About this trial
MAFLD is a growing problem in India. Its pathophysiology is complex, but focused on abnormal substrate handling due to mitochondrial dysfunction reflecting as metabolic inflexibility. Nutrition is the cornerstone of management. The ideal macronutrient distribution within a hypocaloric diet is not known yet. Evidence from experimental and a few human studies in obese, highlight the role of dietary proteins, independent of calorie restriction, in reducing hepatic steatosis by improving the cellular and systemic bioenergetics.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Newly diagnosed treatment naïve consenting adults with MAFLD (controlled attenuation parameter; CAP >250, BMI>23 and/or DM) Age 18-65 years
Disqualifiers
• Lean (BMI <23) patients
Age <18 and >65 years
Individuals who had been hospitalized with complications of Diabetes mellitus, Chronic Kidney disease, Hypertension in the previous 6 months
Patients with viral hepatitis
Trial design
Parallel
Treatments tested in this trial
High protein diet
Dietary supplementHigh protein diet
Normal Protein diet
Dietary supplementNormal protein diet
Treatment groups
Trial outcomes
Primary outcomes
Assessment of Hepatic steatosis.
Changes in hepatic steatosis at baseline and follow up would be done using fibro scan (CAP) and Computed Tomography (Liver Attenuation Index).
Secondary outcomes
Assessment of cellular bioenergetics would be done.
Changes in oxygen consumption rate (OCR in pmol/min) at baseline and follow up would be done using Seahorse XF analyser.
Assessment of cellular bioenergetics would be done.
Changes in Extracellular acidification rate(ECAR in mph/min) at baseline and follow up would be done using Seahorse XF analyser.
Assessment of systemic bioenergetics would be done.
A switch in Respiratory quotient (RQ) at fasting and OGTT would be assessed using indirect calorimetry at baseline and follow up.
Assessment of metabolic markers at baseline and follow up.
Changes in metabolic markers would be done at baseline and follow up. The following metabolic markers would be assessed :- Blood pressure(systolic and dystolic), HbA1c,Thyroid stimulating hormone , Total lipid profile, CRP levels.
Sponsors and contacts
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