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Dietary Composition Independent of Weight Loss in the Management of Non-Alcoholic Fatty Liver Disease.

Abstract

Poor dietary composition is an important factor in the progression of non-alcoholic fatty liver disease (NAFLD). The majority of NAFLD patients follow diets with overconsumption of simple carbohydrates, total and saturated fat, with reduced intake of dietary fiber and omega-3 rich foods. Although lifestyle modifications including weight loss and exercise remain the keystone of NAFLD management, modifying dietary composition with or without a calorie-restricted diet may also be a feasible and sustainable strategy for NAFLD treatment. In the present review article, we highlight the potential therapeutic role of a "high quality healthy diet" to improve hepatic steatosis and metabolic dysfunction in patients with NAFLD, independent of caloric restriction and weight loss. We provide a literature review evaluating the evidence behind dietary components including fiber-, meat- and omega-3-rich diets and, pending further evidence, we concur with the EASL-EASD-EASO Clinical Guidelines recommendation of the Mediterranean diet as the diet of choice in these patients.

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  • Authors+Show Affiliations

    ,

    Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, AB T6G 2X8, Canada. eslampar@ualberta.ca.

    ,

    Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, AB T6G 2X8, Canada. ptandon@ualberta.ca. Cirrhosis Care Clinic and CEGIIR, University of Alberta, Edmonton, AB T6G 2X8, Canada. ptandon@ualberta.ca.

    Division of Gastroenterology, Department of Medicine, University of Calgary, Calgary, AB T6G 2X8, Canada. mkothand@ucalgary.ca.

    Source

    Nutrients 9:8 2017 Jul 26 pg

    MeSH

    Diet, Carbohydrate-Restricted
    Diet, Fat-Restricted
    Diet, Mediterranean
    Dietary Approaches To Stop Hypertension
    Dietary Fiber
    Energy Metabolism
    Fatty Acids, Omega-3
    Feeding Behavior
    Healthy Diet
    Humans
    Non-alcoholic Fatty Liver Disease
    Nutritional Status
    Nutritive Value
    Obesity
    Probiotics
    Recommended Dietary Allowances
    Risk Reduction Behavior
    Treatment Outcome
    Weight Loss

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    28933748

    Citation

    Eslamparast, Tannaz, et al. "Dietary Composition Independent of Weight Loss in the Management of Non-Alcoholic Fatty Liver Disease." Nutrients, vol. 9, no. 8, 2017.
    Eslamparast T, Tandon P, Raman M. Dietary Composition Independent of Weight Loss in the Management of Non-Alcoholic Fatty Liver Disease. Nutrients. 2017;9(8).
    Eslamparast, T., Tandon, P., & Raman, M. (2017). Dietary Composition Independent of Weight Loss in the Management of Non-Alcoholic Fatty Liver Disease. Nutrients, 9(8), doi:10.3390/nu9080800.
    Eslamparast T, Tandon P, Raman M. Dietary Composition Independent of Weight Loss in the Management of Non-Alcoholic Fatty Liver Disease. Nutrients. 2017 Jul 26;9(8) PubMed PMID: 28933748.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary Composition Independent of Weight Loss in the Management of Non-Alcoholic Fatty Liver Disease. AU - Eslamparast,Tannaz, AU - Tandon,Puneeta, AU - Raman,Maitreyi, Y1 - 2017/07/26/ PY - 2017/06/23/received PY - 2017/07/18/revised PY - 2017/07/21/accepted PY - 2017/9/22/entrez PY - 2017/9/22/pubmed PY - 2018/5/8/medline KW - Mediterranean diet KW - dietary composition KW - non-alcoholic fatty liver disease JF - Nutrients JO - Nutrients VL - 9 IS - 8 N2 - Poor dietary composition is an important factor in the progression of non-alcoholic fatty liver disease (NAFLD). The majority of NAFLD patients follow diets with overconsumption of simple carbohydrates, total and saturated fat, with reduced intake of dietary fiber and omega-3 rich foods. Although lifestyle modifications including weight loss and exercise remain the keystone of NAFLD management, modifying dietary composition with or without a calorie-restricted diet may also be a feasible and sustainable strategy for NAFLD treatment. In the present review article, we highlight the potential therapeutic role of a "high quality healthy diet" to improve hepatic steatosis and metabolic dysfunction in patients with NAFLD, independent of caloric restriction and weight loss. We provide a literature review evaluating the evidence behind dietary components including fiber-, meat- and omega-3-rich diets and, pending further evidence, we concur with the EASL-EASD-EASO Clinical Guidelines recommendation of the Mediterranean diet as the diet of choice in these patients. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/28933748/Dietary_Composition_Independent_of_Weight_Loss_in_the_Management_of_Non_Alcoholic_Fatty_Liver_Disease_ L2 - http://www.mdpi.com/resolver?pii=nu9080800 DB - PRIME DP - Unbound Medicine ER -