Non-alcoholic steatohepatitis (NASH) is a liver condition that can lead to cirrhosis and liver failure if left untreated. It is associated with the accumulation of fat in the liver and inflammation, which can cause damage to liver cells. Diet plays a critical role in the management of NASH. While certain foods are known to be harmful, such as those high in sugar, refined carbohydrates, and saturated fat, the role of fruits in NASH diet remains unclear.
Fruits are an excellent source of vitamins, minerals, fiber, and antioxidants, which are all essential for good health. They are also low in fat and calories, making them an ideal choice for weight management, which is crucial in NASH. However, some fruits are high in fructose, a type of sugar that can contribute to the development of NASH. Fructose is metabolized in the liver, and excessive consumption can overload the liver and lead to fat accumulation and inflammation.
Despite these concerns, recent studies suggest that moderate fruit consumption may be beneficial for people with NASH. In a study involving 137 adults with NASH, those who consumed more fruits had lower levels of liver fat and inflammation than those who consumed less. The researchers suggest that the beneficial effects of fruits may be due to their high content of polyphenols, a type of antioxidant that has anti-inflammatory and anti-oxidative properties.
When it comes to choosing fruits in NASH diet, it is important to focus on those that are low in fructose and high in polyphenols. Some examples of such fruits include berries, cherries, grapes, and citrus fruits. These fruits are rich in polyphenols and contain lower amounts of fructose compared to other fruits such as apples, pears, and mangoes. It is also important to consume fruits in moderation and to choose whole fruits over juices, which are often high in sugar and lack the fiber found in whole fruits.
In summary, while excessive consumption of fruits high in fructose can contribute to the development of NASH, moderate consumption of fruits low in fructose and high in polyphenols may have beneficial effects on liver health. Including a variety of fruits in NASH diet, particularly berries, cherries, grapes, and citrus fruits, can provide essential nutrients and antioxidants while supporting weight management and liver health.
“DietSensor NASH” for iOS (download here) is a nutrition coaching app specialized in Nash to help patients affected by the disease tackle and if possible reverse it. It provides daily guidance, meal plans, a meal generator to match your preferences, nutrition education, macronutrient tracking, and a chat with a dietitian. It starts at the price of $49 to make sure anybody has access to its science-backed content.
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