Adherence
Altered lifestyle interventions, specifically increased exercise and improved dietary habits, are more effective than pharmacological treatments for improving insulin sensitivity in patients with Nonalcoholic Steatohepatitis (NASH).
For individuals with fatty liver disease or NASH, focusing on lifestyle modifications—specifically increasing physical activity and improving dietary quality—is a primary strategy to improve insulin sensitivity. This approach is suggested to be potentially more effective than pharmacological attempts to correct insulin sensitivity alone. Patients should prioritize these behavioral changes as a core part of their management plan.
An altered lifestyle may be a more effective means of improving insulin sensitivity.
Why this rating
The paper is a conference summary of pathogenesis and clinical aspects, citing observational data and animal models rather than a specific high-quality RCT for the lifestyle claim itself.
Source
Nonalcoholic Steatohepatitis: Summary of An Aasld Single Topic Conference
Brent A. Neuschwander‐Tetri et al. · Hepatology · 2003
DOI 10.1053/jhep.2003.50193
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