The association between Dietary Diversity Score and odds of nonalcoholic fatty liver disease: a case-control study

Mousavi, Sara Ebrahimi; Dehghanseresht, Narges; Dashti, Fatemeh; Khazaei, Yasaman; Salamat, Shekoufeh; Asbaghi, Omid; Mansoori, Anahita

doi:10.1097/meg.0000000000002344

Cited by 9 publications

(8 citation statements)

References 51 publications

(67 reference statements)

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“…This finding is consistent with previous research that has shown an inverse association between DDS and the risk of diabetic nephropathy ( 29 ) and bladder cancer ( 30 ). In another study, by emphasizing the higher diversity scores for vegetables and fewer diversity scores for meat and refined grains, high DDS is inversely correlated with the risk of MASLD ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, confounding factors may not have been adequately adjusted to determine the independent association between dietary diversity and disease risk. Overall, increasing the diversity score of one's diet by emphasizing higher diversity scores for vegetables and fewer diversity scores for meat and refined grains may be beneficial to managing MASLD ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…It is associated with a higher consumption of macronutrients and micronutrients, better diet adequacy, and higher intake of fiber, antioxidants, and other nutrients ( 14 ). Previous research has shown that a higher DDS can help reduce certain risk factors associated with MASLD, such as diabetes ( 15 ), hypertension, and cardiovascular risk factors ( 16 ). These findings suggest that a diverse diet can provide the necessary nutrients to maintain good health and reduce the risk of chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

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Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Ramaiah,

Jamel Baljon,

Alsulami

et al. 2024

Front. Nutr.

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ObjectivesThere are only limited studies investigating the impact of dietary quality indicators, such as dietary quality index (DQI), dietary diversity score (DDS), and alternative healthy eating index (AHEI), on metabolic dysfunction-associated fatty liver disease (MASLD). Furthermore, these indicators may have different components that could lead to varying results. Therefore, this study aims to assess the nutritional quality indicators and their potential association with MASLD.MethodsThe study included 128 recently diagnosed MASLD patients and 256 controls aged between 20 and 60 years. The dietary intake of participants was evaluated using a validated semi-quantitative food frequency questionnaire that consisted of 168 items. In this study, the method used to evaluate dietary diversity was based on five main food groups, specifically bread and grains, vegetables, fruits, meat, and dairy. The AHEI-2010 was computed using data collected from the FFQ.ResultsAfter adjusting for confounders in the fully adjusted model, a significant negative correlation was observed between DDS and the risk of MASLD (OR 0.41, 95% CI 0.20, 0.97). Participants in the top quartile of AHEI had a 76% lower risk of MASLD compared with those in the bottom quartile after controlling for all potential confounders in the fully adjusted model (OR 0.24, 95% CI 0.12, 0.56).ConclusionThe results of our study suggest that there is a significant association between adherence to a high-diversity diet and a reduced likelihood of developing MASLD. Similarly, we observed a similar association between adherence to the AHEI diet and a lower risk of MASLD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Ramaiah,

Jamel Baljon,

Alsulami

et al. 2024

Front. Nutr.

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“…Increased dietary diversity leads to more opportunities to choose foods that are negatively associated with NAFLD. Ebrahimi et al ( 55 ) noted that dietary diversity was correlated with increased vitamin C, calcium, and fiber, all of which were negatively associated with liver disease. Furthermore, dietary diversity may increase the intake of various micronutrients, dietary fiber, and some healthful phytochemicals, which are positively associated with dietary balance ( 56 , 57 ).…”

