Being diagnosed with liver disease can feel like a lot to handle. Metabolic dysfunction-associated steatotic liver disease (MASLD) happens when fat builds up in the liver, and the patient also has diabetes, obesity, high blood pressure or high cholesterol. The Mediterranean diet has proven benefits for adults with MASLD, as WebMD recently reported.

Food is energy, and energy builds up if we don’t use it, said Andres Gomez-Aldana, MD, an associate professor of clinical medicine specializing in gastroenterology and transplant hepatology at the University of Cincinnati College of Medicine. The body turns extra energy into fat, which it stores for later use. Just like other areas of the body, the liver can hold onto fat.

“The liver is the first organ that receives all the energy that you are eating after it’s passed through the GI [gastrointestinal] tract,” said Gomez-Aldana.

When fat builds up in the liver, it causes inflammation. The immune system then attacks liver fat, causing scarring that’s known as fibrosis. When fibrosis becomes severe, it’s called cirrhosis.

A person’s diet can affect how well they’re able to manage MASLD, especially when a person reaches their 40s and beyond and their cardiometabolic risk rises.

The Mediterranean diet is proven to help prevent MASLD from getting worse. Fruits, vegetables and whole grains are rich in nutrients called polyphenols, which travel to the liver and break down fat, lowering inflammation, said Gomez-Aldana.

The Mediterranean diet can help a person lose weight too, said Gomez-Aldana. Vegetables high in fiber, such as lettuce and broccoli, make a person feel full so they eat less. 

Olive oil also causes the body to release its own GLP-1, a hormone that moderates blood sugar levels, hunger and digestion. That means consuming olive oil can help a person feel full, said Gomez-Aldana.

Read the full WebMD article for which foods to eat and which foods to avoid.

Dining and Cooking