Macro partitioning
Adherence to a Mediterranean diet improves liver steatosis and metabolic parameters, and is the only diet pattern recommended as potential therapy for MASLD by major scientific societies.
Adopt a Mediterranean diet pattern: fill half your plate with vegetables, use olive oil as your primary fat, eat whole grains, and include fish and legumes regularly. Limit red meat and sweets. This pattern is the only one officially recommended for treating MASLD because it improves liver fat, blood sugar, and cholesterol simultaneously.
Evidence suggests the role of dietary modifications in the prevention and management of cardiovascular risk factors... adherence to the Mediterranean diet can improve lipid profile as well as blood pressure, insulin resistance and serum markers of inflammation... There is strong evidence linking this diet to the improvement of liver steatosis, even in the absence of weight loss... the Mediterranean diet is the only diet recommended as a potential therapy for MASLD by several scientific societies
Why this rating
Supported by systematic reviews, network meta-analyses, and guidelines.
Source
Treatment Options and Continuity of Care in Metabolic-associated Fatty Liver Disease: A Multidisciplinary Approach
Carmen Lara et al. · European Cardiology Review · 2024
DOI 10.15420/ecr.2023.34
More from this paper
- Weight loss of 7-10% is required to improve histological disease activity and features of MASLD, while 3-5% weight loss stabilizes or improves fibrosis in normal-weight patients.Good
- Moderate-to-vigorous physical activity (150-200 minutes/week) reduces intrahepatic lipid and improves MASLD outcomes, with vigorous exercise offering full benefits for steatohepatitis and fibrosis.Good
- Excessive fructose consumption (e.g., >7 sugary drinks/week) is associated with hepatic fibrosis independent of calorie intake, and fructose-restricted diets decrease liver triglycerides.Good
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