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Effect of Lifestyle Modification Education Based on Health Belief Model in Overweight/Obese Patients With Non-Alcoholic Fatty Liver Disease: A Parallel Randomized Controlled Clinical Trial Publisher Pubmed



Nourian M1 ; Askari G1 ; Golshiri P2 ; Miraghajani M3, 4 ; Shokri S5 ; Arab A1
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. The Early Life Research Unit, Academic Division of Child Health, Obstetrics and Gynaecology, and Nottingham Digestive Disease Centre and Biomedical Research Centre, The School of Medicine, University of Nottingham, Nottingham, NG7 2UH, United Kingdom
  5. 5. Department of Radiology, School of Medical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Clinical Nutrition ESPEN Published:2020


Abstract

Background: Non-alcoholic fatty liver disease (NAFLD) is the most common emerging liver disease worldwide. Lifestyle modification is the most emphasized method on management of this disease. Methods: In order to conduct this parallel, randomized controlled trial study, eighty-two NAFLD patients recruited and allocated to intervention group or the control. Results: After two months of intervention, significant improvements in all health belief model (HBM) variables and knowledge were seen within the intervention group (p < 0.001) and also the improvements were significantly superior between two groups (p < 0.001). Furthermore, prominent significant reduction for liver enzyme was observed in the intervention group compared to the controls. Similarly, ultra-sonographic findings revealed a significant improvement in the intervention group versus control. Conclusions: This HBM-based lifestyle modification education could be effective not only in the HBM domains but also in the improvement of NAFLD parameters. Therefore, it could be useful to use this educational program for NAFLD patients in order to impact on their beliefs and body together. Registration: Iranian Registry of Clinical Trials (IRCT2014101811763N17). © 2020 European Society for Clinical Nutrition and Metabolism
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