AI Article Synopsis

  • - Non-alcoholic fatty liver disease (NAFLD) involves fat buildup in the liver without alcohol use, potentially leading to more severe liver issues like cirrhosis or liver cancer; this study evaluated if probiotics could help improve the NAFLD fibrosis score.
  • - In a randomized controlled trial, 50 NAFLD patients were split into two groups: one received probiotics with lifestyle changes, while the other only got dietary advice; the trial lasted 12 weeks with regular follow-ups.
  • - Results showed the probiotic group had significant improvements in liver enzymes and body mass index (BMI), but no change in the NAFLD fibrosis score compared to the standard treatment group, suggesting more research is needed for conclusive

Article Abstract

Background: Non-alcoholic fatty liver disease (NAFLD) is characterized by hepatic fat accumulation (> 5% of liver tissue) in the absence of alcohol abuse or other chronic liver diseases. NAFLD can progress to non-alcoholic steatohepatitis (NASH), fibrosis, cirrhosis, and hepatocellular carcinoma (HCC). This study aimed to assess the efficacy of probiotic (lactobacillus) supplementation on NAFLD fibrosis score.

Methodology: A double-arm randomized controlled trial was conducted in the family medicine clinic of a tertiary hospital, enrolling patients with sonographic evidence of NAFLD. Fifty patients were divided into two groups: the Probiotic group received lifestyle modification instructions along with daily probiotic supplementation for twelve weeks, with regular monthly follow-up visits. The Standard Treatment group received low-fat diet and lifestyle modification instructions only.

Results: The mean age of participants was 46.10 years (SD 10.11), with 70% females and 30% males. The study found a statistically significant difference in liver enzymes (ALT and AST) and BMI in the probiotic group before and after intervention. However, there was no significant difference in NAFLD fibrosis score between the two groups.

Conclusion: Short-term probiotic treatment resulted in improvements in ALT, AST, and BMI in the probiotic group, but did not significantly affect NAFLD fibrosis score. Further research with larger sample sizes and longer follow-up periods is warranted.

Trial Registration: The clinical trial was registered at Protocol Registration and Results System with number NCT06074094 (12/09/2021).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462796PMC
http://dx.doi.org/10.1186/s12876-024-03424-3DOI Listing

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