The Surfers are joined by Jeff McIntyre of the Global Liver Institute (GLI) for a thought-provoking impromptu session on what’s happening thus far for the Fatty Liver field in 2023.

Roger Green begins this conversation by introducing a timely Lancet paper which coincided with the previous episode’s focus on pediatric and adolescent NAFLD and NASH. The US-based study suggests that in five randomly allocated centers from 2002 to 2018, annual increase in incidence of Type-2 diabetes among 10-19 year-olds was a staggering 5% per year. He connects these findings to aforementioned ideas around public health policy and nutrition. Louise Campbell comments on how this influences the public perspective of Type-2 diabetes and the role of family history. Jörn Schattenberg adds that “genes are one thing” but the passing of behavior from generation to generation as a function of educational influence is a serious socioeconomic issue to consider. In closing, Jeff suggests that a critical predictor of whether a child is going to be obese is whether the parents are overweight or obese.

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