Metabolic and Hepatic Effects of Energy-Reduced Anti-Inflammatory Diet in Younger Adults with Obesity
Background. Associated with epidemics of obesity, nonalcoholic fatty liver disease (NAFLD) is becoming the most prevalent liver disease worldwide. The cornerstone of therapy for NAFLD is lifestyle intervention, mainly focused on weight loss. Significant weight loss results from energy-restricted die...
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| creator | Kenđel Jovanović, Gordana Mrakovcic-Sutic, Ines Pavičić Žeželj, Sandra Benjak Horvat, Indira Šuša, Lucia Rahelić, Dario Klobučar Majanović, Sanja |
| description | Background. Associated with epidemics of obesity, nonalcoholic fatty liver disease (NAFLD) is becoming the most prevalent liver disease worldwide. The cornerstone of therapy for NAFLD is lifestyle intervention, mainly focused on weight loss. Significant weight loss results from energy-restricted diets, regardless of macronutrient distribution. An anti-inflammatory diet was related to lower odds of NAFLD among daily alcohol drinkers and individuals with metabolic syndrome. This study aims to evaluate the effect of an energy-reduced anti-inflammatory diet on liver status in younger adults with obesity after a 6-month follow-up. Methods. A two-arm randomized controlled trial surveyed 81 participants’ (mean age, 43 years) anthropometric and body composition changes. Metabolic status was determined with glycaemic and lipid status, inflammatory status with hs-CRP, IL-6, and TNF-α, and liver status with liver enzymes, NAFLD-FLS, FLI, and FIB-4 indices. The inflammatory potential of the diet was assessed by the Dietary Inflammatory Index, DII®. Results. Energy-restricted anti-inflammatory diet resulted in significant weight loss (−7.1%, p |
| doi_str_mv | 10.1155/2021/6649142 |
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Associated with epidemics of obesity, nonalcoholic fatty liver disease (NAFLD) is becoming the most prevalent liver disease worldwide. The cornerstone of therapy for NAFLD is lifestyle intervention, mainly focused on weight loss. Significant weight loss results from energy-restricted diets, regardless of macronutrient distribution. An anti-inflammatory diet was related to lower odds of NAFLD among daily alcohol drinkers and individuals with metabolic syndrome. This study aims to evaluate the effect of an energy-reduced anti-inflammatory diet on liver status in younger adults with obesity after a 6-month follow-up. Methods. A two-arm randomized controlled trial surveyed 81 participants’ (mean age, 43 years) anthropometric and body composition changes. Metabolic status was determined with glycaemic and lipid status, inflammatory status with hs-CRP, IL-6, and TNF-α, and liver status with liver enzymes, NAFLD-FLS, FLI, and FIB-4 indices. The inflammatory potential of the diet was assessed by the Dietary Inflammatory Index, DII®. Results. Energy-restricted anti-inflammatory diet resulted in significant weight loss (−7.1%, p < 0.001), in reducing the visceral adiposity (−22.3%, p < 0.001), metabolic (HOMA-IR, −15.5%; total cholesterol, −5.3%; LDL-C, −4.6%; triglycerides, −12.2%), and inflammatory biomarkers (hs-CRP, −29.5%; IL-6, −18.2%; TNF-α, −34.2%), with significant improvement of liver parameters (NAFLD-FLS, −143.4%; FLI, −14.3%; FIB-4, −2.5%). Conclusion. The study showed the effectiveness of the anti-inflammatory diet with significant improvement of liver parameters in younger adults with obesity, which may reinforce the effectiveness of nutrition-based lifestyle programs, with an anti-inflammatory dietary approach for the treatment and resolution of NAFLD.