{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:30:41Z","timestamp":1790231441332,"version":"4.1.0"},"reference-count":90,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The growing pediatric obesity epidemic has paralleled the surge in metabolic dysfunction\u2010associated steatotic liver disease (MASLD) and metabolic dysfunction\u2010associated steatohepatitis. It develops due to nutritional imbalances, microbiome dysbiosis, gene regulation, hormonal changes, and environmental factors like food deserts, low activity level, and an unhealthy lifestyle. The prevalence of MASLD and obesity is rising every year. Lifestyle changes remain the mainstay treatment for obesity and MASLD. Per the 2023 American Association for the Study of Liver Diseases Practice Guidance on MASLD, achieving \u22655% weight loss can reduce hepatic steatosis, \u22657% weight loss can reduce hepatic inflammation, and \u226510% weight loss can reduce liver fibrosis. Therefore, nutritional interventions can be a powerful tool to help correct metabolic dysfunction and promote healthy weight loss. Current endorsed nutritional interventions for weight loss or MASLD include the Mediterranean diet, low glycemic\/low carbohydrate diet, plant\u2010based diet\/anti\u2010inflammatory diet, ketogenic diet, and intermittent fasting. This review provides evidence\u2010based insights into current nutritional interventions for children and adolescents with obesity and MASLD to help guide pediatric gastroenterologists in making the best dietary\u2010based recommendations in clinical practice.<\/jats:p>","DOI":"10.1002\/jpn3.70099","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T05:39:02Z","timestamp":1750138742000},"page":"485-496","source":"Crossref","is-referenced-by-count":8,"title":["Evidence\u2010based review of the nutritional treatment of obesity and metabolic dysfunction\u2010associated steatotic liver disease in children and adolescents"],"prefix":"10.1002","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0534-4254","authenticated-orcid":false,"given":"Sara","family":"Karjoo","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Gastroenterology Johns Hopkins All Children's Hospital St. Petersburg Florida USA"},{"name":"University of South Florida Tampa Florida USA"},{"name":"Florida State University Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Braglia\u2010Tarpey","sequence":"additional","affiliation":[{"name":"Amerita Home Infusion Greenwood Village Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvin P.","family":"Chan","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Gabriela","family":"Ayala Germ\u00e1n","sequence":"additional","affiliation":[{"name":"Unidad M\u00e9dica de Alta Especialidad Instituto Mexicano del Seguro Social M\u00e9rida Yucat\u00e1n M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Herdes","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford University School of Medicine Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Pai","sequence":"additional","affiliation":[{"name":"Children's Hospital of Philadelphia Philadelphia Pennsylvania USA"},{"name":"Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA"},{"name":"McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desiree","family":"Sierra\u2010Velez","sequence":"additional","affiliation":[{"name":"Harvard Medical School Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Whitehead","sequence":"additional","affiliation":[{"name":"Ann &amp; Robert H. 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