Combining nutraceuticals and a mediterranean diet for managing metabolic dysfunction associated with steatotic liver disease  

作　　者：Fei-Yong Cheng Cong Chen Feng-Yong Wang Bo-Huan Zhao 

机构地区：[1]Department of Hepatobiliary Surgery,Zhuji People's Hospital,Zhuji 311800,Zhejiang Province,China [2]Department of General Surgery,Zhuji Third People's Hospital,Zhuji 311825,Zhejiang Province,China [3]Department of General Surgery,Xinhua Hospital of Zhejiang Province,Hangzhou 310005,Zhejiang Province,China [4]Department of General Surgery,Zhuji Traditional Chinese Medicine Hospital,Zhuji 311899,Zhejiang Province,China

出　　处：《World Journal of Hepatology》2025年第4期155-159,共5页世界肝病学杂志(英文)

摘　　要：This study was performed by Cano Contreras et al,who explored the effects of alpha-lipoic acid(ALA)and Silybum marianum(SM)supplementation combined with a mediterranean diet(MD)on metabolic dysfunction-associated steatotic liver disease(MASLD).The randomized controlled design and use of transient elastography provide methodological strengths,whereas the focus on a Mexican cohort addresses a critical gap in regional MASLD research.Although improvements in visceral fat and controlled attenuation parameters(CAP)were observed,key metabolic markers,including transaminases and lipid profiles,showed no significant changes,raising concerns about the intervention's comprehensive metabolic impact.The reliance on CAP and the absence of mechanistic biomarker analysis limit insights into the antioxidant and anti-inflammatory pathways of ALA and SM.Future research should explore synergistic effects with other nutraceuticals,such as vitamin E and polyphenols,and include extended followup and patient stratification to assess long-term benefits and personalized therapeutic outcomes.Addressing these limitations could solidify the role of nutraceuticals in MASLD management and enable the development of more effective and sustainable interventions.

关 键 词：Alpha-lipoic acid Dietary interventions Metabolic dysfunction-associated steatotic liver disease Silybum marianum Synergistic effects Vitamin E 

分 类 号：R575[医药卫生—消化系统]