☆ 4.7 Review

Meta-analysis of the association between major foods with added fructose and non-alcoholic fatty liver disease

FOOD & FUNCTION (2023)

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Summary: This systematic review and meta-analysis aimed to summarize the available evidence and investigate the effect of nutrition on nonalcoholic fatty liver disease (NAFLD). The study found that higher caloric intake is positively associated with NAFLD, while the composition of macronutrients is not related to the presence or severity of the disease.

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Adherence to the dietary approaches to stop hypertension diet and non-alcoholic fatty liver disease

Yuanyuan Sun et al.

Summary: This study found that adherence to the DASH diet is associated with a lower risk of NAFLD in the Chinese population. It is especially beneficial for women, individuals with overweight/obesity, and those with high levels of C-reactive protein.

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Added Fructose in Non-Alcoholic Fatty Liver Disease and in Metabolic Syndrome: A Narrative Review

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Summary: Studies have found that fructose added to foods via high fructose corn syrup and sucrose could contribute to the onset and progression of NAFLD and MetS. Fructose affects liver function through multiple pathways, including inducing de novo lipogenesis, triggering endoplasmic reticulum stress and liver inflammation, reducing fatty acids oxidation, and increasing intestinal permeability. In addition, fructose intake is also associated with weight gain and hypertension.

NUTRIENTS (2022)

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Review Nutrition & Dietetics

Important Food Sources of Fructose-Containing Sugars and Non-Alcoholic Fatty Liver Disease: A Systematic Review and Meta-Analysis of Controlled Trials

Danielle Lee et al.

Summary: This systematic review and meta-analysis investigated the effects of fructose-containing sugars from different food sources and different levels of energy control on non-alcoholic fatty liver disease (NAFLD) markers. The results showed that fructose-containing sugars increased intrahepatocellular lipid (IHCL), especially from sugar-sweetened beverages (SSBs), while the removal of energy from mixed sources (with SSBs) decreased aspartate aminotransferase (AST). However, there is still uncertainty about the effects of other important food sources of fructose-containing sugars.

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Soft drink consumption and risk of nonalcoholic fatty liver disease: results from the Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIH) cohort study

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Summary: The study revealed that the T-allele of the C677T variant of methylene tetrahydrofolate reductase is a risk factor for non-alcoholic fatty liver disease among the Chinese population. Certain food groups such as milk and beans are associated with a lower risk, while meat is associated with a higher risk.

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The effects of high fructose fruits and honey on the serum level of metabolic factors and nonalcoholic fatty liver disease

Fatemeh Sadeghi et al.

Summary: The study compared the effects of fructose, high fructose fruits, and honey on metabolic factors and NAFLD in rats. Results showed that insulin resistance increased significantly in all groups, liver enzymes were significantly increased only in the HF group. A decrease in cholesterol levels was found in the HO group compared to the control. Expression levels of ACC and SREBP-1c genes were significantly higher in all experimental groups.

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Dietary Fructose and the Metabolic Syndrome

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Antonella Mirizzi et al.

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No association between fruits or vegetables and non-alcoholic fatty liver disease in middle-aged men and women

Ryoko Tajima et al.

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Soft drinks consumption is associated with nonalcoholic fatty liver disease independent of metabolic syndrome in Chinese population

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Sugar-Sweetened Soft Drinks and Fructose Consumption Are Associated with Hyperuricemia: Cross-Sectional Analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

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High Rates of Fructose Malabsorption Are Associated with Reduced Liver Fat in Obese African Americans

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