</description><identifier>ISSN: 2291-2789</identifier><identifier>EISSN: 2291-2797</identifier><identifier>DOI: 10.1155/2021/6649142</identifier><identifier>PMID: 33628758</identifier><language>eng</language><publisher>LONDON: Hindawi</publisher><subject>Body composition ; Diet ; Energy ; Food ; Gastroenterology & Hepatology ; Hospitals ; Inflammation ; Intervention ; Legumes ; Life Sciences & Biomedicine ; Liver diseases ; Metabolism ; Nuts ; Obesity ; Outpatient care facilities ; Questionnaires ; Science & Technology ; Weight control ; Workshops</subject><ispartof>Canadian journal of gastroenterology & hepatology, 2021, Vol.2021, p.6649142-12, Article 6649142</ispartof><rights>Copyright © 2021 Gordana Kenđel Jovanović et al.</rights><rights>Copyright © 2021 Gordana Kenđel Jovanović et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Gordana Kenđel Jovanović et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>14</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000621860800001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c514t-9c34f360cfdc96b10a1fc9cfce706db40b417ab5ff9fdf768e20e06ef91f0acc3</citedby><cites>FETCH-LOGICAL-c514t-9c34f360cfdc96b10a1fc9cfce706db40b417ab5ff9fdf768e20e06ef91f0acc3</cites><orcidid>0000-0001-7943-0617 ; 0000-0003-0679-2849 ; 0000-0002-0287-4735 ; 0000-0002-2901-0646 ; 0000-0002-9740-3310 ; 0000-0002-8694-8761</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886596/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886596/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,878,886,2103,2115,4025,27928,27929,27930,39263,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33628758$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Filipović, Branka</contributor><contributor>Branka Filipović</contributor><creatorcontrib>Kenđel Jovanović, Gordana</creatorcontrib><creatorcontrib>Mrakovcic-Sutic, Ines</creatorcontrib><creatorcontrib>Pavičić Žeželj, Sandra</creatorcontrib><creatorcontrib>Benjak Horvat, Indira</creatorcontrib><creatorcontrib>Šuša, Lucia</creatorcontrib><creatorcontrib>Rahelić, Dario</creatorcontrib><creatorcontrib>Klobučar Majanović, Sanja</creatorcontrib><title>Metabolic and Hepatic Effects of Energy-Reduced Anti-Inflammatory Diet in Younger Adults with Obesity</title><title>Canadian journal of gastroenterology & hepatology</title><addtitle>CAN J GASTROENTEROL</addtitle><addtitle>Can J Gastroenterol Hepatol</addtitle><description>Background. Associated with epidemics of obesity, nonalcoholic fatty liver disease (NAFLD) is becoming the most prevalent liver disease worldwide. The cornerstone of therapy for NAFLD is lifestyle intervention, mainly focused on weight loss. Significant weight loss results from energy-restricted diets, regardless of macronutrient distribution. An anti-inflammatory diet was related to lower odds of NAFLD among daily alcohol drinkers and individuals with metabolic syndrome. This study aims to evaluate the effect of an energy-reduced anti-inflammatory diet on liver status in younger adults with obesity after a 6-month follow-up. Methods. A two-arm randomized controlled trial surveyed 81 participants’ (mean age, 43 years) anthropometric and body composition changes. Metabolic status was determined with glycaemic and lipid status, inflammatory status with hs-CRP, IL-6, and TNF-α, and liver status with liver enzymes, NAFLD-FLS, FLI, and FIB-4 indices. The inflammatory potential of the diet was assessed by the Dietary Inflammatory Index, DII®. Results. Energy-restricted anti-inflammatory diet resulted in significant weight loss (−7.1%, p < 0.001), in reducing the visceral adiposity (−22.3%, p < 0.001), metabolic (HOMA-IR, −15.5%; total cholesterol, −5.3%; LDL-C, −4.6%; triglycerides, −12.2%), and inflammatory biomarkers (hs-CRP, −29.5%; IL-6, −18.2%; TNF-α, −34.2%), with significant improvement of liver parameters (NAFLD-FLS, −143.4%; FLI, −14.3%; FIB-4, −2.5%). Conclusion. The study showed the effectiveness of the anti-inflammatory diet with significant improvement of liver parameters in younger adults with obesity, which may reinforce the effectiveness of nutrition-based lifestyle programs, with an anti-inflammatory dietary approach for the treatment and resolution of NAFLD.