Consistent with this finding, 2 cross-sectional studies found absolute fat intake to be similar in children with absent, mild, and moderate to severe NAFLD (9, 10), 1 study found no difference in percentage fat intake by ALT status (11), and another study reported no significant differences between children with steatosis compared with steatohepatitis for fraction of energy from fat (12). This evidence concerns the gene GPT and metabolic dysfunction-associated steatotic liver disease.