Dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease

Davood Soleimani,1 Golnaz Ranjbar,1,2 Reza Rezvani,1,3 Ladan Goshayeshi,4 Farkhonde Razmpour,1 Mohsen Nematy1 1Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; 2Department of Biological and Environmental Sciences, Faculty of Life and Medical Scienc...

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Autores principales: Soleimani D, Ranjbar G, Rezvani R, Goshayeshi L, Razmpour F, Nematy M
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:9cdea62bea6747b483a0677843ebf2002021-12-02T04:33:39ZDietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease1178-7007https://doaj.org/article/9cdea62bea6747b483a0677843ebf2002019-03-01T00:00:00Zhttps://www.dovepress.com/dietary-patterns-in-relation-to-hepatic-fibrosis-among-patients-with-n-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Davood Soleimani,1 Golnaz Ranjbar,1,2 Reza Rezvani,1,3 Ladan Goshayeshi,4 Farkhonde Razmpour,1 Mohsen Nematy1 1Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; 2Department of Biological and Environmental Sciences, Faculty of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK; 3School of Nutrition, Faculté des Sciences de l’agriculture et de l’alimentation, Université Laval, Quebec, QC, Canada; 4Department of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Background: Nonalcoholic fatty liver disease (NAFLD) is a multifactorial disorder that can progress to fibrosis. Several dietary patterns have been associated with histological features of NAFLD. However, little is known about the association between dietary patterns and hepatic fibrosis. Purpose: The current study aimed at identifying the relationship between major dietary patterns and hepatic fibrosis among patients with NAFLD. Subjects and methods: This cross-sectional study included 170 eligible subjects with NAFLD. Diet was evaluated using three 3-day dietary records during a 1-month period. Hepatic fibrosis was diagnosed using Fibroscan. Western, Iranian, and healthy dietary patterns were extracted using factor analysis. Results: After adjustment for other risk factors, adherence to a Western dietary pattern was associated with the higher odds of fibrosis (OR: 4.21; 95% CI: 1.63–8.31), whereas adherence to a healthy dietary pattern was associated with the lower odds of fibrosis (OR: 0.26; 95% CI: 0.10–0.49). Among main food groups, high intake of red meat, hydrogenated fats, and soft drinks was associated with the higher risk of fibrosis, whereas tea and coffee consumption had a protective role in hepatic fibrosis independent of other risk factors. Conclusion: The adherence to a healthy dietary pattern characterized by high intake of low-fat dairies, white meat, nuts, vegetables, fruits, and vegetable oils combined with coffee and tea consumption might be helpful in the nutritional strategies against hepatic fibrosis. Keywords: liver diseases, NAFLD, fibrosis, factor analysis, diet, dietary patternSoleimani DRanjbar GRezvani RGoshayeshi LRazmpour FNematy MDove Medical PressarticleWestern dietary patternHealthy dietary patternFactor analysisLiver DiseasesSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 315-324 (2019)
institution DOAJ
collection DOAJ
language EN
topic Western dietary pattern
Healthy dietary pattern
Factor analysis
Liver Diseases
Specialties of internal medicine
RC581-951
spellingShingle Western dietary pattern
Healthy dietary pattern
Factor analysis
Liver Diseases
Specialties of internal medicine
RC581-951
Soleimani D
Ranjbar G
Rezvani R
Goshayeshi L
Razmpour F
Nematy M
Dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease
description Davood Soleimani,1 Golnaz Ranjbar,1,2 Reza Rezvani,1,3 Ladan Goshayeshi,4 Farkhonde Razmpour,1 Mohsen Nematy1 1Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; 2Department of Biological and Environmental Sciences, Faculty of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK; 3School of Nutrition, Faculté des Sciences de l’agriculture et de l’alimentation, Université Laval, Quebec, QC, Canada; 4Department of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Background: Nonalcoholic fatty liver disease (NAFLD) is a multifactorial disorder that can progress to fibrosis. Several dietary patterns have been associated with histological features of NAFLD. However, little is known about the association between dietary patterns and hepatic fibrosis. Purpose: The current study aimed at identifying the relationship between major dietary patterns and hepatic fibrosis among patients with NAFLD. Subjects and methods: This cross-sectional study included 170 eligible subjects with NAFLD. Diet was evaluated using three 3-day dietary records during a 1-month period. Hepatic fibrosis was diagnosed using Fibroscan. Western, Iranian, and healthy dietary patterns were extracted using factor analysis. Results: After adjustment for other risk factors, adherence to a Western dietary pattern was associated with the higher odds of fibrosis (OR: 4.21; 95% CI: 1.63–8.31), whereas adherence to a healthy dietary pattern was associated with the lower odds of fibrosis (OR: 0.26; 95% CI: 0.10–0.49). Among main food groups, high intake of red meat, hydrogenated fats, and soft drinks was associated with the higher risk of fibrosis, whereas tea and coffee consumption had a protective role in hepatic fibrosis independent of other risk factors. Conclusion: The adherence to a healthy dietary pattern characterized by high intake of low-fat dairies, white meat, nuts, vegetables, fruits, and vegetable oils combined with coffee and tea consumption might be helpful in the nutritional strategies against hepatic fibrosis. Keywords: liver diseases, NAFLD, fibrosis, factor analysis, diet, dietary pattern
format article
author Soleimani D
Ranjbar G
Rezvani R
Goshayeshi L
Razmpour F
Nematy M
author_facet Soleimani D
Ranjbar G
Rezvani R
Goshayeshi L
Razmpour F
Nematy M
author_sort Soleimani D
title Dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease
title_short Dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease
title_full Dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease
title_fullStr Dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease
title_full_unstemmed Dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease
title_sort dietary patterns in relation to hepatic fibrosis among patients with nonalcoholic fatty liver disease
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/9cdea62bea6747b483a0677843ebf200
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