Lifestyle Intervention Framework for Obese Patients with Non-alcoholic Fatty Liver Disease - a Tool for Health Professionals in Resource Constraint Settings.

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ID: 68493
2019
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Abstract
Purpose Non-alcoholic fatty liver disease (NAFLD), is recognized as a health care burden worldwide. Lifestyle modification remains the first line of treatment. However, the real challenge is ensuring the patient's adherence to lifestyle modification measures, especially in hospitals with resource-limited settings. Methods We developed a six-month-long, dietitian-led, hospital-based, lifestyle intervention framework for obese NAFLD patients and evaluated its content. Literature review, interviews, and discussions with 10 health experts (general physicians, dietitians/nutritionists, gastroenterologists, and a clinical psychologist) and 45 NAFLD patients (35 in Phase I and 10 in Phase II) in a tertiary hospital of India were carried out. Results The lifestyle intervention framework has unique features, such as an intensive nature to ensure adherence, a comprehensive educational format with clear guidelines, the customization of a prescription as per individual patient requirements, and a holistic approach to inculcate self-monitoring and behavioral change in NAFLD patients. Conclusion Health professionals worldwide can use this lifestyle intervention framework to develop counseling interventions for better adherence among obese NAFLD patients.
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arora2019lifestylecureus Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Arora, Charu;Malhotra, Anita;Ranjan, Piyush;Vikram, Naval K;Shalimar, ;Singh, Namrata;Dwivedi, Sada Nand;
Journal Cureus
Year 2019
DOI
10.7759/cureus.5999
URL
Keywords
obesity lifestyle intervention framework dietitian non-alcoholic fatty liver disease (nafld)

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