Practical dietary recommendations for the prevention andmanagement of nonalcoholic fatty liver disease in adults
Journal article
George, Elena S., Forsyth, Adrienne, Itsiopoulos, Catherine, Nicoll, Amanda J., Ryan, Marno, Sood, Siddharth, Roberts, Stuart K. and Tierney, Audrey. (2018). Practical dietary recommendations for the prevention andmanagement of nonalcoholic fatty liver disease in adults. Advances in Nutrition. 9(1), pp. 30-40. https://doi.org/10.1093/advances/nmx007
Authors | George, Elena S., Forsyth, Adrienne, Itsiopoulos, Catherine, Nicoll, Amanda J., Ryan, Marno, Sood, Siddharth, Roberts, Stuart K. and Tierney, Audrey |
---|---|
Abstract | Nonalcoholic fatty liver disease (NAFLD) is the most common liver disease worldwide. In the absence of effective pharmacotherapies, clinical guidelines focus primarily on weight loss to treat this condition. Established consensus, evidence-based, and clinical dietary recommendations for NAFLD are currently lacking. The aim of this paper is to provide evidence-based practical dietary recommendations for the prevention and management of NAFLD in adults. A literature review focusing on established principles for the development of clinical practice recommendations was employed using the following criteria: based on substantial evidence, ensures risk minimization, is flexible for an individual patient approach, and is open to further modification as evidence emerges. The Practice-based Evidence in Nutrition classification system was used to grade these principles. Five key dietary recommendations were developed: 1) follow traditional dietary patterns, such as the Mediterranean diet; 2) limit excess fructose consumption and avoid processed foods and beverages with added fructose; 3) PUFAs, especially long-chain omega-3 rich foods and MUFAs, should replace SFAs in the diet; 4) replace processed food, fast food, commercial bakery goods, and sweets with unprocessed foods high in fiber, including whole grains, vegetables, fruits, legumes, nuts, and seeds; and 5) avoid excess alcohol consumption. Improving diet quality may reduce the incidence and progression of NAFLD and associated risk factors. Many of the benefits are likely to result from the collective effect of dietary patterns. High-quality research—in particular, randomized clinical trials assessing dietary interventions that focus on liver-specific endpoints—are needed as a priority. |
Keywords | non-alcoholic fatty liver disease; non-alcoholic steatohepatitis; diet; dietary recommendations; clinical guidelines |
Year | 2018 |
Journal | Advances in Nutrition |
Journal citation | 9 (1), pp. 30-40 |
Publisher | Oxford University Press |
ISSN | 2161-8313 |
Digital Object Identifier (DOI) | https://doi.org/10.1093/advances/nmx007 |
PubMed ID | 29438460 |
Scopus EID | 2-s2.0-85041701478 |
PubMed Central ID | PMC6333937 |
Page range | 30-40 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 09 Feb 2018 |
Publication process dates | |
Completed | 11 Jan 2023 |
Deposited | 05 Sep 2023 |
https://acuresearchbank.acu.edu.au/item/8z95z/practical-dietary-recommendations-for-the-prevention-andmanagement-of-nonalcoholic-fatty-liver-disease-in-adults
Restricted files
Publisher's version
43
total views0
total downloads0
views this month0
downloads this month