The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD)

Introduction: NAFLD is a serious medical issue worldwide. Various diet modifications had been implemented to improve liver steatosis. SWE is an emerging technique that offers non-invasive method of liver steatosis assessment. In this study, we aimed to compare the liver steatosis grading and live...

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Main Author: Yusoff, Khairiah Mat
Format: Thesis
Language:English
Published: 2018
Subjects:
Online Access:http://eprints.usm.my/46020/1/Dr.%20Khairiah%20Binti%20Mat%20Yusoff-24%20pages.pdf
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author Yusoff, Khairiah Mat
author_facet Yusoff, Khairiah Mat
author_sort Yusoff, Khairiah Mat
collection USM
description Introduction: NAFLD is a serious medical issue worldwide. Various diet modifications had been implemented to improve liver steatosis. SWE is an emerging technique that offers non-invasive method of liver steatosis assessment. In this study, we aimed to compare the liver steatosis grading and liver elasticity among NAFLD patients who underwent 8 weeks of MADCR. Methodology: Using the Aixplorer® ultrasound, liver ultrasound of 39 subjects (32 interventional and 9 control subjects) were performed. Liver steatosis grading, fibrosis grading and shear wave elastography of all patients were acquired. Liver steatosis and liver elasticity level pre and post pre intervention were compared. Correlation of the liver steatosis and gradings were analysed using Kendall b tau analysis. Results: The mean liver steatosis grade and fibrosis level of the 30 participants in the intervention group were significantly reduced after MADCR (modified alternate day calorie restriction) programme. Our result showed that 10 patients had improved liver steatosis grading, whereby 8 patients improve from grade 2 to grade 1 and 2 patients from grade 1 to grade 0. Our study showed significant mean difference of liver elasticity in intervention group after MADCR (p value <0.001). From the analysis of the readings from all the participants (n=78), the SWE values showed significant weak correlation with the steatosis grading (0-3) of the fatty liver (P value 0.013). Conclusions: MADCR is beneficial to improve liver steatosis. SWE is a useful and reliable method to assess liver elasticity after intervention.
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spelling usm.eprints-460202020-01-29T04:19:45Z http://eprints.usm.my/46020/ The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD) Yusoff, Khairiah Mat RC799-869 Diseases of the digestive system. Gastroenterology Introduction: NAFLD is a serious medical issue worldwide. Various diet modifications had been implemented to improve liver steatosis. SWE is an emerging technique that offers non-invasive method of liver steatosis assessment. In this study, we aimed to compare the liver steatosis grading and liver elasticity among NAFLD patients who underwent 8 weeks of MADCR. Methodology: Using the Aixplorer® ultrasound, liver ultrasound of 39 subjects (32 interventional and 9 control subjects) were performed. Liver steatosis grading, fibrosis grading and shear wave elastography of all patients were acquired. Liver steatosis and liver elasticity level pre and post pre intervention were compared. Correlation of the liver steatosis and gradings were analysed using Kendall b tau analysis. Results: The mean liver steatosis grade and fibrosis level of the 30 participants in the intervention group were significantly reduced after MADCR (modified alternate day calorie restriction) programme. Our result showed that 10 patients had improved liver steatosis grading, whereby 8 patients improve from grade 2 to grade 1 and 2 patients from grade 1 to grade 0. Our study showed significant mean difference of liver elasticity in intervention group after MADCR (p value <0.001). From the analysis of the readings from all the participants (n=78), the SWE values showed significant weak correlation with the steatosis grading (0-3) of the fatty liver (P value 0.013). Conclusions: MADCR is beneficial to improve liver steatosis. SWE is a useful and reliable method to assess liver elasticity after intervention. 2018 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/46020/1/Dr.%20Khairiah%20Binti%20Mat%20Yusoff-24%20pages.pdf Yusoff, Khairiah Mat (2018) The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD). Masters thesis, Universiti Sains Malaysia.
spellingShingle RC799-869 Diseases of the digestive system. Gastroenterology
Yusoff, Khairiah Mat
The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD)
title The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD)
title_full The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD)
title_fullStr The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD)
title_full_unstemmed The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD)
title_short The effect of modified alternate day calorie restriction on non-alcoholic fatty liver disease (NAFLD)
title_sort effect of modified alternate day calorie restriction on non alcoholic fatty liver disease nafld
topic RC799-869 Diseases of the digestive system. Gastroenterology
url http://eprints.usm.my/46020/1/Dr.%20Khairiah%20Binti%20Mat%20Yusoff-24%20pages.pdf
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