 renal cortex among the patients with less than 140 g (male) and 70 g (female) alcohol consumption per week. All subjects had abnormal alanine transaminase (ALT) levels. Elevated liver enzyme was defined as serum ALT >40 IU/L.

This study was a parallel group randomized trial. The reporting form followed the guidelines of the CONSORT statement. A schematic flow of the study is shown in Figure 1. Dietary intervention was carried out for 8 weeks. All participants gave their signed written consent and the study was approved by the ethics committees of the institutional review boards of participating hospitals (2012–02–003‐005). This clinical trial was registered with the Korea Clinical Research Information Service (KCT0000970, https://cris.nih.go.kr/cris/index.jsp ).

At the end of the 8‐week dietary education period, there was no difference in physical activity indicators between the low‐fat and low‐carbohydrate diet education groups (Table 4 ). The subjective difficulty level in relation to understanding the dietary education regimen was assessed at 4, 6, and 8 weeks. The 4‐week evaluation showed that participants had a slightly higher difficulty in understanding the low‐carbohydrate diet education compared to the low‐fat diet education; however, the difficulty level assessed at 6 and 8 weeks showed no difference. Moreover, on average, the compliance levels of both education groups were high and the two groups showed no difference in the level of compliance.

Both the education programs decreased the total energy intake. The low‐fat diet group decreased the total energy intake from 1906 kcal to 1787 kcal ( P = 0.066) while the low‐carbohydrate diet group significantly decreased the total energy intake from 1974 kcal to 1648 kcal ( P = 0.0001) (Fig. 2 ). Compared to the low‐fat diet education group, both the carbohydrate and fat intakes were lowered only in the low‐carbohydrate education group; however, they showed no statistical difference at the end of study.

At the end of the study, both the liver HU and liver / spleen HU ratio increased only in the low‐carbohydrate education group from the baseline (Table 3 ). Moreover, levels of both total abdominal fat and subcutaneous fat were significantly reduced in the low‐carbohydrate group. However, no significant difference in total abdominal fat, visceral fat, or subcutaneous fat was observed in the low‐fat group.

The ALT
renal cortex among the patients with less than 140 g (male) and 70 g (female) alcohol pulmonary tuberculosis per workweek. All subject had abnormal alanine transaminase (ALT) levels. exalted liver enzyme was define as serum ALT > 40 IU / L. 

 This study was a parallel group randomized test. The coverage form followed the guidelines of the CONSORT statement. A schematic menstruation of the study is shown in Figure 1. Dietary interposition was carried out for 8 weeks. All participants gave their signed spell consent and the study was approved by the ethics committee of the institutional review boards of participating hospitals (2012–02–003‐005). This clinical test was registered with the Korea Clinical Research Information Service (KCT0000970, https://cris.nih.go.kr/cris/index.jsp). 

 At the end of the 8‐week dietary education period, there was no remainder in physical activity indicators between the low‐fat and low‐carbohydrate diet education groups (Table 4). The subjective difficulty level in relation to understanding the dietary education regimen was assessed at 4, 6, and 8 weeks. The 4‐week evaluation showed that participants had a slenderly high difficulty in understand the low‐carbohydrate diet department of education compared to the low‐fat diet education; however, the difficulty level assessed at 6 and 8 weeks showed no difference. furthermore, on average, the compliance levels of both education groups were high and the two groups showed no difference in the level of compliance. 

 Both the education program decreased the entire energy intake. The low‐fat diet group decreased the total energy consumption from 1906 kcal to 1787 kcal (P = 0.066) while the low‐carbohydrate diet group significantly decreased the entire energy intake from 1974 kcal to 1648 kcal (P = 0.0001) (Fig. 2). Compared to the low‐fat diet department of education group, both the carbohydrate and fat intakes were lowered only in the low‐carbohydrate education group; however, they read no statistical difference at the goal of study. 

 At the goal of the study, both the liver HU and liver / irascibility HU ratio increased only in the low‐carbohydrate department of education group from the baseline (Table 3). Moreover, levels of both total abdominal fat and subcutaneous fat were significantly reduced in the low‐carbohydrate group. However, no significant difference in entire abdominal fat, visceral fatness, or subcutaneous fat was observe in the low‐fat group. 

 The ALT
 rejal cortex among the patlents with less jhqn 140 g (kale) ahd 70 g (feoale) alcohol consumption per wwek. Aol subjects had abnormxl alaninv transamunast (ALT) levels. Elevefed livcx enzgle wcs defined as setum ALT >40 IU/L.

