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05 · Clinical Nutrition — Liver / Bile / Kidney

Non-Alcoholic Fatty Liver Disease

Nutritional intervention to reduce fat infiltration of the liver, through a Mediterranean-style diet and weight loss.

What it is

Non-alcoholic fatty liver disease is characterised by accumulation of more than 5% fat in the liver, in the form of triglycerides, that is not caused by excessive alcohol consumption or by another cause (medication-related or viral).

Symptoms

There are usually no symptoms.

Nutritional management

  • 5–10% reduction in body weight
  • Steady, gradual weight loss
  • Improvement of metabolic parameters such as glucose, lipids and blood pressure
  • Limiting saturated fats and favouring monounsaturated and omega-3 fatty acids
  • Limiting sugar and processed foods, and reducing fructose
  • Small, frequent meals
  • Aerobic exercise and resistance training

When to consult a dietitian-nutritionist

  • After a diagnosis of non-alcoholic fatty liver disease
  • When there is increased body weight or obesity
  • When there is a sedentary lifestyle or reduced physical activity
  • When a personalised nutrition plan is needed for weight loss and improved liver function
  • When education is needed on choosing foods that help reduce intake of simple sugars, saturated and trans fats
  • When multiple risk factors co-exist, such as dyslipidaemia, hypertension or insulin resistance

Have questions?

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