A call to action to address the steatotic liver disease public health threat in Barcelona.

Lazarus, Jeffrey V; Miralles-Sanchez, J Emilio; Agirre-Garrido, Leire; Brachowicz, Nicolai; Nicolàs, Aina; Armenta, Anthony; Boudou, Delfina; Rice-Duek, Lisa et al. · Lancet Reg Health Eur · 2025

review · Level V

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Abstract

Despite their high prevalence worldwide, steatotic liver diseases (SLDs) are largely excluded from most non-communicable disease (NCD) guidelines and strategies. We propose policies and strategies to achieve the United Nations Sustainable Development Goal of reducing NCD premature mortality by one-third by 2030. To assess this gap-the exclusion of SLDs from NCD policies-in urban areas, we reviewed Barcelona's strategies for NCD risks (e.g., alcohol, tobacco, healthy food access). We then explored applications of geo-spatial visualisation and whole-of-society approaches (e.g., citizen science engagement) aligned with the World Health Organization (WHO) Best Buys to provide recommendations to address NCDs, generally, and SLDs specifically.