2022
DOI: 10.14309/ajg.0000000000001885
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A Freshwater Fish-Based Diet Alleviates Liver Steatosis by Modulating Gut Microbiota and Metabolites: A Clinical Randomized Controlled Trial in Chinese Participants With Nonalcoholic Fatty Liver Disease

Abstract: INTRODUCTION: We aimed to assess the effects of 2 isoenergetic intervention diets (a freshwater fish-based diet [F group] or freshwater fish-based and red meat-based diets alternately [F/M group]) on liver steatosis and their relationship with intestinal flora in patients with nonalcoholic fatty liver disease (NAFLD). METHODS:In this open-label, 84-day randomized controlled trial, 34 NAFLD patients with hepatic steatosis ‡10% were randomly assigned to the F group or F/M group in a 1:1 ratio using a computer-g… Show more

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Cited by 15 publications
(11 citation statements)
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“…Clinical trial was another hot topic detected in burst detection analysis. Among the current clinical trials, the most popular intervention is lifestyle intervention, including shifts in dietary patterns ( 38 40 ) and exercise ( 41 , 42 ), while intrahepatic fat loss, changes in serum biomarkers or gut microbiota are the most common primary outcomes. Additional supplemental dietary fiber ( 43 , 44 ), fecal microbiota transplantation ( 45 ), probiotics ( 46 ), and some antibiotics ( 47 , 48 ), have also received considerable attention.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Clinical trial was another hot topic detected in burst detection analysis. Among the current clinical trials, the most popular intervention is lifestyle intervention, including shifts in dietary patterns ( 38 40 ) and exercise ( 41 , 42 ), while intrahepatic fat loss, changes in serum biomarkers or gut microbiota are the most common primary outcomes. Additional supplemental dietary fiber ( 43 , 44 ), fecal microbiota transplantation ( 45 ), probiotics ( 46 ), and some antibiotics ( 47 , 48 ), have also received considerable attention.…”
Section: Discussionmentioning
confidence: 99%
“…The search strategies was as follows: TS= (NASH) OR TS= (nonalcoholic steatohepatitis) OR TS= (nonalcoholic steatohepatitis) OR TS= (NAFLD) OR TS= (non-alcoholic fatty liver disease) OR TS= (nonalcoholic fatty liver disease)OR TS=(MAFLD) OR TS= (metabolic associated fatty liver disease))AND ((TS= Liver (Topic) or TS= (hepatic*)) AND (TS= (gastro* micro*) or TS= (gastro* flora*) or TS=(gut micro*) or TS=(gut flora) or TS= (intestin * micro*) or TS=(intestin * flora))) OR (TS=(gut−liver axis) or TS=(gut liver axis)).We totally retrieved 2037 records. Then we eliminated invalid documents, including meeting abstracts (88), editorial materials (38), corrections (6), and letters (14). By this filter, 1891 records were included, of which articles (1209) accounted for 63.93% of the total, followed by reviews (682, 36.06%).…”
Section: Data Extractionmentioning
confidence: 99%
“…The beneficial effects of PUFA intake included increasing ω-3 PUFA and decreasing of SFA and ω-6/ω-3 PUFA ratio. However, these effects may be masked by the deleterious effects of heme iron, resulting in an insignificant association between DFP2 and NAFLD ( 51 ). Our results suggested a diverse diet characterized by red meat intake may not increase NAFLD risk.…”
Section: Discussionmentioning
confidence: 99%
“…62 Diet modulation has also been shown to be beneficial in reducing liver fat content (LFC). 63,64 There are nine additional lifestyle intervention trials investigating the efficacy of intermittent fasting or time-restricted feeding, low-carbohydrate or low-fat diet, aerobic exercise, and web-based care models in the treatment of NAFLD, which are either ongoing or completed in China (Table 3).…”
Section: Advances In Nafld/nash Treatment Regimens In Chinamentioning
confidence: 99%
“…In a randomized controlled trial (RCT) enrolling 220 Chinese patients with NAFLD, both vigorous exercise and moderate exercise were equally effective in reducing intrahepatic triglyceride content, and the effects were largely mediated via weight loss 62 . Diet modulation has also been shown to be beneficial in reducing liver fat content (LFC) 63,64 . There are nine additional lifestyle intervention trials investigating the efficacy of intermittent fasting or time‐restricted feeding, low‐carbohydrate or low‐fat diet, aerobic exercise, and web‐based care models in the treatment of NAFLD, which are either ongoing or completed in China (Table 3).…”
Section: Advances In Nafld/nash Treatment Regimens In Chinamentioning
confidence: 99%