In nonalcoholic steatohepatitis, nutrition status is

• A. Severely malnourished
• B. Obese with less malnutrition
• C. Normal weight with less malnutrition
• D. Underweight with malnutrition

Answer: (B)

Nonalcoholic steatohepatitis is closely tied to overweight and metabolic syndrome, so the typical nutrition status is obesity from excess caloric intake and insulin resistance. Malnutrition in the sense of energy-protein deficiency is not a defining feature in most patients, though some may have reduced lean mass (sarcopenic obesity). Therefore, describing the nutrition status as obesity with relatively little malnutrition best fits the condition.