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The central hypothesis of this proposal is that a reduction in hepatic mitochondrial function is the main pathophysiology behind NAFLD (Non-Alcoholic Fatty Liver Disease) and NASH (Non alcoholic steatohepatitis). The investigators further hypothesize that lifestyle modifications through aerobic exercise training without weight loss or diet-induced weight loss are effective in reducing NAFLD parameters by improving hepatic mitochondrial content and function in human subjects.
The investigators propose a randomized, controlled human clinical trial to compare the effects of aerobic exercise training (without weight loss) versus diet-induced weight loss (without exercise) in individuals who have NAFLD or liver biopsy-confirmed NASH
Fatty Liver Disease) and NASH (Non alcoholic steatohepatitis). The investigators further hypothesize that lifestyle modifications through aerobic exercise training without weight loss or diet-induced weight loss are effective in reducing NAFLD parameters by improving hepatic mitochondrial content and function in human subjects.
The investigators propose a randomized, controlled human clinical trial to compare the effects of aerobic exercise training (without weight loss) versus diet-induced weight loss (without exercise) in individuals who have NAFLD or liver biopsy-confirmed NASH
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Weight loss | Other | 10% weight loss in 24 weeks time period through nutritional counseling. |
|
| Exercise without weight loss | Active Comparator | 24 weeks under direct supervision. |
|
| Control | No Intervention | No change in usual exercise levels or food intake. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Weight loss | Behavioral | Nutritional counseling |
| |
| Exercise |
| Measure | Description | Time Frame |
|---|---|---|
| NASH ( Non alcoholic steatohepatitis score) on liver biopsy | baseline and 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Liver Function Tests | ALT/AST. | Baseline and 24 weeks |
| DXA Scan | Baseline and 24 weeks | |
| Ultrasonographical changes in liver echotexture |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jamal Ibdah, MD; PhD | University of Missouri-Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital | Columbia | Missouri | 65212 | United States |
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| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| D015431 | Weight Loss |
| D009043 | Motor Activity |
| D028361 | Mitochondrial Diseases |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D001836 | Body Weight Changes |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Behavioral |
Under direct supervision |
|
| Baseline and 24 weeks |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |