Path analysis model to identify the effect of poor diet quality on NAFLD among Iranian adults from Amol Cohort Study.

Autor: Doustmohammadian A; Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran., Amirkalali B; Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran., de Courten B; School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, 3085, Australia., Esfandyari S; Asadabad School of Medical Sciences, Hamadan, Iran., Motamed N; Department of Social Medicine, Zanjan University of Medical Sciences, Zanjan, Iran., Maadi M; Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran., Ajdarkosh H; Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran., Gholizadeh E; Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran., Chaibakhsh S; Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran., Zamani F; Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran. zamani.farhad@gmail.com.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Aug 27; Vol. 14 (1), pp. 19935. Date of Electronic Publication: 2024 Aug 27.
DOI: 10.1038/s41598-024-70181-4
Abstrakt: Nonalcoholic fatty liver disease (NAFLD) is expanding as a global health problem with approximately 25% of the world's population affected by it. Dietary modification is one of the most important strategies for preventing NAFLD. The association between nutrient density and the Healthy Eating Index 2015 (HEI2015) with NAFLD demonstrates that nutrient density is an independent predictor of NAFLD in Iranian adults [fully adjusted model: OR (95% CI) tertile3vs.1 : 0.68 (0.54-0.85), P for trend  = 0.001]. However, a favorable association between NAFDL and diet quality (HEI 2015) is more pronounced in participants with abdominal obesity [fully adjusted model: OR (95% CI) tertile3vs.1 : 0.63 (0.41-0.98), P for trend  = 0.03]. Based on the gender-stratified path analysis, diet quality indirectly through Waist-to-Height Ratio (WHtR), C-reactive protein (CRP), and metabolic syndrome in women, and men through WHtR, hemoglobin A1c (HBA1c), CRP, and metabolic syndrome affects NAFLD. Nutrient density directly and indirectly in women through WHtR, CRP, and metabolic syndrome, and in men indirectly through WHtR, hemoglobin A1c, and metabolic syndrome negatively affect NAFLD. Hence, in these subjects; we can provide early dietary intervention and education to prevent progression to NAFLD.
(© 2024. The Author(s).)
Databáze: MEDLINE
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