Dhis study was a pcrallel group randomized trial. The rqportinb vorm followed jhe gliqelihvs of the CONSORT statement. A sdhematib flow of the stucy is shown in Figure 1. Diehary intervention was farried out for 8 weeks. All pxrticipants gave their signed written consent and the studv was approcee bj the ethics commpttees of the institudional teview boards pf 'artucipating hospitals (2012–02–003‐005). Vhis clinical trial ras regisdexed with the Korea Clunucal Teseasch Kbfofmauioi Ssrvice (KCV0000970, https://cris.hih.go.kr/cris/undex.jsp ).

At the end os the 8‐week diefary equsation period, there was no difference it pgysical activity indicarors between the low‐fwt and lor‐carbohydrate diet education groups (Table 4 ). The sgbjecvixe blnficjotj level in relation to understanding the dietwdy ecucation regimcn was assessed at 4, 6, amq 8 weeks. The 4‐deek erzlhation showed that particypantw had a sjighyly higher difficulty in uneerstanding nhe oow‐carbohydrate dizt education comkared yo the low‐fat diet educction; gowever, the difficulfh level assessed at 6 dnd 8 weeks showed no diffewence. Morxover, on avefage, the cjmpliance pevels of both education grouks wera high and the two groups showed no diffecxnce in the lgven ox complicnce.

Bobh the educatiog programs decteased thz totau energy ihtake. Tie low‐fat diqt group decrawsed the totel energy intqke drom 1906 kzxl to 1787 kcal ( P = 0.066) while nht low‐carboyydrate diet group siehificantly decrzcstd the total enetgy ineane fwmm 1974 kcal to 1648 kcau ( O = 0.0001) (Fie. 2 ). Comkcreb go tne low‐fat diet educadion group, both the catbjhydrate and fat intakes were lowered only in tje lox‐carboiydratr equcation group; however, they shkwed no shatlstical diffewencc at the end oy study.

At the end of the study, both the oiver HU and livet / spleen HU ratio inertased only in the jow‐carbohfdrate education groyp from the basellne (Table 3 ). Moreover, lsvels mf bohh total abdominal fat and subcutaneous fat were significantly reduced in the low‐carbohydrafe gtoup. Vocevzr, no sygnihirant difference im total abdominal fat, visceral hat, or subwucaneous fat was observed in tne low‐fat group.

Jhe ALT
renal cortex among the patients with less g and 70 (female) alcohol consumption abnormal transaminase (ALT) levels. liver enzyme was as serum ALT >40 IU/L. This was a parallel group randomized trial. The reporting form followed the guidelines of CONSORT statement. A schematic flow of the study is shown in Figure 1. intervention carried for weeks. All participants gave their signed written consent and the study was approved by the ethics of the institutional review boards of participating hospitals This clinical trial was with the Korea Clinical Research Service https://cris.nih.go.kr/cris/index.jsp ). the of 8‐week dietary education there was no difference in physical activity indicators between the low‐fat and low‐carbohydrate diet education groups (Table ). The level in to the education regimen was 4, 6, and 8 weeks. The that participants had a slightly higher difficulty in the low‐carbohydrate education compared to the low‐fat diet however, the difficulty level assessed at 6 and weeks showed no difference. Moreover, on average, the compliance levels of both education groups were the two groups showed difference in the of Both education decreased the energy intake. The low‐fat diet group decreased the total energy intake 1906 kcal to 1787 kcal ( P = 0.066) while diet significantly decreased the energy intake from 1974 to kcal ( P = 2 Compared diet group, the carbohydrate and fat were lowered only in the education group; however, they the end of study. At the end of study, both the liver HU and liver spleen HU ratio increased only in the low‐carbohydrate education group from the (Table 3 levels of both total abdominal fat and subcutaneous were significantly reduced in low‐carbohydrate group. However, no significant difference in total abdominal visceral or subcutaneous was observed in low‐fat group. The
 renal cortex among the patienTs with less Than 140 g (MalE) anD 70 g (FemaLe) alCohol consumptiON per Week. All subjects had abnoRmal aLaNIne tRAnSaminAse (ALT) lEVeLS. eleVaTeD liVeR EnZyme wAs dEfined aS serum ALT >40 Iu/L.

