Multimodal Program Effectiveness on Hepatic Fat Mobilization and Functional Capacity among Patients with Non-alcoholic Fatty Liver

Mosa, Hassnaa Eid Shaban; El-Bready, Hanan G.,; Abd Elhy, Asmaa Hamed; Aboalizm, Samira E.; El Sabaawy, Maha Mohamed; Al Khalifa, Maimona Abd ElWahed; Shehata, Hanady Sh.

Multimodal Program Effectiveness on Hepatic Fat Mobilization and Functional Capacity among Patients with Non-alcoholic Fatty Liver

Document Type : Original Research

Authors

¹ Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University. Egypt.

² Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University. Egypt

³ Professor of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Egypt.

⁴ Fellow Lecturer in Therapeutic Nutrition Department, National Liver Institute, Menoufia University, Egypt.

⁵ Assistant professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.

Abstract

Abstract Non-alcoholic fatty liver is an umbrella covering a group of conditions associated with fat deposition and tissue damage. The aim: To elucidate the multimodal program effectiveness on hepatic fat mobilization and functional capacity among patients with nonalcoholic fatty liver. Design: Quasi experimental design. Setting: The National Liver Institute outpatient’s clinics at Menoufia Governorate, Egypt. Subjects: A purposive sample of 150 adult patients. Instruments: An interview structured questionnaire, Nutritional assessment sheet, International physical activity questionnaire, Functional capacity scale and Self-reported compliance sheet. Results: The total caloric intake was reduced among the studied group from 2652.66 to 1890.46 Kcal after program application by 6 months. Also, after 3 months BMI and hip circumference were reduced from 34.72 Kg/m2 and 112.10 Cm to 28.67 Kg/m2 and 112.10 Cm, respectively. After 3 and 6 months from the program application, patients’ compliance progress from 70.0% to 78% respectively. A significant positive correlation between patient’s compliance & functional capacity at the three different intervals respectively was present. Oppositely, a significant negative correlation observed between patient’s compliance and blood lipids as TCHOL, TG & LDL after 6 months of program application respectively. Conclusion: Multimodal program is an efficient approach holistically implemented for resolution of existing fatty liver, prevention of new fat development, improvement in patient’s functional capacity, blood pressure, lipid profile, body weight, liver function and enzymes. Recommendation: Awareness enhancement regarding multimodal program and control of non-alcoholic fatty liver disease risk factors through mass media is recommended.

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