Meta-analysis2026

Effect of intermittent fasting on hepatic steatosis in metabolic dysfunction-associated steatotic liver disease

Liu Q, Zhang L, Wang Y, Li J, Li Y

Clinics and research in hepatology and gastroenterology · 0 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2026-06-29 · Clin Res Hepatol Gastroenterol · vol. 50 · issue 7 · p. 102875
Publisher
Elsevier BV
Cited
2 citations · more than 98% of similar papers · 10.0× the field average
Impact
Top 10% most cited in its field
References
73 works
Access
Paywalled
Research areas
Dietary Effects on Health · Diet and metabolism studies · Liver Disease Diagnosis and Treatment
Keywords
Steatosis, Liver steatosis, Fatty liver, Intermittent fasting, Liver disease, Disease
MeSH
humans, fatty liver, fasting, non-alcoholic fatty liver disease, intermittent fasting

5 authors

From CN

  • Qinhan LiuSouthwest Medical University; Affiliated Hospital of Southwest Medical University
  • Ling ZhangSouthwest Medical University; Affiliated Hospital of Southwest Medical University
  • Yaomin WangSouthwest Medical University; Affiliated Hospital of Southwest Medical University
  • Jun Li · correspondingSouthwest Medical University
  • Yaling Li · correspondingSouthwest Medical University; Affiliated Hospital of Southwest Medical University

Abstract

Background

Metabolic dysfunction-associated steatotic liver disease (MASLD), previously called non-alcoholic fatty liver disease (NAFLD), is marked by hepatic steatosis. While intermittent fasting (IF) lowers weight and lipids in obesity, its effect on MASLD-related liver fat remains unclear.

Methods

We searched the databases including PubMed, Cochrane Library, Web of Science, and Embase to find studies for inclusion in the meta-analysis. The Review Manager 5.3 and Stata 17.0 were used to perform the meta-analysis, and the results were reported as mean difference (MD) or standardized mean difference (SMD), along with their 95% confidence intervals (CIs).

Results

Finally, eight studies with 389 subjects were included. Meta-analysis showed that: 1) IF significantly improved liver fat content (MD = -3.01, 95% CI [-5.84, -0.18]; P = 0.04) and controlled attenuation parameter (CAP) in patients with MASLD (MD = -18.64, 95% CI [-30.29, -6.99]; P = 0.002). 2) IF reduced body weight, body mass index (BMI), and triglycerides (TG) in Patients with MASLD, and the differences were statistically significant (P < 0.05).

Conclusion

IF improves hepatic steatosis in MASLD, suggesting a potential to modify disease progression. However, rigorous multicenter randomized trials are required to confirm these findings and develop evidence-based clinical strategies for MASLD management.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

Community trust

Loading…

How much do you trust this study's findings?

0 · not at all10 · completely

Comments

Sign in to rate, comment on or flag this study.Sign in

Something wrong here?

Flag this study if its information, labels or funding look wrong. An editor reviews every flag.

Sign in to rate, comment on or flag this study.Sign in

Educational information about published research. Not medical advice, and not a recommendation to start or stop anything.