Associations between dietary factors and markers of NAFLD in a general Dutch adult population

A. Rietman, D. Sluik, E.J.M. Feskens, F.J. Kok, M.R. Mensink

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Scopus)

Abstract

Background/Objectives: The objective of this sudy was to assess the relationship between dietary intake and fatty liver as scored by the validated Fatty Liver Index (FLI) in a large cross-sectional study among a general Dutch adult population. Diet is known to affect liver fat accumulation in humans. Subjects/Methods: 1128 men and women aged 20–70 years were included. Dietary intake was assessed using a validated semiquantitative food frequency questionnaire. FLI was derived from body mass index (BMI), waist circumference, triglycerides and gamma-glutamyltransferase. Associations were adjusted for energy intake, alcohol intake, age, sex, education, smoking and prevalence of hypertension and diabetes. Results: In this population (mean age 53.0±11.4 years; BMI 25.9±4.0 kg/m2; FLI 35.0±27.7), the prevalence of fatty liver as indicated by an FLI>60 was 21.5%. Subjects in the highest FLI category were more likely to be male, older and less physically active. Total protein intake and animal protein intake were positively associated with the highest FLI score versus the lowest (odds ratio (OR) 1.25 per 1 en%, 95% confidence interval (CI) 1.15–1.37 and OR 1.27, 95% CI 1.17–1.38, respectively); for vegetable protein, an inverse association was observed (OR 0.81, 95% CI 0.69–0.94). A similar positive association with FLI was observed when carbohydrates and fat were iso-calorically exchanged for total and animal proteins. Conclusions: Subjects in the high FLI group consumed more protein, especially from animal origin, less carbohydrates and less dietary fibre. The presence of fatty liver was associated with a higher intake of animal protein and total fat, soft drinks and snacks.
Original languageEnglish
Pages (from-to)117-123
JournalEuropean Journal of Clinical Nutrition
Volume72
Early online date13 Sep 2017
DOIs
Publication statusPublished - Jan 2018

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Fatty Liver
Population
Fats
Odds Ratio
Confidence Intervals
Proteins
Body Mass Index
Non-alcoholic Fatty Liver Disease
Carbohydrates
Vegetable Proteins
Carbonated Beverages
Snacks
Sex Education
gamma-Glutamyltransferase
Dietary Fiber
Waist Circumference
Energy Intake
Triglycerides
Cross-Sectional Studies
Smoking

Cite this

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title = "Associations between dietary factors and markers of NAFLD in a general Dutch adult population",
abstract = "Background/Objectives: The objective of this sudy was to assess the relationship between dietary intake and fatty liver as scored by the validated Fatty Liver Index (FLI) in a large cross-sectional study among a general Dutch adult population. Diet is known to affect liver fat accumulation in humans. Subjects/Methods: 1128 men and women aged 20–70 years were included. Dietary intake was assessed using a validated semiquantitative food frequency questionnaire. FLI was derived from body mass index (BMI), waist circumference, triglycerides and gamma-glutamyltransferase. Associations were adjusted for energy intake, alcohol intake, age, sex, education, smoking and prevalence of hypertension and diabetes. Results: In this population (mean age 53.0±11.4 years; BMI 25.9±4.0 kg/m2; FLI 35.0±27.7), the prevalence of fatty liver as indicated by an FLI>60 was 21.5{\%}. Subjects in the highest FLI category were more likely to be male, older and less physically active. Total protein intake and animal protein intake were positively associated with the highest FLI score versus the lowest (odds ratio (OR) 1.25 per 1 en{\%}, 95{\%} confidence interval (CI) 1.15–1.37 and OR 1.27, 95{\%} CI 1.17–1.38, respectively); for vegetable protein, an inverse association was observed (OR 0.81, 95{\%} CI 0.69–0.94). A similar positive association with FLI was observed when carbohydrates and fat were iso-calorically exchanged for total and animal proteins. Conclusions: Subjects in the high FLI group consumed more protein, especially from animal origin, less carbohydrates and less dietary fibre. The presence of fatty liver was associated with a higher intake of animal protein and total fat, soft drinks and snacks.",
author = "A. Rietman and D. Sluik and E.J.M. Feskens and F.J. Kok and M.R. Mensink",
year = "2018",
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journal = "European Journal of Clinical Nutrition",
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Associations between dietary factors and markers of NAFLD in a general Dutch adult population. / Rietman, A.; Sluik, D.; Feskens, E.J.M.; Kok, F.J.; Mensink, M.R.

