[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"article-detail-en-fatty-liver-prevalence-china-adults-tqvn":3,"wwai-promo-links":54},{"lang":4,"article":5,"alternate":19,"related":24,"latest":33},"en",{"id":6,"slug":7,"title":8,"content":9,"summary":10,"thumbnail":11,"metaDescription":12,"metaKeywords":13,"created":14,"modified":14,"author":15,"authorEn":15,"categoryId":16,"commentCount":17,"thumbnailToContent":18},13778,"fatty-liver-prevalence-china-adults-tqvn","Fatty Liver Overtook Hepatitis B: 3 in 10 Chinese Adults","\u003Cp style=\"margin:0 0 18px;\">For most of the past half-century, the chronic liver disease weighing on Chinese hospitals was viral. Hepatitis B was the prototype and the main burden.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Then vaccination arrived at scale. Mother-to-child transmission was blocked. Antiviral treatment became routine. On the Chinese account of the shift, the country's viral hepatitis burden has improved markedly.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Something else has been growing into the space that left behind.\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>The disease that replaced hepatitis B\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Lifestyles changed first. Excess weight and metabolic disease stopped being exceptional. The condition long nicknamed the \"disease of affluence\" — fatty liver — has now overtaken viral hepatitis as China's most common chronic liver disease.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Two figures mark the ground it now covers. The National Health Commission puts the combined overweight and obesity rate among Chinese adults at 50.7%.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">In 2025, the primary-care guideline for metabolic dysfunction-associated steatotic liver disease (MASLD) estimated prevalence in the general population at about 29.7%. That is roughly three people in every ten.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Three in ten is not a rounding error, and it is not a sub-group. It is the population average.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261109\u002Fabec59cdab1044c2bcfe215aa01960dc.webp\" alt=\"Ten human silhouettes in one row, three lit warm gold — three fatty liver cases among every ten Chinese adults\">\u003C\u002Fp>\n\u003Cfigure class=\"table\">\n \u003Ctable style=\"border-collapse:collapse;color:#333;font-size:14px;margin:18px 0;max-width:680px;width:100%;\">\n  \u003Ctbody>\n   \u003Ctr>\n    \u003Cth style=\"background-color:#f7f7f7;border:1px solid #ddd;padding:9px 10px;text-align:left;\">Population\u003C\u002Fth>\n    \u003Cth style=\"background-color:#f7f7f7;border:1px solid #ddd;padding:9px 10px;text-align:left;\">What was measured\u003C\u002Fth>\n    \u003Cth style=\"background-color:#f7f7f7;border:1px solid #ddd;padding:9px 10px;text-align:left;\">Figure\u003C\u002Fth>\n   \u003C\u002Ftr>\n   \u003Ctr>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">Chinese adults\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">Overweight plus obesity combined\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">50.7%\u003C\u002Fth>\n   \u003C\u002Ftr>\n   \u003Ctr>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">General population\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">MASLD prevalence estimate, 2025 primary-care guideline\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">29.7% (about 3 in 10)\u003C\u002Fth>\n   \u003C\u002Ftr>\n   \u003Ctr>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">25,736 community adults\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">Steatotic liver disease detected, September 2026 study\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">43.7%\u003C\u002Fth>\n   \u003C\u002Ftr>\n   \u003Ctr>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">Same cohort\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">MASLD among all participants\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">39.5%\u003C\u002Fth>\n   \u003C\u002Ftr>\n   \u003Ctr>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">Over 16,000 children and adolescents with overweight or obesity\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">Fatty liver prevalence, 2025 study\u003C\u002Fth>\n    \u003Cth style=\"border:1px solid #ddd;padding:9px 10px;\">43%\u003C\u002Fth>\n   \u003C\u002Ftr>\n   \u003Ctr>\n    \u003Cth style=\"border:1px solid #ddd;color:#888;font-size:12px;padding:9px 10px;\" colspan=\"3\">MASLD: metabolic dysfunction-associated steatotic liver disease.\u003C\u002Fth>\n   \u003C\u002Ftr>\n  \u003C\u002Ftbody>\n \u003C\u002Ftable>\n\u003C\u002Ffigure>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>What three in ten looks like on a slide\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">The name is literal. Fat accumulates inside liver cells, and the cells fill with clear droplets that push the rest of their contents aside. On a stained section the change is visible at low power, which is why the condition is so often found by accident rather than by intent.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261109\u002Ffd54fd7379fa487c91c83785e5368227.webp\" alt=\"img_02.webp\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>September 2026: 43.7% of 25,736 community adults\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">In September 2026, The Lancet Gastroenterology & Hepatology published a Chinese study that looked for liver fat in 25,736 community-dwelling adults. Steatotic liver disease was detected in 43.7% of them. Within that group, MASLD accounted for 39.5%.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The two figures are not describing the same thing. 