</description><subject>Body composition</subject><subject>Diet</subject><subject>Energy</subject><subject>Food</subject><subject>Gastroenterology & Hepatology</subject><subject>Hospitals</subject><subject>Inflammation</subject><subject>Intervention</subject><subject>Legumes</subject><subject>Life Sciences & Biomedicine</subject><subject>Liver diseases</subject><subject>Metabolism</subject><subject>Nuts</subject><subject>Obesity</subject><subject>Outpatient care facilities</subject><subject>Questionnaires</subject><subject>Science & Technology</subject><subject>Weight control</subject><subject>Workshops</subject><issn>2291-2789</issn><issn>2291-2797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>HGBXW</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNqNks1vEzEQxVcIRKvSG2e0EkdYant3_XFBikKgkVpVQnDgZHntceJoYwevt1H-exwS0vaCevLI_r3nGb0pircYfcK4ba8IIviK0kbghrwozgkRuCJMsJenmouz4nIYVgghTNpW1OR1cVbXlHDW8vMCbiGpLvROl8qb8ho2KuV6Zi3oNJTBljMPcbGrvoMZNZhy4pOr5t72ar1WKcRd-cVBKp0vf4XRLyCWEzP2Wbp1aVnedTC4tHtTvLKqH-DyeF4UP7_Ofkyvq5u7b_Pp5KbSLW5SJXTd2JoibY0WtMNIYauFthoYoqZrUNdgprrWWmGNZZQDQYAoWIEtUlrXF8X84GuCWslNdGsVdzIoJ_9ehLiQKub5epBEIdMKRjiuVYNNIzpqSMM6yhmqEbHZ6_PBazN2azAafIqqf2L69MW7pVyEe8k4p62g2eD90SCG3yMMSa7CGH2eX5IcGGvrGrFMfTxQOoZhiGBPP2Ak9xnLfcbymHHG3z3u6gT_SzQD_ABsoQt20A68hhOWt4ASzCniaL8QU5dy3MFPc3QpSz88X_pAL503auv-3_cfeP7Pnw</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Kenđel Jovanović, Gordana</creator><creator>Mrakovcic-Sutic, Ines</creator><creator>Pavičić Žeželj, Sandra</creator><creator>Benjak Horvat, Indira</creator><creator>Šuša, Lucia</creator><creator>Rahelić, Dario</creator><creator>Klobučar Majanović, Sanja</creator><general>Hindawi</general><general>Hindawi Publishing Group</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7943-0617</orcidid><orcidid>https://orcid.org/0000-0003-0679-2849</orcidid><orcidid>https://orcid.org/0000-0002-0287-4735</orcidid><orcidid>https://orcid.org/0000-0002-2901-0646</orcidid><orcidid>https://orcid.org/0000-0002-9740-3310</orcidid><orcidid>https://orcid.org/0000-0002-8694-8761</orcidid></search><sort><creationdate>2021</creationdate><title>Metabolic and Hepatic Effects of Energy-Reduced Anti-Inflammatory Diet in Younger Adults with Obesity</title><author>Kenđel Jovanović, Gordana ; Mrakovcic-Sutic, Ines ; Pavičić Žeželj, Sandra ; Benjak Horvat, Indira ; Šuša, Lucia ; Rahelić, Dario ; Klobučar Majanović, Sanja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-9c34f360cfdc96b10a1fc9cfce706db40b417ab5ff9fdf768e20e06ef91f0acc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Body composition</topic><topic>Diet</topic><topic>Energy</topic><topic>Food</topic><topic>Gastroenterology & Hepatology</topic><topic>Hospitals</topic><topic>Inflammation</topic><topic>Intervention</topic><topic>Legumes</topic><topic>Life Sciences & Biomedicine</topic><topic>Liver diseases</topic><topic>Metabolism</topic><topic>Nuts</topic><topic>Obesity</topic><topic>Outpatient care facilities</topic><topic>Questionnaires</topic><topic>Science & Technology</topic><topic>Weight control</topic><topic>Workshops</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kenđel Jovanović, Gordana</creatorcontrib><creatorcontrib>Mrakovcic-Sutic, Ines</creatorcontrib><creatorcontrib>Pavičić Žeželj, Sandra</creatorcontrib><creatorcontrib>Benjak