About this trial
This project aims to evaluate the roles of the autonomic nervous system (ANS) and gut microbiota as correlates of clinical improvement in metabolic dysfunction-associated fatty liver disease (MAFLD) and non-alcoholic fatty liver disease (NAFLD) in response to a therapeutic regimen comprising resistance exercise and probiotic supplementation. The primary objective is to investigate the effects of these non-pharmacological interventions on MAFLD/NAFLD and to identify patient phenotypes based on baseline ANS profiles and gut microbiota composition that predict clinical responses.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of NAFLD/MAFLD or NASH (imaging or histological confirmation of fatty liver disease, e.g., ultrasound, MRI-PDFF, biopsy)
Age 18-60 years
Ability to understand the study procedures and provide informed consent.
Stable clinical condition for at least 3 months prior to study initiation.
Disqualifiers
Lack of fluency in English or Polish
Significant (structural) limitation of upper and/or lower limb mobility
Pregnancy or breastfeeding
Inability to understand instructions
Trial design
Parallel
Treatments tested in this trial
physical exercise programme
Behavioralresistance/hypertrophy-oriented resistance programme
probiotics supplementation
Dietary supplementprobiotics supplementation
Placebo
Dietary supplementPlacebo
Treatment groups
Trial outcomes
Primary outcomes
Change in liver fat measured using MRI
Secondary outcomes
changes in weight in kilograms using scale
changes in body fat mass in kilograms measured using bioelectrical impedance method
changes in free-fat mass in kilograms measured using bioelectrical impedance method
changes in visceral fat level measured using bioelectrical impedance method
Other outcomes
autonomic nervous system function indicated by LF/HF ratio in supine position measured using Task Force Monitor
Changes in maximal strength, operationalized as the heaviest load lifted for exactly 10 repetitions (10RM) on calibrated resistance machines
changes in RMR measured using CPET
changes in the dynamics of blood glucose level in response to standardized breakfast intake using continuous glucose monitoring
Locations
Sponsors and contacts
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Nicolaus Copernicus University
Lead sponsor
University of Oxford
Collaborator
Medical University of Warsaw
Collaborator
This trial is not recruiting at the moment. You can still explore other options: