The outcome of health belief model-based dietary counselling in metabolic‑associated fatty liver disease patients
Kora, H., Dorgham, L., Alwarraky, M., Elbahr, O., El-Abd, M., Atia, A., Moaz, I. (2025). The outcome of health belief model-based dietary counselling in metabolic‑associated fatty liver disease patients. EKB Journal Management System, 2025(2), 276-281. doi: 10.21608/aimj.2025.446451
Hend Abdel Hamid Kora; Laila Sh. Dorgham; Mohamed Shawky Alwarraky; Osama Elbahr; Mona Gamal El-Abd; Alia Atef Fathalla Atia; Inas Moaz. "The outcome of health belief model-based dietary counselling in metabolic‑associated fatty liver disease patients". EKB Journal Management System, 2025, 2, 2025, 276-281. doi: 10.21608/aimj.2025.446451
Kora, H., Dorgham, L., Alwarraky, M., Elbahr, O., El-Abd, M., Atia, A., Moaz, I. (2025). 'The outcome of health belief model-based dietary counselling in metabolic‑associated fatty liver disease patients', EKB Journal Management System, 2025(2), pp. 276-281. doi: 10.21608/aimj.2025.446451
Kora, H., Dorgham, L., Alwarraky, M., Elbahr, O., El-Abd, M., Atia, A., Moaz, I. The outcome of health belief model-based dietary counselling in metabolic‑associated fatty liver disease patients. EKB Journal Management System, 2025; 2025(2): 276-281. doi: 10.21608/aimj.2025.446451

The outcome of health belief model-based dietary counselling in metabolic‑associated fatty liver disease patients

Al-Azhar International Medical Journal
Volume 2025, Issue 2, February 2025, Pages 276-281    PDF (393.89 K)
Document Type: Original Article
DOI: 10.21608/aimj.2025.446451
Authors
Hend Abdel Hamid Kora* 1; Laila Sh. Dorgham1; Mohamed Shawky Alwarraky2; Osama Elbahr3; Mona Gamal El-Abd4; Alia Atef Fathalla Atia5; Inas Moaz1
1Epidemiology and Preventive Medicine, National Liver Institute, Menoufia University, Menoufia, Egypt
2Interventional Radiology, National Liver Institute, Menoufia University, Menoufia, Egypt
3Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Menoufia, Egypt
4Clinical Pathology, National Liver Institute, Menoufia University, Menoufia, Egypt
5Therapeutic Nutrition, National Liver Institute, Menoufia University, Menoufia, Egypt
Abstract
Background: Metabolically associated fatty liver disease (MAFLD) prevalence is among the highest in Egypt, with over one-third of the population affected, compared to a global prevalence of approximately 25 percent. Changing lifestyle is proven to be the most beneficial treatment for this disease.
Aim of the study: This study aims to evaluate the efficacy of a month-long intervention program for HBM model-based dietary counseling for patients with metabolic-associated fatty liver disease (MAFLD).
Methodology: A quasi-experimental design was applied for this study. A suitable sample of 61 MAFLD patients who agreed to join the study was utilized. The study variables were four sectioned questionnaires, namely (demographic, adherence to dietary recommendations, knowledge, and health beliefs), anthropometric measurements, liver enzymes, lipid profile, and fatty liver grades. All study variables were assessed and gathered both before and after the four-month intervention.
Results: After four months of intervention, significant improvements in health belief model (HBM) variables and knowledge were seen (p < 0.0001). Additionally, significant reductions in anthropometric measurements, liver enzymes, and lipid profiles were observed. Likewise, fatty liver index and ultrasonographic findings revealed a significant improvement.
Conclusions: The application of dietary counseling based on the health belief model can greatly enhance MAFLD patients’ health beliefs and knowledge, resulting in preventing or even reversing MAFLD progression.
 
Keywords
Metabolic-associated fatty liver disease (MAFLD); Health Belief Model (HBM); Obesity; Education; Behavior change
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