Mediterranean dietary pattern and non-alcoholic fatty liver diseases: a case-control study

Autor: Hossein Fallahzadeh, Mohammad-Reza Entezari, Nasir Talenezhad, Farhang Mirzavandi, Hassan Mozaffari-Khosravi, Mahdieh Hosseinzadeh, Shahab Rahimpour
Rok vydání: 2021
Předmět:
Adult
0301 basic medicine
medicine.medical_specialty
TAG
triacylglycerols

Waist
Mediterranean diet
Endocrinology
Diabetes and Metabolism

Dietary pattern
030209 endocrinology & metabolism
AST
aspartate aminotransferase

Diet
Mediterranean

Gastroenterology
03 medical and health sciences
0302 clinical medicine
Non-alcoholic Fatty Liver Disease
ALT
alanine aminotransferase

Internal medicine
Diabetes mellitus
WC
waist circumference

HC
hip circumference

medicine
Humans
MUFA/SAFA
monounsaturated fatty acid/polyunsaturated fatty acid

Prospective cohort study
chemistry.chemical_classification
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Fatty liver
Dietary Surveys and Nutritional Epidemiology
Case-control study
medicine.disease
TC
total cholesterol

chemistry
Case-Control Studies
NAFLD
non-alcoholic fatty liver diseases

MED
Mediterranean

business
Body mass index
Research Article
Food Science
Polyunsaturated fatty acid
Zdroj: Journal of Nutritional Science
ISSN: 2048-6790
DOI: 10.1017/jns.2021.43
Popis: The Mediterranean (MED) diet was associated with a reduced risk of chronic disease, but the epidemiological studies reported inconsistent findings related to the MED diet and non-alcoholic fatty liver disease (NAFLD) risk. This age and the gender-matched case-control study were conducted among 247 adult patients. The MED diet score was obtained based on the Trichopoulou model. Multivariate logistic regression was used to examine the association between the MED diet and NAFLD risk. NAFLD prevalence in people with low, moderate and high adherence to the MED diet was 33, 13⋅1 and 4⋅6 %, respectively. The increasing intake of the MED diet was significantly related to the increment intake of nuts and fruits, vegetables, monounsaturated fatty acid/polyunsaturated fatty acid ratio, legumes, cereals and fish. However, total energy consumption, low-fat dairy and meats intake were reduced (P for all < 0⋅05). Following control for age, the person in the highest of the MED diet tertile compared with the lowest, the odds of NAFLD decreased (OR: 0⋅40, 95 % CI: 0⋅17–0⋅95). This relation became a little stronger after further adjusting for sex, diabetes, physical activity and supplement intake (OR: 0⋅36, 95 % CI: 0⋅15–0⋅89). However, this association disappeared after adjusting for body mass index, waist and hip circumference (OR: 0⋅70, 95 % CI: 0⋅25–1⋅97). High adherence to the MED diet was associated with a 64 % reduction in NAFLD odds before some anthropometric variable adjustments. However, further prospective studies are required, particularly in BMI-stratified models.
Databáze: OpenAIRE