Table 2 Effect of weight loss in non‐alcoholic fatty liver disease in adults.
Author | Intervention | Number | Study Type | Comparison | Duration (months) | ALT | Histology | ||
---|---|---|---|---|---|---|---|---|---|
Steatosis | Inflammation | Fibrosis | |||||||
Ueno32 | Diet/exercise | 25 | Open label, non‐randomised | No treatment | 3 | Improved | Improved | No change | No change |
Huang29 | Diet/exercise | 23 | Pilot trial | Baseline | 12 | No change | No change | No change | No change |
Andersen28 | Diet | 41 | Case series | Baseline | 6 | Improved | Improved | No change* | No change |
Okita30 | Diet | 14 | Pilot trial | Baseline | 6 | Improved | NA | NA | NA |
Palmer31 | Diet | 39 | Case series | Baseline | Improved | NA | NA | NA | |
Harrison38 | Orlistat | 10 | Pilot trial | Baseline | 6 | Improved | No change | No change | No change |
HatzitoliosA35 | Orlistat | 21 | Pilot trial | Baseline | 6 | Improved | NA | NA | NA |
Sabuncu40 | Orlistat | 12 | Pilot trial | Baseline | 6 | Improved | Improved† | NA | NA |
Sibutramine | 13 | Pilot trial | Baseline | 6 | Improved | Improved† | NA | NA | |
Dixon41 | Gastric banding | 36 | Pilot trial | Baseline | 26 | Improved | Improved | Improved | Improved |
Silverman44 | Gastro‐jejenostomy | 91 | Case series | Baseline | 18 | No change | Improved | No change | Improved |
Luyckx43 | Gastric banding | 69 | Case series | Baseline | 27 | Improved | Improved | Worse | No change |
Kral42 | Biliopancreatic diversion | 104 | Case series | Baseline | 74 | Improved | Improved | No change | Worse‡ |
Clark JM92 | Reux‐en Y gastric bypass | 16 | Case series | Baseline | 10 | No change | Improved | Improved | Improved |
NA, not assessed. *No change in lobular inflammation, but significant worsening of portal inflammation; †as assessed by ultrasound; ‡significance level p = 0.053.