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营养与非酒精性脂肪性肝病:当前观点

Nutrition and Nonalcoholic Fatty Liver Disease: Current Perspectives.

作者信息

Chakravarthy Manu V, Waddell Thomas, Banerjee Rajarshi, Guess Nicola

机构信息

Axcella Health, Inc., 840 Memorial Drive, Cambridge, MA 02139, USA.

Perspectum Diagnostics, 23-38 Hythe Bridge Street, Oxford OX1 2ET, UK.

出版信息

Gastroenterol Clin North Am. 2020 Mar;49(1):63-94. doi: 10.1016/j.gtc.2019.09.003. Epub 2019 Dec 24.

Abstract

Nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis are diseases in their own right as well as modifiable risk factors for cardiovascular disease and type 2 diabetes. With expanding knowledge on NAFLD pathogenesis, insights have been gleaned into molecular targets for pharmacologic and nonpharmacologic approaches. Lifestyle modifications constitute a cornerstone of NAFLD management. This article reviews roles of key dietary macronutrients and micronutrients in NAFLD pathogenesis and their effects on molecular targets shared with established or emerging pharmacotherapies. Based on current evidence, a recommendation for a dietary framework as part of the comprehensive management strategy for NAFLD is provided.

摘要

非酒精性脂肪性肝病(NAFLD)和非酒精性脂肪性肝炎本身就是疾病,同时也是心血管疾病和2型糖尿病的可改变风险因素。随着对NAFLD发病机制的认识不断深入,人们已经了解到药物和非药物治疗方法的分子靶点。生活方式的改变是NAFLD管理的基石。本文综述了关键膳食常量营养素和微量营养素在NAFLD发病机制中的作用,以及它们对与现有或新兴药物疗法共有的分子靶点的影响。基于目前的证据,本文提供了一个饮食框架建议,作为NAFLD综合管理策略的一部分。

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