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The role of gluten-free diet in nonalcoholic fatty liver disease development.

European review for medical and pharmacological sciences
November 1, 2021
T Larussa et al. (8 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the risk of non-alcoholic fatty liver disease (NAFLD) in celiac disease patients adhering to a gluten-free diet (GFD).

Results Summary

The systematic review found that GFD in celiac disease patients may increase the risk of NAFLD due to consumption of products rich in saturated fats and carbohydrates, leading to hepatic steatosis and inflammation. Eight studies supported this association over follow-up periods ranging from six months to a median of 10 years.

Population

Celiac disease patients adhering to a gluten-free diet.

Effective Dosage

Not Assessed

Duration

Six months to a median of 10 years.

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
gluten-free diet
increase
non-alcoholic fatty liver disease
Celiac Disease patients
-
has been related to the onset
#1
gluten-free diet
increase
NAFLD
CD patients
-
may be a risk factor for the onset
#2
gluten-free diet
increase
hepatic steatosis and inflammation
-
-
plays a key role in NAFLD for consumption of products rich in saturated fats and carbohydrates that promotes accumulation of lipids and lead to
#3
Abstract

OBJECTIVE: Celiac Disease (CD) is an autoimmune disease involving the small bowel, generated by the ingestion of gluten-containing foods in genetically predisposed subjects. Currently, the unique therapy for CD is the absolute adherence to gluten-free diet, but this treatment has been related to the onset of non-alcoholic fatty liver disease (NAFLD). In this systematic review, we provide an update from the most recent studies on the risk of developing NAFLD patients adhering to GFD. MATERIALS AND METHODS: According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) criteria, we performed a systematic literature search on PubMed and Google Scholar from 2012 to 2021. RESULTS: In the present systematic review, eight studies investigated how GFD in CD patients may be a risk factor for the onset of NAFLD from a minimum of six months to the maximum follow-up period represented by a median of 10 years. CONCLUSIONS: Present systematic review evaluates how GFD plays a key role in NAFLD for consumption of products rich in saturated fats and carbohydrates that promotes accumulation of lipids and lead to hepatic steatosis and inflammation.

Medical Subject Headings (MeSH)
Diet, Gluten-FreeHumansNon-alcoholic Fatty Liver DiseaseRisk Factors
Study Links
Quality Scores
Safety60
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations4
Citations/Year1.0
Relative Citation Ratio0.42
NIH Percentile22.4%
Research Impact Scores
APT Score0.25
Weight Score2.31
Normalized Score0.70
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