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Nonalcoholic fatty liver disease (NAFLD), the most common chronic liver disorder, is closely associated with insulin resistance, obesity, and metabolic syndromes. A body of research has proposed that olive oil, a basic component of the Mediterranean diet with antioxidant and anti-inflammatory properties, may alleviate metabolic disturbances and retard the progression of NAFLD. We conducted a systematic review and meta-analysis to assess the effectiveness of olive oil intake in people with NAFLD. We systematically searched the major electronic databases (PubMed/MEDLINE, Scopus, Cochrane Central Register of Controlled Trials), as well as grey literature sources, to identify randomized controlled trials (RCTs) investigating the effects of olive oil consumption on biochemical and anthropometric parameters of individuals with NAFLD. The quality of the studies was evaluated using the risk-of-bias tool 2.0 (RoB 2). The mean difference (MD) and the 95% confidence interval (CI) were calculated using fixed-effects and random-effects models. Seven RCTs involving 515 subjects were included in the analysis. In the random-effects model, no statistically significant differences were identified with respect to alanine transaminase (MD = −1.83 IU/L, 95% CI: −5.85, 2.19 IU/L, p = 0.37, I2 = 69%) and aspartate transaminase (MD = −1.65 IU/L, 95% CI: −4.48, 1.17 IU/L, p = 0.25, I2 = 72%) levels or waist circumference values (MD = −0.23 cm, 95% CI: −1.23, 0.76 cm, p = 0.65, I2 = 0%). However, a significant effect on body mass index was observed (MD = −0.57 kg/m2, 95% CI: −1.08, −0.06 kg/m2, p = 0.03, I2 = 51%) for subjects who received olive oil compared to those who received an alternative diet or placebo. The findings of the present meta-analysis suggest a modestly positive impact of olive oil intake on body weight in people with NAFLD.

The compatibility of shipping with environmental protection is a subject that the international community is becoming increasingly concerned about, considering the threat of climate change. The current study aims to assess the worldwide shipping sector’s eco-efficiency performance for the first time using the Dynamic Slack-Based assess non-oriented Data Envelopment Analysis methodology, while the visualization of the results has been made with the geographic information system of ArcGIS. The findings show that the most vibrant shipping sectors in the world, such as the Marshall Islands, present the lowest eco-efficiency levels due to the nations’ roles as tax havens for shipowners. Furthermore, traditional maritime economies such as the Chinese one show a great growth in the eco-efficiency score due to the strategies of the shipping companies that are headquartered in the region to invest and adopt Environmental, Social, and Governance principles, which help them to achieve high scores in eco-efficiency. Finally, nations with small fleets have the greatest eco-efficiency score, as local governments have engaged in sustainable activities and initiatives over the previous four to five years to enable their marine industry to thrive and dominate the market.