Section: Discussionmentioning

confidence: 99%

Association of Non-alcoholic Fatty Liver Disease With Salt Intake and Dietary Diversity in Chinese Medical Examination Adults Aged 18–59 Years: A Cross-Sectional Study

et al. 2022

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ObjectivesGiven the significance of dietary factors in the development of non-alcoholic fatty liver disease (NAFLD). We conducted a cross-sectional study to investigate the association of NAFLD with salt intake and dietary diversity in a medical examination population aged 18–59 years.MethodsData from two Chinese health management centers were utilized between January 2017 and December 2019. The general information, laboratory tests, lifestyle habits, and diet of the participants were all evaluated. Based on alcohol consumption and abdominal ultrasound results, a total of 23,867 participants were divided into the NAFLD (n = 7,753) and control (n = 16,114) groups. Salt intake and dietary diversity were calculated separately for study participants using the spot urine method and dietary diversity scores (DDS). The multilevel logistic model and subgroup analysis were used to analyze the relationship between salt intake, dietary diversity, and NAFLD.ResultsWe found that the prevalence of NAFLD was 32.48%. Salt intake was associated with increased NAFLD (Q2 vs. Q1: OR = 1.201, 95% CI 1.094-1.317, P < 0.001; Q3 vs. Q1: OR = 1.442, 95% CI 1.316-1.580, P < 0.001; Q4 vs. Q1: OR = 1.604, 95% CI 1.465-1.757, P < 0.001), whereas sufficient dietary diversity was a protective factor for NAFLD (Sufficient DDS vs. Insufficient DDS: OR: 0.706, 95% CI 0.517-0.965, P < 0.05). The effects of salt intake and dietary diversity on NAFLD were equally stable in the subgroup analysis.ConclusionsWe can conclude that NAFLD is highly prevalent in medical examination adults aged 18-59 years in China. Furthermore, the risk of salt intake for NAFLD and the protective effect of dietary diversity on NAFLD should be taken into account in the management of NAFLD.

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“…Therefore, there is no pharmacological therapy for NAFLD. It is obvious that lifestyle modification including diet and exercise are golden keys to fatty liver managements [ 7 8 9 10 ]. Regardless of calorie-related aspects of diet and its correlation with weight control, studies have less addressed the effects of dietary composition on liver health [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Association Between Protein Intake From Different Animal and Plant Origins and the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study

et al. 2023

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Previous studies have frequently reviewed how different macronutrients affect liver health. Still, no study centered around protein intake and the non-alcoholic fatty liver disease (NAFLD) risk relationship. This study aimed to examine the association between the consumption of total and different sources of protein and NAFLD risk. We allocated 243 eligible subjects to the case and control groups, including 121 incidence cases of NAFLD, and 122 healthy controls. Two groups were matched in age, body mass index, and sex. We evaluated the usual food intake of participants using FFQ. Binary logistic regression was conducted to estimate the risk of NAFLD in relation to different sources of protein intake. The age of participants was 42.7 years on average, and 53.1% were male. We found Higher intake of protein in total (odds ratio [OR], 0.24; 95% confidence interval [CI], 0.11–0.52) was significantly associated with a lower risk of NAFLD, despite adjusting for multiple confounders. in detail, higher tendency to the vegetables (OR, 0.28; 95% CI, 0.13–0.59), grains (OR, 0.24; 95% CI, 0.11–0.52), and nuts (OR, 0.25; 95% CI, 0.12–0.52) as the main sources of protein, were remarkably correlated with lower NAFLD risk. In contrary, increased intake of meat protein (OR, 3.15; 95% CI, 1.46–6.81) was positively associated with a higher risk. Totally, more calorie intake from proteins was inversely associated with lower NAFLD risk. This was more likely when the protein sources were selected less from meats and more from plants. Accordingly, increasing the consumption of proteins, particularly from plants, may be a good recommendation to manage and prevent NAFLD.

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The association between Dietary Diversity Score and odds of nonalcoholic fatty liver disease: a case-control study

Cited by 9 publications

References 51 publications

Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Diet quality indices and odds of metabolic dysfunction-associated fatty liver disease: a case-control study

Association of Non-alcoholic Fatty Liver Disease With Salt Intake and Dietary Diversity in Chinese Medical Examination Adults Aged 18–59 Years: A Cross-Sectional Study

Association Between Protein Intake From Different Animal and Plant Origins and the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study

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