In: European Journal of Clinical Nutrition, Vol. 72, 01.2018, p. 117-123.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Associations between dietary factors and markers of NAFLD in a general Dutch adult population

AU - Rietman, A.

AU - Sluik, D.

AU - Feskens, E.J.M.

AU - Kok, F.J.

AU - Mensink, M.R.

PY - 2018/1

Y1 - 2018/1

N2 - Background/Objectives: The objective of this sudy was to assess the relationship between dietary intake and fatty liver as scored by the validated Fatty Liver Index (FLI) in a large cross-sectional study among a general Dutch adult population. Diet is known to affect liver fat accumulation in humans. Subjects/Methods: 1128 men and women aged 20–70 years were included. Dietary intake was assessed using a validated semiquantitative food frequency questionnaire. FLI was derived from body mass index (BMI), waist circumference, triglycerides and gamma-glutamyltransferase. Associations were adjusted for energy intake, alcohol intake, age, sex, education, smoking and prevalence of hypertension and diabetes. Results: In this population (mean age 53.0±11.4 years; BMI 25.9±4.0 kg/m2; FLI 35.0±27.7), the prevalence of fatty liver as indicated by an FLI>60 was 21.5%. Subjects in the highest FLI category were more likely to be male, older and less physically active. Total protein intake and animal protein intake were positively associated with the highest FLI score versus the lowest (odds ratio (OR) 1.25 per 1 en%, 95% confidence interval (CI) 1.15–1.37 and OR 1.27, 95% CI 1.17–1.38, respectively); for vegetable protein, an inverse association was observed (OR 0.81, 95% CI 0.69–0.94). A similar positive association with FLI was observed when carbohydrates and fat were iso-calorically exchanged for total and animal proteins. Conclusions: Subjects in the high FLI group consumed more protein, especially from animal origin, less carbohydrates and less dietary fibre. The presence of fatty liver was associated with a higher intake of animal protein and total fat, soft drinks and snacks.

AB - Background/Objectives: The objective of this sudy was to assess the relationship between dietary intake and fatty liver as scored by the validated Fatty Liver Index (FLI) in a large cross-sectional study among a general Dutch adult population. Diet is known to affect liver fat accumulation in humans. Subjects/Methods: 1128 men and women aged 20–70 years were included. Dietary intake was assessed using a validated semiquantitative food frequency questionnaire. FLI was derived from body mass index (BMI), waist circumference, triglycerides and gamma-glutamyltransferase. Associations were adjusted for energy intake, alcohol intake, age, sex, education, smoking and prevalence of hypertension and diabetes. Results: In this population (mean age 53.0±11.4 years; BMI 25.9±4.0 kg/m2; FLI 35.0±27.7), the prevalence of fatty liver as indicated by an FLI>60 was 21.5%. Subjects in the highest FLI category were more likely to be male, older and less physically active. Total protein intake and animal protein intake were positively associated with the highest FLI score versus the lowest (odds ratio (OR) 1.25 per 1 en%, 95% confidence interval (CI) 1.15–1.37 and OR 1.27, 95% CI 1.17–1.38, respectively); for vegetable protein, an inverse association was observed (OR 0.81, 95% CI 0.69–0.94). A similar positive association with FLI was observed when carbohydrates and fat were iso-calorically exchanged for total and animal proteins. Conclusions: Subjects in the high FLI group consumed more protein, especially from animal origin, less carbohydrates and less dietary fibre. The presence of fatty liver was associated with a higher intake of animal protein and total fat, soft drinks and snacks.

U2 - 10.1038/ejcn.2017.148

DO - 10.1038/ejcn.2017.148

M3 - Article

VL - 72

SP - 117

EP - 123

JO - European Journal of Clinical Nutrition

JF - European Journal of Clinical Nutrition

SN - 0954-3007

ER -