Dietary habits and behaviors associated with nonalcoholic fatty liver disease

被引:116
作者
Yasutake, Kenichiro [1 ]
Kohjima, Motoyuki [2 ,3 ]
Kotoh, Kazuhiro
Nakashima, Manabu [4 ]
Nakamuta, Makoto [2 ,3 ]
Enjoji, Munechika [5 ]
机构
[1] Nishikyushu Univ, Fac Hlth & Social Welf Sci, Dept Hlth & Nutr Sci, Kanzaki 8428585, Japan
[2] Natl Hosp Org, Kyushu Med Ctr, Dept Gastroenterol, Fukuoka 8108563, Japan
[3] Natl Hosp Org, Kyushu Med Ctr, Clin Res Ctr, Fukuoka 8108563, Japan
[4] Fukuoka Univ, Fac Pharmaceut Sci, Fukuoka 8140180, Japan
[5] Fukuoka Univ, Hlth Care Ctr, Fukuoka 8140180, Japan
关键词
Nonalcoholic fatty liver disease; Nutritional therapy; Carbohydrates; Fatty acids; Cholesterol; LIFE-STYLE INTERVENTION; WHOLE-GRAIN INTAKE; INDUCED HEPATIC STEATOSIS; INSULIN-RESISTANCE; CARDIOVASCULAR-DISEASE; OXIDATIVE STRESS; OBESE CHILDREN; WEIGHT-GAIN; SHIFT WORK; VITAMIN-E;
D O I
10.3748/wjg.v20.i7.1756
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Nonalcoholic fatty liver disease (NAFLD) is one of the most frequent causes of health problems in Western (industrialized) countries. Moreover, the incidence of infantile NAFLD is increasing, with some of these patients progressing to nonalcoholic steatohepatitis. These trends depend on dietary habits and life-style. In particular, overeating and its associated obesity affect the development of NAFLD. Nutritional problems in patients with NAFLD include excess intake of energy, carbohydrates, and lipids, and shortages of polyunsaturated fatty acids, vitamins, and minerals. Although nutritional therapeutic approaches are required for prophylaxis and treatment of NAFLD, continuous nutrition therapy is difficult for many patients because of their dietary habits and lifestyle, and because the motivation for treatment differs among patients. Thus, it is necessary to assess the nutritional background and to identify nutritional problems in each patient with NAFLD. When assessing dietary habits, it is important to individually evaluate those that are consumed excessively or insufficiently, as well as inappropriate eating behaviors. Successful nutrition therapy requires patient education, based on assessments of individual nutrients, and continuing the treatment. In this article, we update knowledge about NAFLD, review the important aspects of nutritional assessment targeting treatment success, and present some concrete nutritional care plans which can be applied generally. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
引用
收藏
页码:1756 / 1767
页数:12
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