Department of Clinical Pharmacology, Medical University of Lodz, 90-153 Lodz, Poland.
Students' Research Club, Department of Clinical Pharmacology, Medical University of Lodz, 90-153 Lodz, Poland.
Nutrients. 2023 Jun 22;15(13):2838. doi: 10.3390/nu15132838.
There is a need to introduce standardized treatment options for non-alcoholic fatty liver disease (NAFLD) due to its global prevalence and the complications of this disease. Many studies have revealed that food-derived substances may be beneficial in dealing with this disease. Therefore, this review aims to evaluate the recently published studies on the food-derived treatment options for NAFLD. A comprehensive search of the PubMed database using keywords such as "NAFLD", "nutrition", "food", "derived", "therapy", and "guidelines" yielded 219 relevant papers for our analysis, published from 2004 to 2023. The results show the significant benefits of food-derived treatment in NAFLD therapy, including improvements in liver histology, hepatic fat amounts, anthropometric measures, lipid profile, and other metabolic measures. The availability of the substances discussed makes them a significant adjuvant in the treatment of this disease. The usefulness of Viusid as additional therapy to diet and physical activity should be emphasized due to improvements in liver histology; however, many other substances lead to a decrease in liver fat amounts including, e.g., berberine or omega-3 fatty acids. In addition, the synbiotic Protexin seems to be useful in terms of NAFLD treatment, especially because it is effective in both obese and lean subjects. Based on the latest research results, we suggest revising the therapeutic recommendations for patients suffering from NAFLD.
由于非酒精性脂肪性肝病 (NAFLD) 的全球患病率及其并发症,有必要引入标准化的治疗方案。许多研究表明,食物衍生物质可能对治疗这种疾病有益。因此,本综述旨在评估最近发表的关于 NAFLD 食物衍生治疗方法的研究。通过使用“NAFLD”、“营养”、“食物”、“衍生”、“治疗”和“指南”等关键词,对 PubMed 数据库进行全面搜索,共获得 219 篇相关论文,发表时间为 2004 年至 2023 年。结果表明,食物衍生治疗在 NAFLD 治疗中具有显著益处,包括改善肝脏组织学、肝内脂肪量、人体测量指标、血脂谱和其他代谢指标。所讨论物质的可用性使它们成为治疗这种疾病的重要辅助手段。由于改善了肝脏组织学,应该强调将 Viusid 作为饮食和体育锻炼的附加疗法的用处;然而,许多其他物质,如小檗碱或ω-3 脂肪酸,可导致肝脂肪量减少。此外,益生菌 Protexin 似乎在 NAFLD 治疗方面也很有用,特别是因为它对肥胖和瘦人群体都有效。基于最新的研究结果,我们建议修订患有 NAFLD 患者的治疗建议。