The effects of DASH diet on weight loss and metabolic status in adults with non-alcoholic fatty liver disease: a randomized clinical trial

• Published in: Liver international 2016-04, Vol.36 (4), p.563-571
• Main Authors: Razavi Zade, Mohsen, Telkabadi, Mohammad Hosein, Bahmani, Fereshteh, Salehi, Behnaz, Farshbaf, Shima, Asemi, Zatollah
• Format: Article
• Language: English
• Subjects: Adult; Aged; Biomarkers - blood; Blood Glucose - metabolism; Body Mass Index; Caloric Restriction; DASH; Diet, Reducing; Energy Metabolism; Female; Health Status; Humans; inflammation; Inflammation Mediators - blood; Insulin - blood; Insulin Resistance; Iran; Lipids - blood; Male; metabolic profiles; Middle Aged; non-alcoholic fatty liver disease; Non-alcoholic Fatty Liver Disease - blood; Non-alcoholic Fatty Liver Disease - diagnosis; Non-alcoholic Fatty Liver Disease - diet therapy; Non-alcoholic Fatty Liver Disease - physiopathology; Obesity - blood; Obesity - diagnosis; Obesity - diet therapy; Obesity - physiopathology; oxidative stress; Patient Compliance; Time Factors; Treatment Outcome; Weight Loss
• ISSN: 1478-3223; 1478-3231; 1478-3231
• DOI: 10.1111/liv.12990

Background & Aims This study was designed to determine the effects of the Dietary Approaches to Stop Hypertension (DASH) diet on weight loss and metabolic status in overweight patients with non‐alcoholic fatty liver disease (NAFLD). Methods This randomized controlled clinical trial was done among 60 overweight and obese patients with NAFLD. Patients were randomly allocated to consume either the control (n = 30) or the DASH eating pattern (n = 30) for 8 weeks. Both diets were designed to be calorie‐restricted. Both diets were consisted of 52–55% carbohydrates, 16–18% proteins and 30% total fats; however, the DASH diet was designed to be rich in fruits, vegetables, whole grains, and low‐fat dairy products and low in saturated fats, cholesterol and refined grains. Results Adherence to the DASH eating pattern, compared to the control diet, weight (P = 0.006), BMI (P = 0.01), alanine aminotransferase (ALT) (P = 0.02), alkalin phosphatase (ALP) (P = 0.001), insulin levels (P = 0.01), homoeostasis model of assessment‐estimated insulin resistance (HOMA‐IR) (P = 0.01) significantly decreased and quantitative insulin sensitivity check index (QUICKI) (P = 0.004) significantly increased. Compared with the control diet, the DASH diet has resulted in significant reductions in serum triglycerides (P = 0.04) and total‐/HDL‐cholesterol ratio (P = 0.01). Finally, decreased concentrations of serum high‐sensitivity C‐reactive protein (hs‐CRP) (P = 0.03), malondialdehyde (MDA) (P = 0.04), increased levels of nitric oxide (NO) (P = 0.01) and glutathione (GSH) (P = 0.009) were found in the DASH group compared with the control group. Conclusions Consumption of DASH diet for 8 weeks among patients with NAFLD had beneficial effects on weight, BMI, ALT, ALP, triglycerides, markers of insulin metabolism, inflammatory markers, GSH and MDA.