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Mediterranean diet and nonalcoholic fatty liver disease
Open accessAbstract
Nonalcoholic fatty liver disease (NAFLD) is emerging as the most common chronic liver disease, and is characterized by a wide spectrum of fat-liver disorders that can result in severe liver disease and cirrhosis. Inflammation and oxidative stress are the major risk factors involved in the pathogenesis of NAFLD. Currently, there is no consensus concerning the pharmacological treatment of NAFLD. However, lifestyle interventions based on exercise and a balanced diet for quality and quantity, are considered the cornerstone of NAFLD management. Mediterranean diet (MD), rich in polyunsaturated fats, polyphenols, vitamins and carotenoids, with their anti-inflammatory and anti-oxidant effects, has been suggested to be effective in preventing cardiovascular risk factors. In adults, MD has also been demonstrated to be efficacious in reducing the risk of metabolic syndrome. However, few studies are available on the effects of the MD in both adult and pediatric subjects with NAFLD. Thus, the aims of the present narrative review are to analyze the current clinical evidence on the impact of MD in patients with NAFLD, and to summarize the main mechanisms of action of MD components on this condition.
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“omega-3 PUFAs, specifically eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), which are renowned for their antioxidant and anti-inflammatory properties (95–97).”
From Diet and physical exercise as key players to tackle MASLD through improvement of insulin resistance and metabolic flexibility (2024) · cites this paper as [96]
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“Those who followed a Mediterranean diet showed a better decrease of liver transaminase, body mass index (BMI) changes, and improvement in IR [152, 153].”
Background
Metadata
- Authors
- Anania, C., Perla, F. M., Olivero, F., Pacifico, L., & Chiesa, C.
- Affiliations
- Policlinico Umberto I (IT)
- Corresponding author
- Chiesa, Claudio
- Venue
- World Journal of Gastroenterology
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2018-05-21
- Volume
- 24
- Issue
- 19
- Pages
- 2083-2094
- ISSN
- 1007-9327 (ISSN-L)
- PMC
- PMC5960814
- OpenAlex
- W2803151742
- Cited by
- 353
- References
- 112
- Citations by year
- 2026: 23 · 2025: 45 · 2024: 46 · 2023: 47 · 2022: 33 · 2021: 42 · 2020: 39 · 2019: 30 · 2018: 18
- FWCI
- 4.61
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Gastroenterology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Hepatology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Keywords
- Mediterranean diet, non-alcoholic fatty liver disease, polyphenols, polyunsaturated fatty acids, carotenoids, anti-inflammatory activity, antioxidant activity, oxidative stress, inflammation, metabolic syndrome, cardiovascular risk, lifestyle intervention, pediatric NAFLD, pathogenesis
- MeSH terms
- Gastrointestinal Microbiome, Adult, Child, Humans, Life Style, Lipids, Liver, Patient Compliance, Risk Factors, Exercise, Treatment Outcome, Oxidative Stress, Diet, Mediterranean, Lipid Metabolism, Non-alcoholic Fatty Liver Disease
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