24/11/2025
Interview with Dr. Ravindra Nidoni – On the Growing Threat of Fatty Liver Disease in India
Q1. Doctor, globally fatty liver disease is rising. But how serious is the situation in India?
India is standing at the edge of a major health crisis. Fatty liver disease, once thought to be a problem only among alcohol users, is now affecting teenagers, IT professionals, housewives, and even children. India is fast becoming the global capital of fatty liver.
If not addressed quickly, this silent epidemic will progress into chronic liver disease (CLD), cirrhosis, liver failure, and liver cancer. What worries me most is that today, even 20–30-year-olds are coming to clinics with early liver disease — a dangerous trend that threatens India’s workforce, productivity, and future.
Q2. What are the main causes of this rapid increase? Why is fatty liver spreading so fast in India?
The rapid westernisation of food habits and lifestyle is the main culprit. Some major factors are:
Fast food and sugary drinks available within minutes
Sedentary jobs and mental stress
Lack of exercise
Processed and packaged foods replacing home-cooked meals
Poor-quality oils and high-carbohydrate diets
Obesity and insulin resistance
Technology has made food easy, but health difficult. Today it's easier to order a pizza than to cook a healthy meal. People are physically inactive, nutritionally deficient, and metabolically stressed. This is the perfect recipe for fatty liver.
Q3. What are the possible consequences if fatty liver is ignored?
If untreated, fatty liver does not remain fatty — it progresses. The stages include:
→ Fatty Liver → Steatohepatitis → Fibrosis → Cirrhosis → Liver Failure → Liver Cancer
Once it reaches cirrhosis or portal hypertension, treatment becomes very expensive, and often the only option is liver transplantation, which is not affordable or accessible to most Indians.
That is why prevention is not just better — it is smarter and cheaper.
Q4. Do you think a National Policy is needed to prevent this fatty liver epidemic?
Yes — urgently. This is the right time for the Government of India to introduce a National Liver Health Policy. Without strong policy-level action, we may face