Part 2: MASLD: Lifestyle Management & Messaging

1. The stage of fibrosis is the most important single predictor of significant morbidity and mortality in chronic liver disease.

a) True
b) False

2. Lifestyle recommendations to manage Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) includes weight loss, smoking cessation, avoiding alcohol, and increasing physical activity.

a) True
b) False

3. When treating MASLD as a comorbidity, statins do not need to be discontinued.

a) True
b) False

4. Diets high in the following have been linked to obesity, MASLD, and advanced fibrosis:

a) Saturated fats
b) Refined carbohydrates
c) Fructose
d) Sugar-sweetened beverages
e) All of the above

5. The American Diabetes Association (ADA) Standards of Care recommend adults with type 2 diabetes or prediabetes, particularly with overweight or obesity, who have MASLD should be recommended lifestyle changes using an interprofessional approach that promotes weight loss, ideally within a structured nutrition plan and physical activity program for cardiometabolic benefits and histological improvement.

a) True
b) False

6. The 2025 ADA Standards of Care recommend eating patterns that emphasize the inclusion of:

a) Nuts and seeds
b) Legumes
c) Lean proteins
d) Whole grains
e) All of the above

7. Sustained lifestyle changes can prevent MASLD from progressing and can reverse MASLD in the early stages of the disease, even with compensated cirrhosis.

a) True
b) False

8. The 2025 ADA Standards of Care recommend eating patterns that limit the following:

a) Red meat
b) Sugar-sweetened beverages
c) Refined grains
d) Processed and ultraprocessed foods
e) All of the above

9. The Mediterranean diet, increased vegetable intake, and consumption of omega-3 polyunsaturated fat-rich fish are associated with lower risk of liver cancer.

a) True
b) False