Abstract

Chronic liver disease and diet.

Author(s): Jacob Herring*

Patients with chronic liver disease typically experience malnutrition, which may have an impact on their clinical outcomes in the short and long term. Therefore, dietary intervention may be crucial in the treatment of patients with chronic liver disease. The influence of malnutrition on the clinical outcome of chronic liver disease is reviewed and summarised, along with recent advancements in nutritional assessment, management approaches, and malnutrition. The management and prevention of malnutrition in these patients will be suggested.

The most prevalent liver disease in the world is non-alcoholic fatty liver disease (NAFLD), which is linked to other illnesses like obesity, metabolic syndrome, and diabetes mellitus. There is no agreement on the pharmaceutical treatment, and the processes of the underlying disease's genesis and progression are not well understood. Exercise, dietary therapy, and weight loss are all components of the gold standard NAFLD treatment. There is, however, scant scientific data on the relationship between nutrition, exercise, and NAFLD specifically. Numerous dietary strategies, like the Mediterranean and DASH diets, are utilised to treat various cardio metabolic risk factors, such as insulin resistance and type-2 diabetes mellitus (T2DM), although their role in NAFLD has been studied based on their constituent parts. With an emphasis on choosing the best non-pharmacological treatment to recommend for NAFLD, this review discusses the implications of current food and exercise regimens, including Brazilian and other guidelines.