{
  "abstract": "European Association for the Study of the Liver (EASL) management guidelines for MASLD recommend sustained weight loss of 5–10%, engaging in over 150 minutes of moderate-intensity exercise, or more than 75 minutes of vigorous-intensity exercise weekly and enhancing diet quality through adherence to a Mediterranean Diet (MD). The MD has been shown to provide hepatic and cardiovascular health benefits, even without weight loss and may be easier to maintain in the long-term, than weight reducing diets alone.The primary aim was to evaluate exercise habits and the level of adherence to the MD among patients with MASLD visiting an outpatient hepatology clinic in Ireland.Using consecutive, purposive sampling all eligible patients were invited to participate in this observational, cross-sectional study which employed three questionnaires: one for demographics, lifestyle, and health, a 14-item Mediterranean Diet Adherence Screener (MEDAS) to assess adherence to the Mediterranean Diet and an International Physical Activity Questionnaire – Short Form (IPAQ-SF).41 participants were interviewed (56% male) (mean age of 56 +/- 14.3 years) (mean BMI 34 +/- 5.38). The mean MEDAS score across the cohort was 5.84 +/- 2.23 out of maximum score of 14, with 68.3% of participants classified as low adherers (score <7) with no significant difference between BMI or gender. Significant areas of non-adherence included inadequate consumption of legumes, fish, fruits, vegetables, and olive oil. Notably, 88% had not received education on the MD. A non-significant trend was observed, between higher familiarity with the MD and adherence to MD.37% of participants reached the EASL guidelines of equivalent cumulative 600 Metabolic equivalent of task (MET) min/week through moderate and vigorous activities, while 42% did not engage in any moderate or vigorous activity. A correlation was observed between occupations primarily entailing sitting/standing and failing to meet exercise guidelines among all employed individuals (p=0.033). The findings indicated a low overall compliance with the Mediterranean diet and exercise guidelines.This study is the first to assess adherence to the MD in Irish adults with MASLD. Findings were similar to that previously reported in an older adult Irish cohort (5.8/14).The levels of exercise observed were similar to those documented in a 2020 Irish survey of patients with MASLD, which reported 39% meeting exercise guidelines.Given the established advantages of exercise and MD in managing MASLD, it would be beneficial to determine the limitations to adherence to the EASL guidelines.",
  "authors": [
    {
      "affiliations": [
        "St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland"
      ],
      "name": "Niamh O’Sullivan"
    },
    {
      "affiliations": [
        "School of Physiotherapy, Public Health and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland"
      ],
      "name": "Clare Reynolds"
    },
    {
      "affiliations": [
        "St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland"
      ],
      "name": "Zita Galvin"
    },
    {
      "affiliations": [
        "School of Physiotherapy, Public Health and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland"
      ],
      "name": "Andrew O’Leary"
    },
    {
      "affiliations": [
        "School of Physiotherapy, Public Health and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland"
      ],
      "name": "Marie Williams"
    }
  ],
  "title": "P130 Mediterranean dietary and exercise patterns in individuals with metabolic associated steatotic liver disease (MASLD) in Ireland",
  "uid": "32eeb6ab-9a35-583e-9685-814496d68b32"
}