NAFLD vs MASLD (Metabolic Dysfunction–Associated Steatotic Liver Disease)—Why the Need for a Change of Nomenclature? - Takeaways - MDSpire

NAFLD vs MASLD (Metabolic Dysfunction–Associated Steatotic Liver Disease)—Why the Need for a Change of Nomenclature?

  • By

  • Amalia Gastaldelli

  • Philip N Newsome

  • February 19, 2025

  • 0 min

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  • 1

    The nomenclature changed from NAFLD to MASLD to address limitations of exclusionary terms and reduce stigma associated with the previous terminology.

  • 2

    MASLD emphasizes the metabolic origin of liver disease, requiring the presence of at least one cardiometabolic risk factor for diagnosis.

  • 3

    The new category MetALD recognizes individuals with liver steatosis and increased alcohol intake, highlighting its impact on disease severity.

  • 4

    The change in nomenclature was supported by a multisociety consensus and aims to improve clarity in diagnosis and treatment of liver diseases.

  • 5

    Current guidelines do not recommend mass screening for MASLD, focusing instead on case-finding in high-risk groups with advanced fibrosis.

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