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Lifestyle interventions for the treatment of non-alcoholic fatty liver disease

Authors Bradford V, Dillon J, Miller M

Received 25 July 2013

Accepted for publication 2 October 2013

Published 11 December 2013 Volume 2014:6 Pages 1—10

DOI https://doi.org/10.2147/HMER.S34472

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2


V Bradford, JF Dillon, MH Miller

Gut Group, Medical Research Institute, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland

Abstract: The burden of non-alcoholic fatty liver disease (NAFLD) worldwide is a significant clinical and public health issue, affecting approximately one third of the Western population. This review assesses the effect and impact lifestyle interventions have on the treatment of this common condition. We review studies comparing the effect of calorie restriction and exercise programs, as well as comparison of lifestyle intervention with pharmaceutical intervention. Both calorie restriction and exercise programs are shown to be beneficial in improving features of metabolic syndrome and surrogate markers of NAFLD. The paucity of studies using histological improvement hinders the ability to conclude a benefit on improvement of histological NAFLD, although this is shown in a small number of studies. There is a need to extend the intervention period to show a sustained improvement with intervention as most studies have a follow up period of 12 months of less.

Keywords: NAFLD, lifestyle intervention, exercise, diet

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