French Cohort for the Study of Non-invasive Tests of Liver Lesions in NAFLD/NASH (FreSH Cohort)

Inclusion Criteria:

• NAFLD diagnosis defined by the presence of at least two of the following elements:

• Liver steatosis (hyperechoic liver on hepatic ultrasound, quantification > 5.6 % by spectroscopy or MRI)

• Presence of one metabolic risk factor:

• BMI ≥ 25 kg/m2 or waist circumference ≥ 94 cm (male) / ≥ 80 cm (female)

• Antihypertensive treatment or systolic BP ≥ 130 mmHg or diastolic BP ≥ 85mmHg

• Antidiabetic treatment or fasting blood glucose ≥ 5.6 mmol/l

• Lipid-lowering treatment or triglycerides ≥ 1.71 mmol/l or HDL cholesterol <1.1 mmol/l (male) / <1.3 mmol/l (female)

• Dysmetabolic hyperferritinemia

• Anomaly in the liver enzyme test or liver function tests

• Indication for liver biopsy in the clinical management of the patient

• Obtaining the signature of the consent to participate in the study

Exclusion Criteria:

• Steatogenic treatment (corticosteroids, tamoxifen, amiodarone, methotrexate)

• Excessive alcohol consumption in the last 5 years (> 210 g / week for men or > 140 g / week for women)

• Chronic infection with hepatitis B or C

• Any evidence of other concomitant chronic liver disease

• Decompensated cirrhosis (ascites, digestive bleeding due to varicose vein rupture,liver failure, hepatocellular failure, hepato-renal syndrome)

• Hepatocellular carcinoma

• Pregnant, breastfeeding or parturient women

• Persons deprived of their liberty by judicial or administrative decision

• Persons subject to legal protection measures

• Persons unable to consent

• Refusal to participate