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                  <mods:namePart>Mascaró, Catalina M</mods:namePart>
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                  <mods:namePart>Bouzas, Cristina</mods:namePart>
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                  <mods:namePart>Montemayor, Sofía</mods:namePart>
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                  <mods:namePart>Casares, Miguel</mods:namePart>
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                  <mods:namePart>Llompart Alabern, Isabel</mods:namePart>
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                  <mods:namePart>Ugarriza, Lucía</mods:namePart>
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                  <mods:namePart>Borrás, Pere-Antoni</mods:namePart>
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                  <mods:namePart>Martínez, J Alfredo</mods:namePart>
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                  <mods:namePart>Tur, Josep A</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2024-10-04T13:22:45Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2022-04-26</mods:dateIssued>
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               <mods:identifier type="citation">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.</mods:identifier>
               <mods:identifier type="other">http://hdl.handle.net/20.500.13003/18034</mods:identifier>
               <mods:identifier type="uri">https://hdl.handle.net/20.500.12105/23420</mods:identifier>
               <mods:identifier type="pubmedID">35565780</mods:identifier>
               <mods:identifier type="doi">10.3390/nu14091813</mods:identifier>
               <mods:identifier type="e-issn">2072-6643</mods:identifier>
               <mods:identifier type="journal">Nutrients</mods:identifier>
               <mods:identifier type="wos">796176300001</mods:identifier>
               <mods:abstract>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.</mods:abstract>
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                  <mods:title>Effect of a Six-Month Lifestyle Intervention on the Physical Activity and Fitness Status of Adults with NAFLD and Metabolic Syndrome</mods:title>
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               <mods:genre>research article</mods:genre>
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