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Effects of time restricted feeding combined with Lacto Ovo vegetarian diet on metabolic associated fatty liver disease management: a randomized clinical trial.

Scientific reports
February 6, 2025
Mahshad Shafiee et al. (8 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether combining time-restricted feeding (TRF) with a Lacto-Ovo-Vegetarian (LOV) diet improves metabolic markers, liver health, and weight loss in overweight and obese patients with Metabolic Associated Fatty Liver Disease (MAFLD).

Results Summary

The intervention group showed significant improvements in weight, BMI, waist circumference, liver enzymes (ALT, GGT), Fatty Liver Index, insulin levels, TNF-α, triglycerides, and HDL-C compared to the control group, suggesting that TRF with an LOV diet enhances metabolic and liver health in MAFLD patients.

Population

Overweight and obese patients with MAFLD (n=42 completed the study).

Effective Dosage

Time-restricted feeding (16/8 protocol) combined with a Lacto-Ovo-Vegetarian diet.

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
weight
overweight and obese patients with MAFLD
-8.07 ± 4.31 kg
showed significant reductions
#1
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
BMI
overweight and obese patients with MAFLD
-2.70 ± 1.32 kg/m2
showed significant reductions
#2
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
waist circumference
overweight and obese patients with MAFLD
-8.00 ± 4.06 cm
showed significant reductions
#3
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
ALT
overweight and obese patients with MAFLD
-17.14 ± 14.33 U/L
showed significant reductions
#4
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
GGT
overweight and obese patients with MAFLD
-21.09 ± 24.06 U/L
showed significant reductions
#5
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
Fatty Liver Index
overweight and obese patients with MAFLD
-26.90 ± 15.81
showed significant reductions
#6
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
insulin levels
overweight and obese patients with MAFLD
-3.89 ± 4.69 mU/L
showed significant reductions
#7
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
TNF-α
overweight and obese patients with MAFLD
-11.85 ± 12.52 pg/mL
showed significant reductions
#8
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
decrease
triglycerides
overweight and obese patients with MAFLD
-46.85 ± 54.55 mg/dL
improved with a reduction
#9
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
increase
HDL-C
overweight and obese patients with MAFLD
3.91 ± 5.07 mg/dL
improved with an increase
#10
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
increase
metabolic markers
overweight and obese patients with MAFLD
-
enhances
#11
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
increase
liver health
overweight and obese patients with MAFLD
-
enhances
#12
time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet
increase
weight loss
overweight and obese patients with MAFLD
-
enhances
#13
Abstract

Metabolic Associated Fatty Liver Disease (MAFLD) is becoming a major global health concern due to its links with obesity, insulin resistance, and cardiovascular risk. This randomized clinical trial assessed the effects of combining time-restricted feeding (TRF; 16/8) with a Lacto-Ovo-Vegetarian (LOV) diet on various factors in overweight and obese patients with MAFLD. Forty-six participants were randomly assigned to either the intervention group (TRF with LOV diet) or the control group, with 21 participants completing the 12-week study in each group. The intervention group showed significant reductions in weight (-8.07 ± 4.31 kg), BMI (-2.70 ± 1.32 kg/m2), waist circumference (-8.00 ± 4.06 cm), as well as ALT (-17.14 ± 14.33 U/L), GGT (-21.09 ± 24.06 U/L), Fatty Liver Index (-26.90 ± 15.81), insulin levels (-3.89 ± 4.69 mU/L), and TNF-α (-11.85 ± 12.52 pg/mL) compared to the control group (all P < 0.05). Lipid profiles also improved with a reduction in triglycerides (-46.85 ± 54.55 mg/dL) and an increase in HDL-C (3.91 ± 5.07 mg/dL) in the intervention group compared to the control group (P < 0.05). These findings imply that TRF combined with a LOV diet enhances metabolic markers, liver health, and weight loss, thus potentially offering a practical dietary approach for managing MAFLD. Further long-term studies are necessary to validate these results and investigate their clinical applications.

Medical Subject Headings (MeSH)
HumansMaleFemaleDiet, VegetarianMiddle AgedAdultObesityNon-alcoholic Fatty Liver DiseaseInsulin ResistanceIntermittent Fasting
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.69
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