Which anthropometric measurement/ratio is a better predictor of non-alcoholic fatty liver disease?

Background: and aims: The purpose of this study is to determine which anthropometric measurement and ratio (BMI, waist circumference, hip circumference, waist-to-hip ratio, neck circumference, waist-height ratio, body shape index, body roundness index, visceral adiposity index) is a better indicator in healthy individuals with NAFLD and their biochemical parameters. Methods: : The study included 41 healthy persons diagnosed with non-alcoholic fatty liver disease between the ages of 30-64 in the gastroenterology outpatient clinic of Ankara Gülhane Training and Research Hospital. In the study, subjects were interviewed face-to-face using a questionnaire form that asked about their socio-demographic traits, anthropometric measurements, and biochemical markers. Results: Individuals with NAFLD had greater triglyceride, VLDL cholesterol, AST, ALT, and GGT levels than healthy people, as well as lower HDL cholesterol levels (p<0,05). persons with NAFLD had higher averages of body weight, BMI, waist circumference, waist/height, hip circumference, waist/hip, neck circumference, body fat mass, body shape index, body roundness index, and visceral fat index than healthy persons (p<0,05). Waist circumference, BMI, waist/height ratio, body roundness index, and visceral adiposity index are the anthropometric parameters with the greatest performance requirements that can be employed in persons with NAFLD. Conclusion: Conclusion; It is believed that following patients at risk for NAFLD under the supervision of dietitians and using these anthropometric measurements will play a useful role in preventing the disease's course, progression, and consequences. ClinicalTrials.gov Identifier: NCT05810506.