Abstract

Nutritional supplementation for nonalcohol-related fatty liver disease: a network meta-analysis.

Highlights

  • The prevalence of non-alcohol-related fatty liver disease (NAFLD) varies between 19% and 33% in di erent populations

  • We propose registry-based randomised clinical trials or cohort multiple randomised clinical trials comparing interventions such as vitamin E, prebiotics/probiotics/synbiotics, polyunsaturated fatty acid (PUFA), and no nutritional supplementation

  • The reason for the choice of interventions is the impact of these interventions on indirect outcomes, which may translate to clinical benefit

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Summary

Introduction

The prevalence of non-alcohol-related fatty liver disease (NAFLD) varies between 19% and 33% in di erent populations. Prevalence of NAFLD varies between 19% and 33% in di erent populations, depending upon ethnicity, region of origin ( among people of similar ethnicity), overweight or obesity, and presence of other disorders such as diabetes mellitus or hypertension (Bedogni 2005; Park 2006; Dassanayake 2009; Koehler 2012; Lazo 2013; Fleischman 2014; Li 2014; Shen 2014; Nishioji 2015). Major risk factors associated with increased prevalence of NAFLD are obesity, being male, increasing age, ethnicity (e.g. Mexican-Americans have higher prevalence of fatty liver than other ethnic groups), genetic susceptibility (e.g. genetic variation in patatin-like phospholipase domain-containing 3 protein coding gene (PNPLA3)), hypertension, hypercholesterolaemia, diabetes mellitus, lower socio-economic level, lower-level educational attainment, poor sleep pattern, and lower physical activity (Bedogni 2005; Park 2006; Dassanayake 2009; Sookoian 2011; Koehler 2012; Lazo 2013; Fleischman 2014; Shen 2014; Bernsmeier 2015; Lonardo 2015)

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