INS and metabolic dysfunction-associated steatotic liver disease: Given that overweight or obese adolescents have a greater NAFLD risk profile (i.e., hyperinsulinemia and lower insulin sensitivity) than their normal-weight peers [15], it would be useful to learn whether the association between body fat distribution parameters and NAFLD is independent of lifestyle factors closely associated with obesity such as cardiorespiratory fitness (CRF) or a healthy diet.