Practical approaches to the nutritional management of nonalcoholic fatty liver disease

Leila Freidoony, Indeok Kong

Research output: Contribution to journalReview article

Abstract

Nonalcoholic fatty liver disease (NAFLD) is the hepatic manifestation of metabolic syndrome and a serious health burden worldwide which increases risk of cirrhosis, type 2 diabetes mellitus (T2DM), and cardiovascular complications. Current epidemics of obesity, unhealthy dietary patterns, and sedentary lifestyles, all contribute to the high prevalence of NAFLD. Dietary patterns and nutrients are important contributors to the development, progression, and treatment of NAFLD. A healthy diet is beneficial for all NAFLD patients beyond weight reduction. Generally, hypercaloric diets, especially rich in trans/saturated fat and cholesterol, high consumption of red and processed meat, and fructose-sweetened beverages seem to increase the risk of progression toward nonalcoholic steatohepatitis (NASH), whereas reducing caloric intake and high-glycemic index (GI) foods, increasing consumption of monounsaturated fatty acids, omega-3 fatty acids, fibers, and specific protein sources such as fish and poultry have preventive and therapeutic effects. Therefore, nutrition serves as a major route of prevention and treatment of NAFLD, and patients with NAFLD should have an individualized diet recommendation. In this review, the evidence linking macronutrients to NAFLD are discussed.

Original languageEnglish
Pages (from-to)192-197
Number of pages6
JournalIntegrative Medicine Research
Volume3
Issue number4
DOIs
Publication statusPublished - 2014 Jan 1

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Diet
Sedentary Lifestyle
Glycemic Index
Food
Monounsaturated Fatty Acids
Non-alcoholic Fatty Liver Disease
Beverages
Omega-3 Fatty Acids
Therapeutic Uses
Poultry
Energy Intake
Fructose
Type 2 Diabetes Mellitus
Weight Loss
Fishes
Fibrosis
Obesity
Fats
Cholesterol
Liver

All Science Journal Classification (ASJC) codes

  • Complementary and alternative medicine

Cite this

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abstract = "Nonalcoholic fatty liver disease (NAFLD) is the hepatic manifestation of metabolic syndrome and a serious health burden worldwide which increases risk of cirrhosis, type 2 diabetes mellitus (T2DM), and cardiovascular complications. Current epidemics of obesity, unhealthy dietary patterns, and sedentary lifestyles, all contribute to the high prevalence of NAFLD. Dietary patterns and nutrients are important contributors to the development, progression, and treatment of NAFLD. A healthy diet is beneficial for all NAFLD patients beyond weight reduction. Generally, hypercaloric diets, especially rich in trans/saturated fat and cholesterol, high consumption of red and processed meat, and fructose-sweetened beverages seem to increase the risk of progression toward nonalcoholic steatohepatitis (NASH), whereas reducing caloric intake and high-glycemic index (GI) foods, increasing consumption of monounsaturated fatty acids, omega-3 fatty acids, fibers, and specific protein sources such as fish and poultry have preventive and therapeutic effects. Therefore, nutrition serves as a major route of prevention and treatment of NAFLD, and patients with NAFLD should have an individualized diet recommendation. In this review, the evidence linking macronutrients to NAFLD are discussed.",
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Practical approaches to the nutritional management of nonalcoholic fatty liver disease. / Freidoony, Leila; Kong, Indeok.

In: Integrative Medicine Research, Vol. 3, No. 4, 01.01.2014, p. 192-197.

Research output: Contribution to journalReview article

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