People often think that fatty liver disease is only a health problem affecting adults. This is a situation to worry about because fatty liver disease usually develops silently, without any noticeable symptoms. Fatty liver disease, commonly called metabolic dysfunction-associated steatotic liver disease, occurs due to excessive fat accumulation in the liver. As fatty liver disease is usually silent, most children do not complain of any symptoms or feel any distress. And those kids who have a family history of type 2 diabetes, obesity, high cholesterol or fatty liver disease may have a higher risk.