•评估具有振动控制的NAFLD患者的纤维化风险 - 振动控制术(VCTE)Orenhancedliver纤维化(ELF)得分(gradeB; intermediateSoe)。•在具有不确定或高风险的无创结果(FIB-4> 1.3,肝脏僵硬度测量升高或阳性ELF结果)(B级; B级; InterMideiate Soe)时,将患者转介患者将患者推荐给专家。•在患有NAFLD的人(A级;高/中级SOE)中治疗心脏代谢疾病。•建议对肥胖过量和NAFLD(A级;中级SOE)的人进行饮食改造和体育锻炼(150分钟/周)。• Initiate pioglitazone and/or glucagon-like peptide 1 receptor agonists (GLP1RAs), especially in type 2 diabetes and biopsy- proven nonalcoholic steatohepatitis (NASH), and strongly consider adjunctive obesity pharmacotherapy with lifestyle modifications for individuals with obesity, diabetes, and NAFLD (grade A; high/intermediate SOE).•考虑减肥手术以在体重指数> 35(B级;中级/弱SOE)的人中治疗NAFLD。