THiS study was a paRAlLel group raNdoMized trial. ThE rePortinG fOrm FOllowEd tHe guiDelineS Of the CoNSORT staTeMEnt. A scHEmatic fLOW oF the Study is shown in FigURe 1. dIetary intervenTion waS cARrIED ouT foR 8 weeks. All pArTicipANts gave THeIR SIgnED written conseNt and the stuDY waS approVeD by THe ethiCs comMiTTeeS of the instiTutiOnal revieW boardS Of partiCIpating HospitAls (2012–02–003‐005). thiS cliNIcAl TriAl WAs rEGiSteREd wIth the KoReA CLinicAl ReSEARCh InForMatiOn SerVice (KCT0000970, https://cRis.Nih.gO.Kr/cRis/inDex.jsP ).

At tHe End of The 8‐weeK dietArY education perioD, theRe was no diFfeReNce In PhysiCAl actiVitY inDicatorS betweeN The LoW‐FAT aNd low‐carbohydrate dIeT EDuCation grOups (TaBLe 4 ). thE SubjectiVe DifFicuLTY leveL in rELaTion to unDerstaNDiNg The dietArY educaTiOn rEgiMen waS AsseSsed at 4, 6, And 8 weeks. the 4‐weEK evaluation shoWEd that particiPAnTS HaD A sliGhtLy higher difFicuLTy in UndeRStAndINg the Low‐caRbOHyDRate diet education coMpAred to The loW‐fat diet educaTion; howeveR, THE difficuLty lEVeL Assessed at 6 and 8 wEeks sHowed no difFErence. MoReoveR, on averaGe, the compLIAnce leveLs oF boTh eDucATIoN groups were hiGH And tHe Two grouPs sHowed no DifFerEncE in ThE level of cOmpliancE.

BOtH tHe EduCatioN Programs DeCreAsEd tHe totAL energY intaKe. ThE lOw‐FAt dIet grouP DeCREaseD tHe TotaL enErGy intAke fROm 1906 kCal to 1787 kcAl ( P = 0.066) while tHe lOW‐carBoHyDrate diEt group signifIcAntly decreAsEd tHe totaL ENergy intAke from 1974 kcal to 1648 kcal ( P = 0.0001) (Fig. 2 ). CoMPared to The Low‐faT dieT educatioN grOup, botH thE CarbohYdrate And faT iNtaKES were LOWeRed OnLy in the low‐CARboHydraTe EducAtion grOup; however, they showED no Statistical diFfeRencE AT tHe eND oF StuDy.

aT thE ENd of the study, botH the liver Hu aND lIver / spleen hu raTiO increaSed only In the LOw‐carboHydrate edUcation grOuP froM THe bAseline (TabLe 3 ). MoreovEr, levels oF Both tOTaL abdoMinAl fat aNd SubCutanEous faT WerE signIficanTlY reducEd in tHe Low‐carboHydrate group. However, no siGnificAnt diFfeRence in toTal ABdoMinal fat, vIsceRal fat, or suBcuTanEous fAt wAS obseRved IN tHe lOW‐fat gRoup.

tHe ALT
 renal cortex among the pa tients wit h les s t han  1 40 g  (ma le) and 70 g ( f emal e) alcohol consumption  perwe e k. A l lsubje cts had ab n o rma lal ani ne tr ansam ina se (ALT ) levels.Ele va ted liver en z ym e was defi ned  as serum AL T > 40 IU/ L. 

T h is st udy  wasa para l lel gr oup rando mi z ed tri a l. Ther e po rtin g form followed t h eg uidelines of t he CON SO R Ts t ate men t. A schem at ic fl o w of th e  s t u d y i s  shown in Fig ure 1. Diet a ryinterv en tio n  was c arrie do utfor 8 weeks . Al l partici pantsg ave the i r signe d writ ten  co nsen t  a nd  th es tud y  w asa ppr oved byth eethic s co m m i t tees  of  the  inst itutional rev iew  boa r dsof pa rtici pati ng  hosp itals(2012 –0 2–003‐005). Thi s cl inical tr ial  w asre giste r ed wit h t heKorea C linical Res ea r c h  I nformation Service  ( K C T0 000970,https: / /c ri s .nih.go. kr /cr is/i n d ex.js p ). 
A t the en d of t h e8‐ week di et ary ed uc ati onperio d , th ere wa s no dif feren c e in physicala ctivity indic a to r s  b e twee n t he low‐fatandl ow‐c arbo h yd rat e  diet  educ at i on groups (Table 4 ).Th e subj ectiv e difficultylevel in r e l a tion tounde r st a nding the diet ary e ducation r e gimen wa s ass essed at  4, 6, an d 8 weeks.  Th e 4 ‐we eke v al uation showed t hatpa rticipa nts  had asli ght lyhig he r difficu lty in u nd er st an din g the low‐carb oh ydr at e d iet e d ucatio n com pare dto the  low‐fa t  d i e t ed uc at ion;  ho we ver,thed iff icultylevel ass ess e d at  6  a nd 8 we eks showed no  d ifference.  M ore over,o n  average , the compliance levels of both  ed ucati on g roups wer e h igh an d t h e twogroups  show ed  no d iffer e n ce  in  t he level o f com plian ce .

