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Science for Sapiens                                                                A year in research (2024)



                                   hile a poor diet, such as pro-
                                   cessed products, promotes
                                   non-alcoholic hepatic steato-
                                   sis, a healthy diet prevents fat
                                   retention in the liver. A team
                                   of researchers from Spain,
                                   Israel and Italy have publi-
           W shed in the British Medical
           Journal a recommendation based on scientific evidence
           that insists on giving more social importance to this disea-
           se, which affects more than 30% of the population and is
           linked to obesity, type 2 diabetes, metabolic syndrome,
           dyslipidaemia and hypertension. Professor of Physiology
           at the Miguel Hernández University of Elche (UMH) Ber-
           nat Soria, co-author of the study, voluntarily underwent a
           liver biopsy to show that non-alcoholic fatty liver disease
           is reversible if you have healthy eating habits and physical
           activity.

           The non-alcoholic fatty liver disease (NAFLD) involves
           a buildup of fat in liver cells in individuals who take little
           or no alcohol. It has become a constantly growing Public
           Health problem, closely related to Obesity, type 2 Diabetes
           and Metabolic Syndrom. According to the study published
           in the British Medical Journal, more than 30% of the world’s
           adult population suffers from fatty liver, with an estimated
           annual growth of 0.7%. This disease, which can progress
           to liver fibrosis in 10-15% of patients, represents one of the
           main risk factors for developing liver cancer.

           “The scientific evidence collected so far,” says Bernat
           Soria, a researcher at the UMH Bioengineering Institute,             Diets such as the
           “shows that people’s diet plays a crucial role in this disea-
           se.” A poor diet, with too many saturated fatty acids and   Mediterranean – based
           sugars, typical of processed products and sugary drinks,   on vegetables, fruit, legu-
           contributes to liver damage and adipose-tissue disorders,
           systemic inflammation and imbalance of the gut micro-     mes, nuts, whole grains
           biota. On the other hand, diets such as the Mediterranean   and fish–can reduce the
           – based on vegetables, fruit, legumes, nuts, whole grains
           and fish – can reduce the risk of fatty liver disease and pro-  risk of fatty liver disease
           mote cardiometabolic health. Specifically, a 10% reduction   and promote cardiome-
           in weight along with lifestyle changes, such as daily walks,
           decreases fat accumulation in the liver, inflammation and                 tabolic health
           fibrosis. “What’s more, a healthy lifestyle not only prevents
           NAFLD but can reverse it”, emphasizes the UMH Professor,
           who suffers from this disease.
                                                             Therapy to delay the onset of type 1 diabetes (Frontiers
           In addition to being co-author of the publication, Bernat  Cell Dev Biol 2023). The anti-inflammatory and regene-
           Soria, researcher at the Institute for Health and Biomedical  rative effects of this Cellular Therapy helped to decrease
           Research of Alicante (ISABIAL), provided the view from the  mortality due to COVID-19 (The Lancet-eClinical Medicine
           side of the patient with fatty liver. He underwent a biopsy  2020) and to  the  recovery of  cognitive  capacity in  mice
           to show that, after a period of Mediterranean diet and phy-  (Frontiers in Neuroscience 2019).
           sical activity, the fatty liver can heal. This is not the first time
           a researcher undergoes an intervention to test the validity  The study, led by researcher from CIBEREHD and the Vir-
           of a hypothesis. In 1956, the German physician Werner  gen del Rocío University Hospital in Seville Manuel Ro-
           Forssmann received the Nobel Prize for his pioneering te-  mero Gómez, advocates a comprehensive approach that
           chnique for the catheterisation of the human heart, which  involves the whole society through awareness, education
           he performed for the first time and successfully on himself.  and policy change. Preventing obesity and fatty liver, the
                                                             researchers say, involves promoting a healthy lifestyle from
           A  previous  study  by  Professor  Soria  had  already  proven  an early age, active participation of health professionals,
           the beneficial effects of extra virgin olive oil on the action  regulating unhealthy food advertising, and implementing
           of insulin (Mol Nutrition Food Res 2016; scientific Reports  government policies, such as taxes on sugary drinks and
           2019) and more recently the beneficial effects of Cellular  food reformulation.



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