对抗肥胖相关肝病的营养策略:医学营养治疗在代谢功能障碍相关脂肪变性肝病(MASLD)管理中的作用

IF 9.5 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Current Obesity Reports Pub Date : 2025-01-11 DOI:10.1007/s13679-024-00597-6
Daniel Simancas-Racines, Giuseppe Annunziata, Ludovica Verde, Federica Fascì-Spurio, Claudia Reytor-González, Giovanna Muscogiuri, Evelyn Frias-Toral, Luigi Barrea
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引用次数: 0

摘要

综述目的:这篇叙述性综述探讨了药物营养治疗(MNT)在治疗代谢相关脂肪变性肝病(MASLD)中的作用,MASLD以前被称为非酒精性脂肪性肝病。它的目的是检查特定的营养策略在预防和治疗这种肥胖相关的肝脏疾病的有效性。最新发现:新出现的证据强调了地中海饮食、低碳水化合物饮食和间歇性禁食在减少肝脏脂肪、改善胰岛素敏感性和减轻炎症方面的益处。补充维生素E、omega-3脂肪酸和水飞蓟素可以潜在地减少肝纤维化,促进肝脏健康。MNT是MASLD管理的关键干预措施,强调饮食模式、热量限制和营养补充。将这些策略与生活方式的改变相结合,包括定期的身体活动,为改善MASLD患者的代谢和肝脏预后提供了全面的方法。需要进一步的研究来完善和个性化这些治疗干预措施。
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Nutritional Strategies for Battling Obesity-Linked Liver Disease: the Role of Medical Nutritional Therapy in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) Management.

Purpose of review: This narrative review explores the role of Medical Nutritional Therapy (MNT) in managing Metabolic-Associated Steatotic Liver Disease (MASLD), previously known as nonalcoholic fatty liver disease. It aims to examine the effectiveness of specific nutritional strategies in preventing and treating this obesity-linked liver disease.

Recent findings: Emerging evidence underscores the benefits of the Mediterranean diet, low-carbohydrate diets, and intermittent fasting in reducing liver fat, improving insulin sensitivity, and mitigating inflammation. Supplementing with vitamin E, omega-3 fatty acids, and silymarin can potentially reduce liver fibrosis and promote liver health. MNT is a key intervention for MASLD management, emphasizing dietary patterns, caloric restriction, and nutraceutical supplementation. Integrating these strategies with lifestyle modifications, including regular physical activity, offers a comprehensive approach to improving metabolic and liver outcomes in patients with MASLD. Further research is needed to refine and personalize these therapeutic interventions.

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来源期刊
Current Obesity Reports
Current Obesity Reports Medicine-General Medicine
CiteScore
16.40
自引率
1.10%
发文量
25
期刊介绍: The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.
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