Effect of an Asian-adapted Mediterranean diet and pentadecanoic acid on fatty liver disease: the TANGO randomized controlled trial

Chooi YC, Zhang QA, Magkos F, Ng M, et al. (2024) American Journal of Clinical Nutrition
Title and abstract of Effect of an Asian-adapted Mediterranean diet and pentadecanoic acid on fatty liver disease: the TANGO randomized controlled trial

Key Takeaway

12-week RCT showed C15:0 supplementation combined with Mediterranean diet reduced liver fat by 33% in women with NAFLD, though diet alone achieved similar fat reduction (30%).

Summary

Double-blinded RCT examining effects of pentadecanoic acid (C15:0) supplementation combined with an Asian-adapted Mediterranean diet on NAFLD in 88 Chinese women.

Both diet groups lost more weight and liver fat than controls, but C15:0 supplementation showed only modest additional benefits over diet alone, primarily in LDL cholesterol reduction.

Methods

  • Double-blinded parallel-design RCT
  • 88 Chinese women with NAFLD
  • 12-week intervention
  • Three groups: diet + C15:0 (n=31), diet alone (n=28), control (n=29)
  • Measured liver fat by MRI-PDFF

Key Results

  • Liver fat (PDFF) reduced: 33% (diet+C15:0), 30% (diet alone), 10% (control)
  • Weight loss: 4.0 kg (diet+C15:0), 3.4 kg (diet), 1.5 kg (control)
  • C15:0 further reduced LDL cholesterol
  • Increased Bifidobacterium adolescentis abundance

Limitations

  • Single ethnic population (Chinese women)
  • C15:0 showed marginal benefit over diet alone
  • Short duration (12 weeks)
  • Partial industry funding

Related Interventions

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Source

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DOI: 10.1016/j.ajcnut.2023.11.013