29.7% is a prevalence estimate for the general population; 43.7% is what active screening found in a large community sample. Read together, they bracket how widely the condition is distributed.\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>It is not only a disease of the middle-aged and elderly\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">The 2025 guideline was written for adults. The paediatric data is sharper. A 2025 study of more than 16,000 Chinese children and adolescents who were overweight or obese found fatty liver in 43% of them — a prevalence that sits in the same range as the adult screening result, in a group far younger than the one the guideline was designed around.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261109\u002F1be80dc8944a47238dec28ca82ceee58.webp\" alt=\"img_03.webp\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>The burden has changed places\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Viral hepatitis receded because prevention and treatment were pushed out at scale. Fatty liver rose from the other direction, through the same shifts in body weight and metabolic health that the 50.7% headline describes. The order of the two has now flipped: fatty liver is the first chronic liver disease in China, and the numbers that displaced hepatitis B are the ones above — 29.7% of the general population, 43.7% of a screened community cohort, 43% of children and adolescents with obesity.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Fat is not abstract once you can see it. WWAI pairs a virtual microscope with an AI biology tutor, so you can ask questions about cells and tissues and then open a slide: including a human adipose tissue specimen stained with Sudan III, where the lipid droplets inside each fat cell stain orange-red and the nuclei sit squeezed against the cell wall. Search WWAI in your app store to begin.\u003C\u002Fp>\n\u003Cdiv class=\"dp-template-card\" style=\"border-radius:8px;box-shadow:0 2px 8px rgba(0,0,0,0.1);margin:10px 0;max-width:100%;overflow:hidden;width:100%;\">\n \u003Ca style=\"display:block;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Fwwai\" target=\"_blank\">\u003Cimg class=\"image_resized\" style=\"display:block;height:auto;max-width:100%;width:100%;\" src=\"\u002Fattachment\u002F20261027\u002F6b03875138a0485aac2b260f143d99d2.png\" alt=\"6b03875138a0485aac2b260f143d99d2\">\n  \u003Cbutton style=\"align-items:center;background-color:#19c8bc;border-radius:0 0 25px 25px;border-style:none;color:#100f0f;cursor:pointer;display:flex;font-family:Arial;font-size:20px;height:40px;justify-content:center;padding:0;width:100%;\">Get the Wwai App\u003C\u002Fbutton>\u003C\u002Fa>\n\u003C\u002Fdiv>\n\u003Cp style=\"color:#111;margin:28px 0 8px;\">\u003Cstrong>Related reading\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fkidney-liver-regeneration-difference-psfn\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20261003\u002Ffbbf5c6cf48341c191986d19d855164d.webp\" alt=\"One Kidney vs Liver Regeneration: Why They Differ\">\u003C\u002Fa>\u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fkidney-liver-regeneration-difference-psfn\">\u003Cstrong>One Kidney vs Liver Regeneration: Why They Differ\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fchina-diabetes-carb-diet-pznh\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20261007\u002F167908b744d14bc587c2e29e5c29a245.webp\" alt=\"Why Does China Have So Many Diabetics?\">\u003C\u002Fa>\u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fchina-diabetes-carb-diet-pznh\">\u003Cstrong>Why Does China Have So Many Diabetics?\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fretatrutide-triumph2-obesity-zfqk\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20261002\u002Fcd00597fc91a4b1baf9697c072a4117d.webp\" alt=\"Weekly Shot, 27.6 kg Off in Type-2 Diabetes\">\u003C\u002Fa>\u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fretatrutide-triumph2-obesity-zfqk\">\u003Cstrong>Weekly Shot, 27.6 kg Off in Type-2 Diabetes\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>References\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">National Health Commission of the People's Republic of China. Report on Nutrition and Chronic Disease Status of Chinese Residents (2020).\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Guideline for the diagnosis and management of metabolic dysfunction-associated steatotic liver disease in primary care (2025).\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The Lancet Gastroenterology & Hepatology, September 2026 — community screening study of steatotic liver disease in 25,736 Chinese adults.\u003C\u002Fp>","","\u002Fattachment\u002F20261109\u002Fb4033a689257428ba1a31890dfcda69e.webp","Fatty liver prevalence in China: 29.7% of adults, 43.7% in a 25,736-person study, 43% of children with obesity. See the fat in a virtual microscope.","stellarx, wwai, fatty liver, MASLD, steatotic liver disease, liver, virtual microscope","2026-11-09 22:13:30","Science Guide Wwai",77,0,true,{"id":20,"slug":21,"title":22,"lang":23},13787,"giraffe-okapi-neck-bones-mhzd","為什麼哺乳動物都有七塊頸椎？長頸鹿與霍加狓的同一副脖子","zh",{"prev":25,"next":29},{"id":26,"slug":27,"title":28,"categoryId":16},13781,"high-fat-diet-inflammatory-memory-jqvn","Four Days of High-Fat Diet Can Rewrite Skin Immune Memory",{"id":30,"slug":31,"title":32,"categoryId":16},13771,"giant-virus-euglena-volvox-classification-kdvm","Giant Virus, Euglena, Volvox: Three Unclassifiable Lives",[34,39,44,49],{"id":35,"slug":36,"title":37,"thumbnail":38,"categoryId":16},13907,"gentle-killer-rebirth-revenge-en","He Is Not a Player, He Is a Gentle Killer","\u002Fattachment\u002F20261112\u002F40ab738489df4a9cbac0defdb97f6806.webp",{"id":40,"slug":41,"title":42,"thumbnail":43,"categoryId":16},13903,"comment-section-lives-en","She Lives in the Comment Section, 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