Living with fatty liver disease, or MASLD, often involves managing many different health markers at once. A large review of data from 980 patients looked at how a Mediterranean diet compares to other diets for those with this condition. The goal was to see if this specific way of eating could improve overall health and liver function.
The findings show that the Mediterranean diet led to a modest reduction in body mass index and a significant drop in triglycerides, which are a type of fat in the blood. However, the diet did not show a clear advantage over other diets when it came to other important markers like blood pressure, liver enzymes, or blood sugar levels.
It is important to keep these results in perspective. Because many of the studies involved short follow-up periods and lacked standard definitions for what a Mediterranean diet actually included, the evidence for most outcomes is considered low to very low certainty. While the diet helped with weight and fats, it did not show clear superiority over other diets for most metabolic goals.