The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trial

Abstract Recent studies have utilized time-restricted feeding (16/8) (TRF) and dietary approaches to stop hypertension separately to manage metabolic-associated fatty liver disease (MAFLD); however, the effectiveness of combining these two approaches has not been investigated. The objective of this...

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Main Authors: Maryam Nilghaz, Amir Sadeghi, Glareh Koochakpoor, Hossein Poustchi, Navideh Khodadadi, Behnaz Narimani, Maryam Ghods, Mahshad Shafiee, Mohammad Reza Shahparvari, Azita Hekmatdoost
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Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88393-7
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author Maryam Nilghaz
Amir Sadeghi
Glareh Koochakpoor
Hossein Poustchi
Navideh Khodadadi
Behnaz Narimani
Maryam Ghods
Mahshad Shafiee
Mohammad Reza Shahparvari
Azita Hekmatdoost
author_facet Maryam Nilghaz
Amir Sadeghi
Glareh Koochakpoor
Hossein Poustchi
Navideh Khodadadi
Behnaz Narimani
Maryam Ghods
Mahshad Shafiee
Mohammad Reza Shahparvari
Azita Hekmatdoost
author_sort Maryam Nilghaz
collection DOAJ
description Abstract Recent studies have utilized time-restricted feeding (16/8) (TRF) and dietary approaches to stop hypertension separately to manage metabolic-associated fatty liver disease (MAFLD); however, the effectiveness of combining these two approaches has not been investigated. The objective of this study was to examine the impact of TRF in conjunction with a DASH diet on various factors related to MAFLD. A 12-week randomized controlled trial was conducted to assess the impact of TRF (16/8), along with a DASH diet, compared with a control diet based on standard meal distribution, in patients with MAFLD. An investigation was conducted to examine alterations in anthropometric indices, as well as liver parameters, serum metabolic indices, and an inflammatory marker. The TRF plus DASH diet reduced body mass index (p = 0.03), abdominal circumference (p = 0.005), controlled attenuation parameter (CAP) (p < 0.001), alanine aminotransferase (p = 0.039), and aspartate aminotransferase (0.047) compared to the control group. The levels of insulin and homeostasis model assessment of insulin resistance reduced in both groups significantly (P < 0.05). In MAFLD patients, TRF (16/8) in combination with a DASH diet is superior to a low-calorie diet in promoting obesity indices, and hepatic steatosis and fibrosis. Further long-term investigations are needed to draw definitive conclusions.
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spelling doaj-art-ef643cf3a76b4391ad6bca38359afa572025-08-20T02:01:35ZengNature PortfolioScientific Reports2045-23222025-02-0115111310.1038/s41598-025-88393-7The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trialMaryam Nilghaz0Amir Sadeghi1Glareh Koochakpoor2Hossein Poustchi3Navideh Khodadadi4Behnaz Narimani5Maryam Ghods6Mahshad Shafiee7Mohammad Reza Shahparvari8Azita Hekmatdoost9Department of Clinical Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesGastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical SciencesMaragheh University of Medical SciencesDigestive Disease Research Institute, Tehran University of Medical SciencesDepartment of Clinical Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Clinical Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Clinical Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Clinical Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Clinical Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Clinical Nutrition, School of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesAbstract Recent studies have utilized time-restricted feeding (16/8) (TRF) and dietary approaches to stop hypertension separately to manage metabolic-associated fatty liver disease (MAFLD); however, the effectiveness of combining these two approaches has not been investigated. The objective of this study was to examine the impact of TRF in conjunction with a DASH diet on various factors related to MAFLD. A 12-week randomized controlled trial was conducted to assess the impact of TRF (16/8), along with a DASH diet, compared with a control diet based on standard meal distribution, in patients with MAFLD. An investigation was conducted to examine alterations in anthropometric indices, as well as liver parameters, serum metabolic indices, and an inflammatory marker. The TRF plus DASH diet reduced body mass index (p = 0.03), abdominal circumference (p = 0.005), controlled attenuation parameter (CAP) (p < 0.001), alanine aminotransferase (p = 0.039), and aspartate aminotransferase (0.047) compared to the control group. The levels of insulin and homeostasis model assessment of insulin resistance reduced in both groups significantly (P < 0.05). In MAFLD patients, TRF (16/8) in combination with a DASH diet is superior to a low-calorie diet in promoting obesity indices, and hepatic steatosis and fibrosis. Further long-term investigations are needed to draw definitive conclusions.https://doi.org/10.1038/s41598-025-88393-7DASHTRFDietMAFLDNAFLD
spellingShingle Maryam Nilghaz
Amir Sadeghi
Glareh Koochakpoor
Hossein Poustchi
Navideh Khodadadi
Behnaz Narimani
Maryam Ghods
Mahshad Shafiee
Mohammad Reza Shahparvari
Azita Hekmatdoost
The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trial
Scientific Reports
DASH
TRF
Diet
MAFLD
NAFLD
title The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trial
title_full The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trial
title_fullStr The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trial
title_full_unstemmed The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trial
title_short The efficacy of DASH combined with time-restricted feeding (16/8) on metabolic associated fatty liver disease management: a randomized controlled trial
title_sort efficacy of dash combined with time restricted feeding 16 8 on metabolic associated fatty liver disease management a randomized controlled trial
topic DASH
TRF
Diet
MAFLD
NAFLD
url https://doi.org/10.1038/s41598-025-88393-7
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