Horvat, Indira</creatorcontrib><creatorcontrib>Šuša, Lucia</creatorcontrib><creatorcontrib>Rahelić, Dario</creatorcontrib><creatorcontrib>Klobučar Majanović, Sanja</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Canadian journal of gastroenterology & hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kenđel Jovanović, Gordana</au><au>Mrakovcic-Sutic, Ines</au><au>Pavičić Žeželj, Sandra</au><au>Benjak Horvat, Indira</au><au>Šuša, Lucia</au><au>Rahelić, Dario</au><au>Klobučar Majanović, Sanja</au><au>Filipović, Branka</au><au>Branka Filipović</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metabolic and Hepatic Effects of Energy-Reduced Anti-Inflammatory Diet in Younger Adults with Obesity</atitle><jtitle>Canadian journal of gastroenterology & hepatology</jtitle><stitle>CAN J GASTROENTEROL</stitle><addtitle>Can J Gastroenterol Hepatol</addtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><spage>6649142</spage><epage>12</epage><pages>6649142-12</pages><artnum>6649142</artnum><issn>2291-2789</issn><eissn>2291-2797</eissn><abstract>Background. Associated with epidemics of obesity, nonalcoholic fatty liver disease (NAFLD) is becoming the most prevalent liver disease worldwide. The cornerstone of therapy for NAFLD is lifestyle intervention, mainly focused on weight loss. Significant weight loss results from energy-restricted diets, regardless of macronutrient distribution. An anti-inflammatory diet was related to lower odds of NAFLD among daily alcohol drinkers and individuals with metabolic syndrome. This study aims to evaluate the effect of an energy-reduced anti-inflammatory diet on liver status in younger adults with obesity after a 6-month follow-up. Methods. A two-arm randomized controlled trial surveyed 81 participants’ (mean age, 43 years) anthropometric and body composition changes. Metabolic status was determined with glycaemic and lipid status, inflammatory status with hs-CRP, IL-6, and TNF-α, and liver status with liver enzymes, NAFLD-FLS, FLI, and FIB-4 indices. The inflammatory potential of the diet was assessed by the Dietary Inflammatory Index, DII®. Results. Energy-restricted anti-inflammatory diet resulted in significant weight loss (−7.1%, p < 0.001), in reducing the visceral adiposity (−22.3%, p < 0.001), metabolic (HOMA-IR, −15.5%; total cholesterol, −5.3%; LDL-C, −4.6%; triglycerides, −12.2%), and inflammatory biomarkers (hs-CRP, −29.5%; IL-6, −18.2%; TNF-α, −34.2%), with significant improvement of liver parameters (NAFLD-FLS, −143.4%; FLI, −14.3%; FIB-4, −2.5%). Conclusion. The study showed the effectiveness of the anti-inflammatory diet with significant improvement of liver parameters in younger adults with obesity, which may reinforce the effectiveness of nutrition-based lifestyle programs, with an anti-inflammatory dietary approach for the treatment and resolution of NAFLD.</abstract><cop>LONDON</cop><pub>Hindawi</pub><pmid>33628758</pmid><doi>10.1155/2021/6649142</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7943-0617</orcidid><orcidid>https://orcid.org/0000-0003-0679-2849</orcidid><orcidid>https://orcid.org/0000-0002-0287-4735</orcidid><orcidid>https://orcid.org/0000-0002-2901-0646</orcidid><orcidid>https://orcid.org/0000-0002-9740-3310</orcidid><orcidid>https://orcid.org/0000-0002-8694-8761</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Body composition Diet Energy Food Gastroenterology & Hepatology Hospitals Inflammation Intervention Legumes Life Sciences & Biomedicine Liver diseases Metabolism Nuts Obesity Outpatient care facilities Questionnaires Science & Technology Weight control Workshops |
| title | Metabolic and Hepatic Effects of Energy-Reduced Anti-Inflammatory Diet in Younger Adults with Obesity |
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