

BHUBANESWAR: Leading experts in gastroenterology and hepatology, led by Prof SP Singh, convened a meeting in the capital city recently to finalise the national guidelines for prevention of metabolic dysfunction-associated steatotic liver disease (MASLD).
The expert meeting, under the aegis of Indian National Association for the Study of the Liver (INASL), focused on developing a comprehensive, evidence-based framework for preventing MASLD at both the individual and community levels.
The deliberations included the burden of MASLD in India, India-specific risk factors and phenotypes, healthy dietary practices, physical activity, obesity and weight management, alcohol and tobacco use, screening strategies and prevention among high-risk individuals.
The proposed guidelines also emphasised the importance of public health interventions and community-based prevention along with strategies to address the growing influence of unhealthy food environments and industry practices.
Prof Singh said MASLD, formerly known as non-alcoholic fatty liver disease (NAFLD), has emerged as one of the most important public health challenges worldwide. In India, the disease is estimated to affect nearly one in three individuals, making prevention a critical healthcare priority. A particular concern is the increasing recognition of fatty liver and metabolic risk factors among children and young adults. The overarching objective is to shift the approach from merely treating established liver disease to preventing MASLD and its metabolic complications at an early stage, he said.
The national task force has a significant representation from Odisha. At least nine experts from the state are part of the group.
Experts stressed that effective prevention strategy requires coordinated efforts involving individuals, families, healthcare professionals, schools, communities and policymakers. The INASL recommendations will provide a practical roadmap for preventing MASLD in India, they said.