Department of Liver Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Shanghai Engineering Research Center of Transplantation and Immunology, Shanghai, China.
Hepatol Commun. 2023 Sep 27;7(10). doi: 10.1097/HC9.0000000000000234. eCollection 2023 Oct 1.
NAFLD is the most common chronic liver disease worldwide, characterized by lipid accumulation in the liver, and usually evolves from steatohepatitis to fibrosis, cirrhosis, or even HCC. Its incidence is rapidly rising in parallel with the increasing prevalence of obesity and metabolic syndrome. Current therapies are limited to lifestyle changes including dietary intervention and exercise, in which dietary modification exerts an important part in losing weight and preventing NAFLD. In this review, we briefly discuss the roles and mechanisms of dietary components including fructose, non-nutritive sweeteners, fat, proteins, and vitamins in the progression or prevention of NAFLD. We also summarize several popular dietary patterns such as calorie-restricted diets, intermittent fasting, ketogenic diets, Mediterranean diets, and dietary approach to stop hypertension diets and compare the effects of low-fat and low-carbohydrate diets in preventing the development of NAFLD. Moreover, we summarize the potential drugs targeting metabolic-related targets in NAFLD.
非酒精性脂肪性肝病(NAFLD)是全球最常见的慢性肝病,其特征为肝脏脂肪堆积,通常由脂肪性肝炎发展为肝纤维化、肝硬化,甚至肝癌。随着肥胖症和代谢综合征的患病率不断上升,NAFLD 的发病率也在迅速上升。目前的治疗方法仅限于生活方式的改变,包括饮食干预和运动,其中饮食调整在减轻体重和预防 NAFLD 方面发挥着重要作用。在这篇综述中,我们简要讨论了饮食成分(包括果糖、非营养性甜味剂、脂肪、蛋白质和维生素)在 NAFLD 进展或预防中的作用和机制。我们还总结了几种流行的饮食模式,如热量限制饮食、间歇性禁食、生酮饮食、地中海饮食和停止高血压的饮食方法,并比较了低脂和低碳水化合物饮食在预防 NAFLD 发展方面的效果。此外,我们还总结了针对 NAFLD 代谢相关靶点的潜在药物。