Dietary characteristics associated with the risk of non‐alcoholic fatty liver disease and metabolic dysfunction‐associated steatotic liver disease in non‐obese Japanese participants: A cross‐sectional study

Background and Aim Dietary characteristics associated with non‐alcoholic fatty liver disease (NAFLD) and metabolic dysfunction‐associated steatotic liver disease (MASLD) in non‐obese patients remain to be elucidated. This study examined the association of NAFLD and MASLD with dietary characteristics...

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Published in:JGH open 2024-05, Vol.8 (5), p.e13082-n/a
Main Authors: Taniguchi, Hirokazu, Ueda, Miho, Sano, Fumika, Kobayashi, Yukiko, Shima, Takatomo
Format: Article
Language:English
Subjects:
Alcohol use
Blood pressure
Body mass index
Cholesterol
Cross-sectional studies
Diabetes
dietary characteristics
Food
Gender differences
Glucose
Hepatitis
High density lipoprotein
Hypertension
Lipids
Liver diseases
metabolic dysfunction‐associated steatotic liver disease
Metabolism
non‐alcoholic fatty lever disease
non‐obese MASLD
non‐obese NAFLD
Obesity
Original
Questionnaires
Regression analysis
Risk factors
Soft drinks
Triglycerides
Womens health
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Summary:Background and Aim Dietary characteristics associated with non‐alcoholic fatty liver disease (NAFLD) and metabolic dysfunction‐associated steatotic liver disease (MASLD) in non‐obese patients remain to be elucidated. This study examined the association of NAFLD and MASLD with dietary characteristics according to obesity status. Methods We performed a cross‐sectional study of 15 135 participants (n = 7568 men and 7567 women) aged 35–74 years using data of annual health checks between 2008 and 2020. Obesity was defined as BMI ≥ 25 kg/m2. Diagnosis of fatty liver was based on abdominal ultrasonography. Fatty‐liver‐related dietary characteristics were assessed using a self‐administered questionnaire. Results For non‐obese participants, NAFLD was found in 31.0% of men and 19.4% of women. Non‐obese MASLD was found in 27.6% of men and 18.1% of women. Multivariable‐adjusted stepwise logistic regression analysis indicated that, in males, both non‐obese NAFLD and non‐obese MASLD were significantly and negatively associated with “often eat sesame/nuts”, and positively associated with “often eat noodles/rice bowl” and “often eat evening meal” (P 
ISSN:2397-9070
2397-9070
DOI:10.1002/jgh3.13082