Mixed
A green-Mediterranean diet (enriched with Mankai, green tea, and walnuts, and restricted in red/processed meat) significantly reduces intrahepatic fat (IHF) and NAFLD prevalence more effectively than standard Mediterranean or healthy dietary guidelines, independent of weight loss.
To maximize liver fat loss, adopt a Mediterranean-style diet that specifically includes 28g of walnuts daily, 3-4 cups of green tea, and Wolffia globosa (Mankai) if available, while strictly limiting red and processed meats. This specific combination reduces liver fat twice as much as a standard Mediterranean diet, even when weight loss is similar. Ensure you engage in moderate aerobic exercise.
green- MED group achieved almost double IHF% loss (−38.9% proportionally), as compared with MED (−19.6% proportionally; p=0.035 weight loss adjusted) and HDG (−12.2% proportionally; p<0.001)... NAFLD prevalence declined to: 54.8% (HDG), 47.9% (MED) and 31.5% (green- MED, p=0.012 between groups).
Why this rating
Randomized controlled trial with high retention (89.8%), objective imaging (MRS), and statistical adjustment for weight loss.
Source
Effect of green-Mediterranean diet on intrahepatic fat: the DIRECT PLUS randomised controlled trial
Anat Yaskolka Meir et al. · Gut · 2021
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