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Non-alcoholic fatty liver disease (NAFLD) is considered as a well-known disease which is determined by without using alcohol. There is high prevalence of non-alcoholic fatty liver in the community and this condition potentially can progress to hepatic cirrhosis and hepatic defect.
Keywords: Non-Alcoholic Fatty Liver; Obesity; Patients; Weight loss
Non-alcoholic fatty liver not only is a chronic hepatic disease but also it predisposed to development of diabetes type II. Also, in some studies the non-alcoholic fatty liver is related to 138-144 cardiovascular diseases. It is important to know the risk factors which result in non-alcoholic fatty liver because prevention of these risk factors can reduce the risk of non-alcoholic fatty liver. The relationship between nutrition to non-alcoholic fatty liver in human and animal has been confirmed.
Nevertheless, most observational and retrospective studies have been done in this field. Therefore, the nutritional studies relate to dietary recall have some restrictions such as more or less estimation for taking the food. For removing these restrictions, various recalls should be obtained from patient with non-alcoholic fatty liver.145 Also, the large prospective studies and more clinical trials shall be performed for determining the correlation between non-alcoholic fatty liver and nutrition. Today, there is not any stable recommendation as therapeutic strategy for patients 124,125 ies about non-alcoholic fatty liver). With regard to the available data, the weight loss more than 5-10% results in the decreased level of steatosis.146 In addition, the healthy nutrition is very important in these diseases. Therefore, these patients should be instructed about the way of healthy nutrition. The patients should be recommended that not only decrease the rate of consumption the trans and saturated fatty acids but also they should increase intake of the polyunsaturated fatty acids, specially omega 3. Patients with non-alcoholic fatty liver should decrease drinking the sweetened beverages and also they should increase consuming the vegetables and fruits rich of fiber.147 They should reduce to consume the red meat and fast foods; however, eating the fish should be increased. Physical activity should be considered as a part of treatment. Increasing the duration of physical activity causes significantly improvement in non-alcoholic fatty liver.148 The treatment team for patients with this disease should be consisted of dietician, psychology, and expert of physical exer- 129-131 149-151 cise so as to achieve the therapeutic purposes.
The authors declare that they have no conflicts of interest.