Effects of Some Food Components on Non-Alcoholic Fatty Liver Disease Severity: Results from a Cross-Sectional Study.
Valentina De Nunzio, Alberto Rubén Osella, Paolo Sorino, Filippo Procino, Annamaria Pascale, Valentina Deflorio, Angelo Campanella, Claudia Buongiorno, Irene Bruno, Antonella Mirizzi, Valeria Tutino, Vito Giannuzzi, Maria Notarnicola, Raffaele Cozzolongo, Caterina Bonfiglio, Carla Maria Leone, Isabella Franco
Journal: Nutrients
2020;11(11):2744
PMID: 31726714
Non-alcoholic fatty liver disease (NAFLD) is characterized by excessive hepatic (liver) fat accumulation. Lifestyle interventions are the only known effective treatment for NAFLD.
The aim of this study was to estimate associations between the consumption of some food group components with the grade of severity in NAFLD subjects.
The study is a cross-sectional nutritional randomised clinical trial, which enrolled 136 subjects (79 males) with moderate or severe NAFLD.
Results showed that some food group components were associated with a lower or a higher risk of developing severe NAFLD, and that, within the same food group, some components with a protective or promoter action are present.
Authors conclude that their findings could help to elaborate personalised dietary counselling to treat NAFLD.
Abstract
[" The high prevalence of non-alcoholic fatty liver disease (NAFLD) observed in Western countries is due to the concurrent epidemics of overweight\/obesity and associated metabolic complications, both recognized risk factors. A Western dietary pattern has been associated with weight gain and obesity, and more recently with NAFLD. This is a baseline cross-sectional analysis of 136 subjects (79 males) enrolled consecutively in the NUTRIATT (NUTRItion and Ac-TiviTy) study. Study subjects had moderate or severe NAFLD diagnosed by using Fibroscan-CAP. Food Frequency Questionnaire was used to obtain information about food intake. Statistical analysis included descriptive statistics and a multivariable logistic regression model. The mean age was 49.58 (\u00b110.18) with a mean BMI of 33.41 (\u00b14.74). A significant inverse relationship was revealed between winter ice-cream intake and NAFLD severity (O.R. 0.65, 95% C.I. 0.95-0.99); chickpeas intake and NAFLD severity (O.R. 0.57, 95% C.I. 0.34-0.97), and not industrial aged-cheeses type (O.R. 0.85, 95% C.I. 0.74-0.98). A statistically significant positive association also emerged between rabbit meat (O.R. 1.23, 95% C.I. 1.01-1.49), industrial type aged cheeses (O.R. 1.17, 95% C.I. 1.01-1.35), milk-based desserts (no winter ice cream) (O.R. 1.11, 95% C.I. 1.01-1.21), fats (O.R. 1.12, 95% C.I. 1.01-1.25), and NAFLD severity. The fresh foods from non-intensive farming and high legume intake that characterize the Mediterranean diet would seem to be beneficial for patients with NAFLD."]
Address:
Laboratory of Epidemiology and Biostatistics, National Institute of Gastroenterology, "S. de Bellis" Research Hospital, Castellana Grotte (Ba), Via Turi 27, 70013 Castellana Grotte, Italy.; Clinic Gastroenterologic Unit, National Institute of Gastroenterology, "S. de Bellis" Research Hospital, Castellana Grotte (Ba), Via Turi 27, 70013 Castellana Grotte, Italy.; Laboratory of Nutritional Biochemistry, National Institute of Gastroenterology, "S. de Bellis" Research Hospital, Castellana Grotte (Ba), Via Turi 27, 70013 Castellana Grotte, Italy.
Modifiable Lifestyle Factors
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MeSH Terms:
Adult,
Cross-Sectional Studies,
Diet,
Diet, Healthy,
Diet, Mediterranean,
Fabaceae,
Female,
Humans,
Italy,
Male,
Middle Aged,
Non-alcoholic Fatty Liver Disease,
Nutritive Value,
Protective Factors,
Randomized Controlled Trials as Topic,
Risk Assessment,
Risk Factors,
Risk Reduction Behavior,
Severity of Illness Index