Microbiota, Fiber, and NAFLD

Gut microbiota can contribute to the development and progression of non-alcoholic fatty liver disease (NAFLD). In fact, some specific changes of gut microbiota are observed in patients in what is called dysbiota. There has been a lot of investigation by using a variety of interventions, including di...

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Detalhes bibliográficos
Autores: Pérez-Montes de Oca, Alejandra|||0000-0001-8807-1935, Julián, María Teresa|||0000-0003-2524-1823, Ramos, Analía|||0000-0002-0882-1247, Puig Domingo, Manuel|||0000-0002-6744-7195, Alonso Pedrol, Núria|||0000-0001-9687-8050
Formato: artículo
Fecha de publicación:2020
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:252983
Acesso em linha:https://ddd.uab.cat/record/252983
https://dx.doi.org/urn:doi:10.3390/nu12103100
Access Level:acceso abierto
Palavra-chave:NAFLD
NASH
Microbiota
Fiber
Prebiotics
Diet
Descrição
Resumo:Gut microbiota can contribute to the development and progression of non-alcoholic fatty liver disease (NAFLD). In fact, some specific changes of gut microbiota are observed in patients in what is called dysbiota. There has been a lot of investigation by using a variety of interventions, including diet, showing the possibility to modify components of gastrointestinal dysbiota towards healthy and multivariate microbiota to restore physiologic status. One of the main focuses has been dietary fiber (DF), in which most of its variants are prebiotics. The highest effective treatment for NAFLD is, so far, weight loss achieved by caloric restriction. DF supplementation with oligofructose facilitates weight loss, enhances the production of beneficial metabolites, decreases some pathogenic bacteria population by increasing Bifidobacteria, and has effects on intestinal barrier permeability. DF use has been associated with improvement in diverse metabolic diseases, including NAFLD, by modifying gut microbiota. Additionally, it has been shown that a higher insoluble fiber consumption (≥7.5 g/day) revealed improvements in 3 different scores of liver fibrosis. Further research is needed, but given the evidence available, it is reasonable to prescribe its consumption in early stages of NAFLD in order to prevent disease progression.