Evidence map›Paper›PMID 31137547›Full record

ReviewMedicina (Kaunas, Lithuania)2019

Dietary and Pharmacological Treatment of Nonalcoholic Fatty Liver Disease.

Anna Jeznach-Steinhagen, Joanna Ostrowska, Aneta Czerwonogrodzka-Senczyna, Iwona Boniecka, Urszula Shahnazaryan, Alina Kuryłowicz

Open access · goldAbstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  6. Trial
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  11. Updates in nonalcoholic fatty liver disease.Clinical liver disease · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Anna Jeznach-SteinhagenClinical Dietetics Department, Medical University of Warsaw, 01-445 Warsaw, Poland. asteinhagen@wum.edu.pl.
Joanna OstrowskaClinical Dietetics Department, Medical University of Warsaw, 01-445 Warsaw, Poland. joanna.maria.ostrowska@gmail.com.
Aneta Czerwonogrodzka-SenczynaClinical Dietetics Department, Medical University of Warsaw, 01-445 Warsaw, Poland. aneta.senczyna@gmail.com.ORCID 0000-0002-6749-9964
Iwona BonieckaClinical Dietetics Department, Medical University of Warsaw, 01-445 Warsaw, Poland. iboniecka@gmail.com.
Urszula ShahnazaryanDepartment of Internal Diseases and Endocrinology, Medical University of Warsaw, 02-097 Warsaw, Poland. ulashahna@gmail.com.
Alina KuryłowiczDepartment of Internal Diseases and Endocrinology, Medical University of Warsaw, 02-097 Warsaw, Poland. akurylowicz@imdik.pan.pl.ORCID 0000-0001-8632-4927
Medical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the developed world. Simple hepatic steatosis is mild, but the coexistence of steatohepatitis (NASH) and fibrosis increases the risk of hepatocellular carcinoma. Proper dietary and pharmacological treatment is essential for preventing NAFLD progression. The first-line treatment should include dietary intervention and increased physical activity. The diet should be based on the food pyramid, with a choice of products with low glycemic index, complex carbohydrates in the form of low-processed cereal products, vegetables, and protein-rich products. Usage of insulin-sensitizing substances, pro- and prebiotics, and vitamins should also be considered. Such a therapeutic process is intended to support both liver disease and obesity-related pathologies, including insulin resistance, diabetes, dyslipidemia, and blood hypertension. In the pharmacological treatment of NAFLD, apart from pioglitazone, there are new classes of antidiabetic drugs that are of value, such as glucagon-like peptide 1 analogs and sodium/glucose cotransporter 2 antagonists, while several other compounds that target different pathogenic pathways are currently being tested in clinical trials. Liver biopsies should only be considered when there is a lack of decline in liver enzymes after 6 months of the abovementioned treatment. Dietary intervention is recommended in all patients with NAFLD, while pharmacological treatment is recommended especially for those with NASH and showing significant fibrosis in a biopsy.

Indexed as

Diabetes MellitusHumansHypoglycemic AgentsInsulin ResistanceNon-alcoholic Fatty Liver DiseaseNutritional StatusPrebioticsProbioticsHypoglycemic AgentsPrebioticsantidiabetic agentsdietnonalcoholic fatty liver disease (NAFLD)physical activity

Identifiers

PMID31137547
PMCPMC6571590
OpenAlexW2945700549

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.