Dietary and Nutritional Interventions in Nonalcoholic Fatty Liver Disease in Pediatrics.

Nutrients

Department of Pediatric Gastroenterology and Nutrition, Division of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Santiago 8330023, Chile.

Published: November 2023

AI Article Synopsis

  • Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in children, particularly among those with obesity, who have a higher risk of progression.
  • Currently, there are no effective drug treatments for pediatric NAFLD, so lifestyle interventions, like diet and exercise, are the primary recommended approach.
  • This review emphasizes the importance of dietary modifications, including low-carb and low-sugar diets, specific nutritional strategies, and potential benefits from omega-3 fatty acids, amino acids, vitamins, and probiotics, while calling for more research on the effectiveness of these interventions.

Article Abstract

Nonalcoholic fatty liver disease (NAFLD) is pediatrics' most common chronic liver disease. The incidence is high in children and adolescents with obesity, which is associated with an increased risk of disease progression. Currently, there is no effective drug therapy in pediatrics; therefore, lifestyle interventions remain the first line of treatment. This review aims to present an updated compilation of the scientific evidence for treating this pathology, including lifestyle modifications, such as exercise and dietary changes, highlighting specific nutritional strategies. The bibliographic review was carried out in different databases, including studies within the pediatric population where dietary and/or nutritional interventions were used to treat NAFLD. Main interventions include diets low in carbohydrates, free sugars, fructose, and lipids, in addition to healthy eating patterns and possible nutritional interventions with -3 polyunsaturated fatty acids (EPA and DHA), amino acids (cysteine, L-carnitine), cysteamine, vitamins, and probiotics (one strain or multi-strain). Lifestyle changes remain the main recommendation for children with NAFLD. Nevertheless, more studies are required to elucidate the effectiveness of specific nutrients and bioactive compounds in this population.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10674812PMC
http://dx.doi.org/10.3390/nu15224829DOI Listing

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