Wu, Yukun Yang, Xiangyu Zhai, Fan Yuan, Fengwei Zhang, Ning Yu, Dong Li, Ruirui Wang, Jianying Wang, Lei Zhang, Yi Shi, Guang He, Baocheng Liu. Unique genetic variants of lean nonalcoholic fatty liver disease: a retrospective cohort studyBMC Endocrine Disorders 2023; 23(1) doi: 10.1186/s12902-022-01234-w
36
Yuping Ding, Quanjun Deng, Mei Yang, Haiyan Niu, Zuoyu Wang, Shihai Xia. Clinical Classification of Obesity and Implications for Metabolic Dysfunction-Associated Fatty Liver Disease and TreatmentDiabetes, Metabolic Syndrome and Obesity 2023; : 3303 doi: 10.2147/DMSO.S431251
37
Zahra Yari, Danial Fotros, Azita Hekmatdoost. Comparison of cardiometabolic risk factors between obese and non-obese patients with nonalcoholic fatty liver diseaseScientific Reports 2023; 13(1) doi: 10.1038/s41598-023-41893-w
38
Saleh Alqahtani, Rajaa Al-Raddadi, Ghada Ajabnoor, Zeyad Alraddadi, Jawaher Alahmadi, Adel Alhabash, Rehad Hakim, Loojen Alseraihi, Suhad Bahijri. Usefulness of Neck Circumference, Waist-to-Height Ratio and Waist-to-Hip Ratio in Predicting Non-Alcoholic Fatty Liver Disease in Saudi Population Without Type 2 DiabetesNutrition and Metabolic Insights 2024; 17 doi: 10.1177/11786388241259942
39
Mariana Boulos, Rabia S. Mousa, Nizar Jeries, Elias Simaan, Klode Alam, Bulus Bulus, Nimer Assy. Hidden in the Fat: Unpacking the Metabolic Tango Between Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic SyndromeInternational Journal of Molecular Sciences 2025; 26(7): 3448 doi: 10.3390/ijms26073448
40
Xin-Juan Huang, Man Yin, Bing-Qian Zhou, Xin-Yun Tan, Yuan-Qin Xia, Chun-Xiang Qin. Impact renaming non-alcoholic fatty liver disease to metabolic associated fatty liver disease in prevalence, characteristics and risk factorsWorld Journal of Hepatology 2023; 15(8): 985-1000 doi: 10.4254/wjh.v15.i8.985
41
Amrita Kandel, Poonam Pant, Sushila Todi, Sudhamshu KC, Sudip Pandey. Effect of exercise and pharmacotherapy on non-alcoholic fatty liver diseaseSAGE Open Medicine 2024; 12 doi: 10.1177/20503121241227090
42
Yi-wen Shi, Jian-Gao Fan. Surveillance of the progression and assessment of treatment endpoints for nonalcoholic steatohepatitisClinical and Molecular Hepatology 2023; 29(Suppl): S228 doi: 10.3350/cmh.2022.0401
43
Jingyue Zhang, Yingming Zhang, Ze Ren, Dongmei Yan, Guiying Li. The role of TRIM family in metabolic associated fatty liver diseaseFrontiers in Endocrinology 2023; 14 doi: 10.3389/fendo.2023.1210330
44
Mitra Ahadi, Kasra Molooghi, Negin Masoudifar, Ali Beheshti Namdar, Hassan Vossoughinia, Mohammadreza Farzanehfar. A review of non‐alcoholic fatty liver disease in non‐obese and lean individualsJournal of Gastroenterology and Hepatology 2021; 36(6): 1497 doi: 10.1111/jgh.15353
45
Ann Margaret C. Navarroza, Stephen N. Wong. Comparison of clinical and metabolic profiles of lean versus non-lean nonalcoholic fatty liver diseaseIndian Journal of Gastroenterology 2021; 40(4): 380 doi: 10.1007/s12664-021-01184-6
46
Xiuli Wang, Jie Liu, Ke Yu, Zhenhua Huang, Hanxiong Liu, Xiang Li. Association between TyG-related parameters and NAFLD risk in Japanese non-obese populationScientific Reports 2025; 15(1) doi: 10.1038/s41598-025-88478-3
47
Chunxia Zhai, Xiaorong Ding, Anqi Huang, Yang Ge, Fan Yang, Yi Ding. Causal associations of single anthropometric measures and body shape with nonalcoholic fatty liver disease: A Mendelian randomization studyMedicine 2025; 104(27): e43108 doi: 10.1097/MD.0000000000043108
48
Haoxuan Zou, Xiaopu Ma, Wen Pan, Yan Xie. The association of the metabolic score for insulin resistance and metabolic dysfunction-related steatosis liver disease: a population-based observational studyEuropean Journal of Medical Research 2025; 30(1) doi: 10.1186/s40001-025-02936-2
49
Mohammed Eslam, Hashem B. El-Serag, Sven Francque, Shiv K. Sarin, Lai Wei, Elisabetta Bugianesi, Jacob George. Metabolic (dysfunction)-associated fatty liver disease in individuals of normal weightNature Reviews Gastroenterology & Hepatology 2022; 19(10): 638 doi: 10.1038/s41575-022-00635-5
50
Haofei Hu, Yong Han, Yufei Liu, Mijie Guan, Qijun Wan. Triglyceride: A mediator of the association between waist-to-height ratio and non-alcoholic fatty liver disease: A second analysis of a population-based studyFrontiers in Endocrinology 2022; 13 doi: 10.3389/fendo.2022.973823
51
Keyang Zheng, Yuzhe Yin, Hang Guo, Linlin Ma, Rufei Liu, Tianzhu Zhao, Yuxuan Wei, Zixu Zhao, Wenli Cheng. Association between the ZJU index and risk of new-onset non-alcoholic fatty liver disease in non-obese participants: a Chinese longitudinal prospective cohort studyFrontiers in Endocrinology 2024; 15 doi: 10.3389/fendo.2024.1340644