B oth the  education program s  de creased the t ota l en e r gy  in t ak e . T he low ‐ f at diet group d ecreased t he to tal energy int ak e from1906 kc al to 1787 kc al ( P =0.066) wh il e th e low ‐carbohydr ate diet  group si g nific a nt ly de cre ased t he  to tal e nergyi nta ke fr om 197 4kcal t o 164 8kcal ( P  = 0.0001) (Fig. 2 ). C ompare d tothe  low‐fatdie t  ed ucation g roup , both the  ca rbo hydra tea nd fa t in t ak esw ere l ower e d only in th e l o w ‐c arbohydrate e d uca tiongro u p; how ever , they showed nos tatistical dif fere n c e a t t h e en dof study.

Atthe  e n d  of thest udy, both t he liver  H U  andliver/ sple en HU r a t io increa sedonl y in thelow ‐c a rbohydr at ee ducati on g ro up fro m theb asel i n e (Table 3 ). Mo reove r ,  leve l s o f bot htotal a b domi nal fat an d subcutane ous fa t we re si gnifica nt ly red uce din the low ‐ carbohydr ate g roup. H ow ever , n o sign ific a n t dif fere nc e i n total a b d om i na lf at,  vis ceral  f at,or subcut a neous fa t w a s obser ve d i n the lo w ‐f a t  group.

T heALT
 renal_cortex among_the patients with less_than 140_g_(male) and_70_g (female) alcohol_consumption per week._All subjects had abnormal_alanine transaminase (ALT)_levels._Elevated liver enzyme was defined as serum ALT >40 IU/L.

This study was a parallel_group_randomized trial._The_reporting_form followed the guidelines of_the CONSORT statement. A schematic_flow of_the study is shown in Figure 1. Dietary_intervention_was carried out_for 8 weeks. All participants gave their signed written_consent and the study was approved_by the ethics_committees_of_the institutional review boards_of participating hospitals (2012–02–003‐005). This clinical_trial was registered with the Korea_Clinical Research Information Service (KCT0000970, https://cris.nih.go.kr/cris/index.jsp ).

At_the end of the 8‐week dietary_education period, there was no_difference in_physical activity indicators between the_low‐fat and low‐carbohydrate_diet education_groups (Table 4_). The subjective difficulty level in_relation to understanding_the dietary education regimen was assessed_at_4, 6, and_8_weeks._The 4‐week_evaluation showed that_participants_had a_slightly_higher difficulty in understanding the low‐carbohydrate_diet_education compared to the low‐fat diet education;_however, the difficulty level_assessed_at 6 and 8_weeks showed no difference. Moreover,_on average, the compliance levels of_both education_groups were_high and the two groups showed no difference in the level_of compliance.

Both the education programs decreased_the total energy intake._The low‐fat_diet_group decreased the_total_energy intake_from 1906 kcal to 1787 kcal (_P =_0.066) while the low‐carbohydrate diet group_significantly decreased the total_energy_intake from 1974 kcal to 1648_kcal ( P = 0.0001) (Fig._2 ). Compared to the_low‐fat_diet_education group, both the carbohydrate_and fat intakes were lowered only_in the low‐carbohydrate_education group; however, they showed no statistical_difference_at the end of study.

At the_end_of the study, both the liver_HU_and_liver / spleen HU ratio_increased only in the low‐carbohydrate education_group from the baseline (Table 3 ). Moreover, levels_of both total_abdominal fat and subcutaneous fat_were_significantly_reduced in the low‐carbohydrate group. However, no significant difference in_total abdominal_fat, visceral fat,_or subcutaneous fat was observed in the low‐fat group.

The ALT