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Personal Dietary and Lifestyle Interventions in MASLD: Clinical and Experimental Perspectives

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Clinical Nutrition".

Deadline for manuscript submissions: 25 August 2025 | Viewed by 437

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Guest Editor
Division of Gastroenterology, Ospedale di Acireale, Azienda Sanitaria Provinciale di Catania, 95123 Catania, Italy
Interests: metabolic syndrome; insulin resistance; chronic hepatitis C; liver; antioxidants; mesenchymal stem cell; inflammatory biomarkers; liver diseases; fatty liver; diabetes; hepatitis; cirrhosis
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Special Issue Information

Dear Colleagues,

Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as non-alcoholic fatty liver disease (NAFLD), is the result of a complex interplay of genetic and environmental factors. Beyond genetics, nutrition, and physical activity are key determinants of MASLD onset and progression. The role of diet and lifestyle is crucial in both preventing and treating MASLD.

A diet rich in vegetables, fruits, whole grains, and oily fish can help in maintaining a healthy weight and reducing the risk of developing MASLD. In parallel, limiting one’s intake of saturated fats, refined carbohydrates, and added sugars is essential. Among plant-based dietary patterns, the Mediterranean diet has shown efficacy in reducing liver fat accumulation.

In treating MASLD, lifestyle interventions should focus on weight loss. A calorie-restricted diet, typically aiming for a 7-10% weight reduction, can significantly reduce liver steatosis, inflammation, and fibrosis. Beyond weight loss, promoting a higher intake of polyphenol-rich foods is recommended, as this may counteract liver damage.

Overall, a personalized nutritional approach, in conjunction with increased physical activity, forms the cornerstone of MASLD management, potentially halting or even reversing disease progression.

For this Special Issue, we will accept clinical studies reporting on the preventative and therapeutic effects of dietary patterns and specific nutrients in MASLD. Studies in experimental models of MASLD are also welcome.

Dr. Federico Salomone
Guest Editor

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Keywords

  • MASLD
  • lifestyle
  • healthy diet
  • dietary patterns
  • nutrition
  • physical activity
  • polyphenols
  • weight reduction

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Published Papers (1 paper)

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Research

14 pages, 653 KiB  
Article
The Protective Effect of FOXO3 rs2802292 G-Allele on Food Intake in a Southern Italian Cohort Affected by MASLD
by Rossella Donghia, Elisabetta Di Nicola, Rossella Tatoli, Giovanna Forte, Martina Lepore Signorile, Caterina Bonfiglio, Marialaura Latrofa, Katia De Marco, Andrea Manghisi, Vittoria Disciglio, Candida Fasano, Paola Sanese, Filomena Cariola, Antonia Lucia Buonadonna, Gianluigi Giannelli, Valentina Grossi and Cristiano Simone
Nutrients 2025, 17(8), 1315; https://doi.org/10.3390/nu17081315 - 10 Apr 2025
Viewed by 333
Abstract
Background: Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is a cluster of conditions characterized by accumulations of fat, metabolic factors such as obesity, diabetes and high cholesterol. MASLD is now the leading cause of chronic liver disease worldwide, with a rapidly increasing trend. [...] Read more.
Background: Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is a cluster of conditions characterized by accumulations of fat, metabolic factors such as obesity, diabetes and high cholesterol. MASLD is now the leading cause of chronic liver disease worldwide, with a rapidly increasing trend. We aimed to demonstrate that genetic variants of rs2802292 SNP can influence the development of MASLD even after many years. Methods: We studied 650 participants from the NUTRIHEP cohort, both at baseline (2005–2006) and at first recall (2014–2018), and genotyped rs2802292. The validated European Prospective Investigation into Cancer and Nutrition (EPIC) questionnaire was administered during the visit, and each single food was assigned to one of 33 groups. Results: Associations of food intake at baseline with MASLD were found in the first recall, for each genotype, GG, GT, and TT, and several covariates were used to adjust models. Dressing fats other than olive oil resulted protection against MASLD in GG subjects, whereas seed oil, juices, and spirits resulted in protection against MASLD for GT subjects. An increased risk of MASLD was found for subjects with the TT genotype for white meat intake (OR = 1.018, p = 0.031, 1.002 to 1.035 95% C.I.), ready-to-eat dishes (OR = 1.015, p = 0.033, 1.001 to 1.029 95% C.I.), processed meat (OR = 1.093, p = 0.003, 1.031 to 1.158 95% C.I.), and processed fish (OR = 1.085, p = 0.037, 1.005 to 1.172 95% C.I.). Conclusions: Subjects with the TT genotype had a higher risk of developing MASLD than subjects with other genotypes. A healthier lifestyle is important to counteract liver disease. Full article
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