<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-29T06:16:15Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/23420" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/23420</identifier><datestamp>2024-10-04T13:22:45Z</datestamp><setSpec>com_20.500.12105_15322</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_16967</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Mascaró, Catalina M</subfield>
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      <subfield code="a">Bouzas, Cristina</subfield>
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      <subfield code="a">Montemayor, Sofía</subfield>
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      <subfield code="a">Casares, Miguel</subfield>
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      <subfield code="a">Llompart Alabern, Isabel</subfield>
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      <subfield code="a">Ugarriza, Lucía</subfield>
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      <subfield code="a">Borrás, Pere-Antoni</subfield>
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      <subfield code="a">Martínez, J Alfredo</subfield>
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      <subfield code="a">Tur, Josep A</subfield>
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      <subfield code="c">2022-04-26</subfield>
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      <subfield code="a">Background: Physical inactivity has been linked to NAFLD, and exercise has been reported as useful to reduce intrahepatic fat content in NAFLD. Objectives: To assess the physical activity (PA) and fitness status after a six-month lifestyle intervention (diet and PA) in adults with NAFLD and metabolic syndrome (MetS). Design: Prospective cohort analysis of data obtained between baseline and six-year parallel-group randomized trial (n = 155, aged 40-60 years old, with MetS and NAFLD). Participants were randomized into three nutritional and PA intervention groups: Conventional diet (CD); MedDiet-high meal frequency (MD-HMF); MedDiet-physical activity (MD-PA). Methods: PA and fitness status were assessed using a validated Minnesota questionnaire, ALPHA-FIT test battery, accelerometers, and functional fitness score. Information related to age, gender, education level, marital status, socioeconomic status, smoking habit, and alcohol consumption were also obtained. Results: The CD group had higher improvement in standing handgrip than the MD-HMF group. The MD-PA group did more modified push-up repetitions than the CD group. The MD-PA and CD groups showed higher sitting handgrip than the MD-HMF group. The MD-HMF group showed the highest decrease in aerobic capacity. The MD-PA group showed lower light intensity PA/day than the CD and MD-HMF groups. The MD-PA group showed higher moderate intensity PA than the CD and MD-HMF groups. The CD group reported more METs per day than the MD-HMF group. Conclusions: Lifestyle six-month intervention with diet and regular PA improved functional fitness in middle-aged patients with NAFLD and MetS. Aerobic capacity improved in patients who followed a Mediterranean diet and regular training sessions at six months.</subfield>
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      <subfield code="a">Mascaró CM, Bouzas C, Montemayor S, Casares M, Llompart I, Ugarriza L, et al. Effect of a Six-Month Lifestyle Intervention on the Physical Activity and Fitness Status of Adults with NAFLD and Metabolic Syndrome. Nutrients. 2022 Apr 26;14(9):1813.</subfield>
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      <subfield code="a">http://hdl.handle.net/20.500.13003/18034</subfield>
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      <subfield code="a">https://hdl.handle.net/20.500.12105/23420</subfield>
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      <subfield code="a">10.3390/nu14091813</subfield>
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      <subfield code="a">2072-6643</subfield>
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      <subfield code="a">Nutrients</subfield>
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      <subfield code="a">Effect of a Six-Month Lifestyle Intervention on the Physical Activity and Fitness Status of Adults with NAFLD and Metabolic Syndrome</subfield>
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