Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver disease

ObjectiveIn this study, our objective was to provide practice recommendations by thoroughly examining lifestyle interventions for adults diagnosed with metabolic dysfunction-associated steatotic liver disease (MASLD). This was achieved through a systematic review of the literature, specifically focu...

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Main Authors: Mei-jing Chen, Ying Chen, Jin-qing Lin, Rong Hu, Dun Liu, Jing-yi Chen, Ka Li, Xiao-ying Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1421386/full
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author Mei-jing Chen
Ying Chen
Jin-qing Lin
Rong Hu
Dun Liu
Jing-yi Chen
Ka Li
Xiao-ying Jiang
author_facet Mei-jing Chen
Ying Chen
Jin-qing Lin
Rong Hu
Dun Liu
Jing-yi Chen
Ka Li
Xiao-ying Jiang
author_sort Mei-jing Chen
collection DOAJ
description ObjectiveIn this study, our objective was to provide practice recommendations by thoroughly examining lifestyle interventions for adults diagnosed with metabolic dysfunction-associated steatotic liver disease (MASLD). This was achieved through a systematic review of the literature, specifically focusing on lifestyle modification interventions in adults with MASLD.MethodsThe PIPOST (Population, Intervention, Professional, Outcome, Setting, and Type of evidence) framework was used to identify the questions for summarizing evidence. Utilizing the 6S model for the hierarchy of evidence, a computerized search was conducted to retrieve articles pertaining to lifestyle interventions for adults with MASLD from websites such as the UpToDate Clinical Advisor, BMJ Best Practice, JBI Library, Cochrane Library, International Guidelines Library, and PubMed, among others. The available research included clinical decisions, clinical practice guidelines, evidence summaries, systematic evaluation, expert consensus, and expert opinions. Two researchers independently evaluated the methodology of the studies, and evidence was subsequently extracted and grouped thematically. Our review encompassed publications from January 2018 to March 2023.ResultsA total of 26 publications were identified for the final review, consisting of seven guidelines, nine systematic evaluations, and 10 expert consensuses/opinions. From these sources, we derived six themes, 28 pieces of evidence: intervention modalities, diet management, exercise management, weight loss management, personalized management, and multidisciplinary collaboration.ConclusionIn the management of adults with MASLD, healthcare professionals should embrace a multidisciplinary team approach, adhere to the best available evidence, and develop structured and personalized interventions based on the best evidence for lifestyle modifications.
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spelling doaj-art-092791adab2b4f398a7ebdf22e73c39c2025-01-06T04:11:59ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011110.3389/fnut.2024.14213861421386Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver diseaseMei-jing Chen0Ying Chen1Jin-qing Lin2Rong Hu3Dun Liu4Jing-yi Chen5Ka Li6Xiao-ying Jiang7School of Nursing, Fujian Medical University, Fuzhou, ChinaDepartment of Nursing, Xiamen Medical College, Xiamen, ChinaDepartment of Gastroenterology, Fuzhou Second General Hospital, Fuzhou, ChinaSchool of Nursing, Fujian Medical University, Fuzhou, ChinaSchool of Nursing, Fujian Medical University, Fuzhou, ChinaSchool of Nursing, Fujian Medical University, Fuzhou, ChinaWest China School of Nursing, Sichuan University, Chengdu, ChinaSchool of Nursing, Fujian Medical University, Fuzhou, ChinaObjectiveIn this study, our objective was to provide practice recommendations by thoroughly examining lifestyle interventions for adults diagnosed with metabolic dysfunction-associated steatotic liver disease (MASLD). This was achieved through a systematic review of the literature, specifically focusing on lifestyle modification interventions in adults with MASLD.MethodsThe PIPOST (Population, Intervention, Professional, Outcome, Setting, and Type of evidence) framework was used to identify the questions for summarizing evidence. Utilizing the 6S model for the hierarchy of evidence, a computerized search was conducted to retrieve articles pertaining to lifestyle interventions for adults with MASLD from websites such as the UpToDate Clinical Advisor, BMJ Best Practice, JBI Library, Cochrane Library, International Guidelines Library, and PubMed, among others. The available research included clinical decisions, clinical practice guidelines, evidence summaries, systematic evaluation, expert consensus, and expert opinions. Two researchers independently evaluated the methodology of the studies, and evidence was subsequently extracted and grouped thematically. Our review encompassed publications from January 2018 to March 2023.ResultsA total of 26 publications were identified for the final review, consisting of seven guidelines, nine systematic evaluations, and 10 expert consensuses/opinions. From these sources, we derived six themes, 28 pieces of evidence: intervention modalities, diet management, exercise management, weight loss management, personalized management, and multidisciplinary collaboration.ConclusionIn the management of adults with MASLD, healthcare professionals should embrace a multidisciplinary team approach, adhere to the best available evidence, and develop structured and personalized interventions based on the best evidence for lifestyle modifications.https://www.frontiersin.org/articles/10.3389/fnut.2024.1421386/fullevidence-based nursingevidence summarylifestyleinterventionmetabolic dysfunction-associate fatty liver diseasenon-alcoholic fatty liver disease
spellingShingle Mei-jing Chen
Ying Chen
Jin-qing Lin
Rong Hu
Dun Liu
Jing-yi Chen
Ka Li
Xiao-ying Jiang
Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver disease
Frontiers in Nutrition
evidence-based nursing
evidence summary
lifestyle
intervention
metabolic dysfunction-associate fatty liver disease
non-alcoholic fatty liver disease
title Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver disease
title_full Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver disease
title_fullStr Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver disease
title_full_unstemmed Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver disease
title_short Evidence summary of lifestyle interventions in adults with metabolic dysfunction-associated steatotic liver disease
title_sort evidence summary of lifestyle interventions in adults with metabolic dysfunction associated steatotic liver disease
topic evidence-based nursing
evidence summary
lifestyle
intervention
metabolic dysfunction-associate fatty liver disease
non-alcoholic fatty liver disease
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1421386/full
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