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Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease

Lifestyle modification is the mainstay of treatment in Non-Alcoholic Fatty Liver Disease (NAFLD). Published Indian data on the diet and lifestyle of Indian NAFLD patients is scarce. This study explored variation in lifestyle-related behavior among obese patients with NAFLD. Ultrasonography (USG) dia...

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Autores principales: Arora, Charu, Malhotra, Anita, Ranjan, Piyush, Vikram, Naval K., Dwivedi, S. N., Singh, Namrata, Shalimar, Singh, Vishwajeet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079655/
https://www.ncbi.nlm.nih.gov/pubmed/33937307
http://dx.doi.org/10.3389/fnut.2021.655032
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author Arora, Charu
Malhotra, Anita
Ranjan, Piyush
Vikram, Naval K.
Dwivedi, S. N.
Singh, Namrata
Shalimar,
Singh, Vishwajeet
author_facet Arora, Charu
Malhotra, Anita
Ranjan, Piyush
Vikram, Naval K.
Dwivedi, S. N.
Singh, Namrata
Shalimar,
Singh, Vishwajeet
author_sort Arora, Charu
collection PubMed
description Lifestyle modification is the mainstay of treatment in Non-Alcoholic Fatty Liver Disease (NAFLD). Published Indian data on the diet and lifestyle of Indian NAFLD patients is scarce. This study explored variation in lifestyle-related behavior among obese patients with NAFLD. Ultrasonography (USG) diagnosed obese NAFLD patients (n = 140) were assessed for dietary intake [1-day 24 hours recall, food-frequency questionnaire (FFQ)] and physical activity (PA) [Global Physical Activity Questionnaire (GPAQ)]. Diet quality score (0–30) and physical activity (PA) levels were used to study variation in lifestyle and assess the effect of lifestyle on the severity of NAFLD. Compared to the recommendation, calorie consumption was 25.2% higher in nearly half (53.6%) of the subjects and mean macronutrient intake was imbalanced (60.3% carbohydrates, 12.4% protein, 25.5% fats). Variation was seen in terms of diet quality—good (3%), moderate (54.3%), or poor (43.5%) and intensity of PA—high (15%), moderate (47.9%), or low (37.1%). No patient had a combination of high PA and good diet quality within all grades of NAFLD. Our study suggests wide variation in lifestyles of obese patients with NAFLD and need for a more flexible and individualized modification of their diet and PA.
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spelling pubmed-80796552021-04-29 Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease Arora, Charu Malhotra, Anita Ranjan, Piyush Vikram, Naval K. Dwivedi, S. N. Singh, Namrata Shalimar, Singh, Vishwajeet Front Nutr Nutrition Lifestyle modification is the mainstay of treatment in Non-Alcoholic Fatty Liver Disease (NAFLD). Published Indian data on the diet and lifestyle of Indian NAFLD patients is scarce. This study explored variation in lifestyle-related behavior among obese patients with NAFLD. Ultrasonography (USG) diagnosed obese NAFLD patients (n = 140) were assessed for dietary intake [1-day 24 hours recall, food-frequency questionnaire (FFQ)] and physical activity (PA) [Global Physical Activity Questionnaire (GPAQ)]. Diet quality score (0–30) and physical activity (PA) levels were used to study variation in lifestyle and assess the effect of lifestyle on the severity of NAFLD. Compared to the recommendation, calorie consumption was 25.2% higher in nearly half (53.6%) of the subjects and mean macronutrient intake was imbalanced (60.3% carbohydrates, 12.4% protein, 25.5% fats). Variation was seen in terms of diet quality—good (3%), moderate (54.3%), or poor (43.5%) and intensity of PA—high (15%), moderate (47.9%), or low (37.1%). No patient had a combination of high PA and good diet quality within all grades of NAFLD. Our study suggests wide variation in lifestyles of obese patients with NAFLD and need for a more flexible and individualized modification of their diet and PA. Frontiers Media S.A. 2021-04-14 /pmc/articles/PMC8079655/ /pubmed/33937307 http://dx.doi.org/10.3389/fnut.2021.655032 Text en Copyright © 2021 Arora, Malhotra, Ranjan, Vikram, Dwivedi, Singh, Shalimar and Singh. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Arora, Charu
Malhotra, Anita
Ranjan, Piyush
Vikram, Naval K.
Dwivedi, S. N.
Singh, Namrata
Shalimar,
Singh, Vishwajeet
Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease
title Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease
title_full Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease
title_fullStr Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease
title_full_unstemmed Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease
title_short Variation in Lifestyle-Related Behavior Among Obese Indian Patients With Non-alcoholic Fatty Liver Disease
title_sort variation in lifestyle-related behavior among obese indian patients with non-alcoholic fatty liver disease
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079655/
https://www.ncbi.nlm.nih.gov/pubmed/33937307
http://dx.doi.org/10.3389/fnut.2021.655032
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