Lipids & metabolic liver disease

Risk of metabolic dysfunction-associated steatotic liver disease and hepatic fibrosis: a large-scale study from the Middle East

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

Reliance solely on metabolic risk-based case finding may miss individuals at risk of advanced fibrosis, highlighting the value of broader fibrosis risk assessment strategies.

Study context

Population
Adults attending Dubai Academic Health Corporation, January 2018–August 2023
Outcome
Prevalence of MASLD risk factors (T2D; obesity with ≥1 cardiometabolic risk factor; and/or raised ALT) and moderate-high risk of advanced fibrosis by FIB-4 (≥1.3 for <65 years; ≥2.0 for ≥65 years)
Methodological detailsmulticenter, real-world cohort
  • Multicenter
  • Real-world cohort

Main finding

As reported in the abstract

At risk of MASLD; moderate-high risk of advanced fibrosis

Screened at risk of MASLD

n = 46,412, 49.0%

Moderate-high risk of advanced fibrosis among those at risk of MASLD

21.7%

Moderate-high risk of fibrosis among those without MASLD risk factors, including those without obesity

15.0%

Observational data: associations, not effects.

Original publication

Risk of metabolic dysfunction-associated steatotic liver disease and hepatic fibrosis: a large-scale study from the Middle East. Int J Obes (Lond). Published 30 June 2026. doi:10.1038/s41366-026-02154-8

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