Orlistat with low carb diet reduces liver fat content in MAFLD patients
A recent study published in The American Journal of Clinical Nutrition found that both orlistat and experimental high-protein/lower-carbohydrate diet were effective in reducing liver steatosis in Asian patients with obesity and Metabolic-associated fatty liver disease (MAFLD).
Excessive fat accumulates in the liver in MAFLD, leading to inflammation and damage. Losing weight through lifestyle interventions, such as changes in diet and physical activity, is the first-line treatment for MAFLD. However, compliance with such interventions can be low, making it challenging to achieve and maintain weight loss.
The team led by Xiongcai Feng compared the effects of orlistat and an experimental high-protein/lower-carbohydrate diet with a control diet in Asian patients with obesity and MAFLD. A total of 118 patients were enrolled and randomly assigned to one of the three groups for 24 weeks. The primary endpoint of the study was the relative change in liver fat content (LFC), which was assessed by magnetic resonance imaging-based proton density fat fraction with Dixon sequence (MRI-PDFF).
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