A case-control study on nutritional risk factors in non-alcoholic fatty liver disease in Indian population

Background/Objectives: Non-alcoholic fatty liver disease (NAFLD) is considered an integral part of metabolic syndrome (MS). We aimed to explore the inter-relations of MS and dietary composition in subjects with and without hepatic steatosis and to identify the nutritional risk factors contributing t...

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Veröffentlicht in:European journal of clinical nutrition 2011-04, Vol.65 (4), p.533-537
Hauptverfasser: Sathiaraj, E, Chutke, M, Reddy, M Y, Pratap, N, Rao, P N, Reddy, D N, Raghunath, M
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container_issue 4
container_start_page 533
container_title European journal of clinical nutrition
container_volume 65
creator Sathiaraj, E
Chutke, M
Reddy, M Y
Pratap, N
Rao, P N
Reddy, D N
Raghunath, M
description Background/Objectives: Non-alcoholic fatty liver disease (NAFLD) is considered an integral part of metabolic syndrome (MS). We aimed to explore the inter-relations of MS and dietary composition in subjects with and without hepatic steatosis and to identify the nutritional risk factors contributing to NAFLD. Subjects/Methods: In all 98 subjects with steatosis and 102 controls were selected for the study after screening 260 consecutive healthy individuals. Anthropometric and nutritional information, biochemical data and clinical profile were analyzed. Prevalence of MS was determined based on the consensus statement for diagnosis of MS for Asian Indians. Multiple logistic regression analysis was done to predict the dietary risk factors in NAFLD. Results: Prevalence of MS was 44.9% among NAFLD cases and 25.5% among controls ( P =0.003). Subjects with NAFLD had significantly higher values of body mass index (BMI), waist circumference (WC), percent body fat, total cholesterol, triglycerides and blood pressure than controls. The total calorie intake, percent of carbohydrate and fat intake of NAFLD cases was significantly higher than controls. Multiple logistic regression analysis showed BMI (odds ratio 6.03 (95% confidence interval 3.26–11.14)), WC (5.49 (2.59–11.57)) and percent dietary fat intake (2.51 (1.99–3.31)) as independent nutritional risk factors in NAFLD. Conclusions: In this study, there is a high prevalence of MS among subjects with steatosis and metabolic disorders were closely related to NAFLD. BMI, WC and percent fat intake are independent dietary risk factors in NAFLD. Decreased nutritional intake with restricted fat may constitute an important therapy in subjects with NAFLD.
doi_str_mv 10.1038/ejcn.2011.3
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We aimed to explore the inter-relations of MS and dietary composition in subjects with and without hepatic steatosis and to identify the nutritional risk factors contributing to NAFLD. Subjects/Methods: In all 98 subjects with steatosis and 102 controls were selected for the study after screening 260 consecutive healthy individuals. Anthropometric and nutritional information, biochemical data and clinical profile were analyzed. Prevalence of MS was determined based on the consensus statement for diagnosis of MS for Asian Indians. Multiple logistic regression analysis was done to predict the dietary risk factors in NAFLD. Results: Prevalence of MS was 44.9% among NAFLD cases and 25.5% among controls ( P =0.003). Subjects with NAFLD had significantly higher values of body mass index (BMI), waist circumference (WC), percent body fat, total cholesterol, triglycerides and blood pressure than controls. The total calorie intake, percent of carbohydrate and fat intake of NAFLD cases was significantly higher than controls. Multiple logistic regression analysis showed BMI (odds ratio 6.03 (95% confidence interval 3.26–11.14)), WC (5.49 (2.59–11.57)) and percent dietary fat intake (2.51 (1.99–3.31)) as independent nutritional risk factors in NAFLD. Conclusions: In this study, there is a high prevalence of MS among subjects with steatosis and metabolic disorders were closely related to NAFLD. BMI, WC and percent fat intake are independent dietary risk factors in NAFLD. Decreased nutritional intake with restricted fat may constitute an important therapy in subjects with NAFLD.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2011.3</identifier><identifier>PMID: 21346716</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/499 ; 692/699/1503/1607/2750 ; 692/699/2743/2037 ; 692/700/478/174 ; Adipose Tissue - metabolism ; Adult ; Anthropometry ; Biological and medical sciences ; Blood pressure ; Body Composition ; Body fat ; Body Mass Index ; Body size ; Carbohydrates ; Case-Control Studies ; Cholesterol ; Cholesterol - blood ; Clinical Nutrition ; Confidence intervals ; Development and progression ; Diet ; Dietary intake ; Epidemiology ; Fatty liver ; Fatty Liver - complications ; Fatty Liver - epidemiology ; Feeding Behavior ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; India - epidemiology ; Internal Medicine ; Liver ; Liver diseases ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Metabolic disorders ; Metabolic syndrome ; Metabolic Syndrome - complications ; Metabolic Syndrome - epidemiology ; Metabolic syndrome X ; Metabolism ; Middle Aged ; Miscellaneous ; Non-alcoholic Fatty Liver Disease ; Nutrition Assessment ; Nutrition research ; Obesity - diagnosis ; Obesity - epidemiology ; original-article ; Other diseases. Semiology ; Other metabolic disorders ; Prevalence ; Public Health ; Regression analysis ; Risk analysis ; Risk Factors ; Risk management ; Statistical analysis ; Steatosis ; Triglycerides ; Triglycerides - blood ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Waist Circumference</subject><ispartof>European journal of clinical nutrition, 2011-04, Vol.65 (4), p.533-537</ispartof><rights>Macmillan Publishers Limited 2011</rights><rights>2015 INIST-CNRS</rights><rights>2011 Macmillan Publishers Limited All rights reserved</rights><rights>COPYRIGHT 2011 Nature Publishing Group</rights><rights>Macmillan Publishers Limited 2011.</rights><rights>Copyright Nature Publishing Group Apr 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c639t-214d9759d607e011b8b40cc62c80b0432d07b93032fe04dd1d97e6f597c2e0db3</citedby><cites>FETCH-LOGICAL-c639t-214d9759d607e011b8b40cc62c80b0432d07b93032fe04dd1d97e6f597c2e0db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ejcn.2011.3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ejcn.2011.3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24027852$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21346716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sathiaraj, E</creatorcontrib><creatorcontrib>Chutke, M</creatorcontrib><creatorcontrib>Reddy, M Y</creatorcontrib><creatorcontrib>Pratap, N</creatorcontrib><creatorcontrib>Rao, P N</creatorcontrib><creatorcontrib>Reddy, D N</creatorcontrib><creatorcontrib>Raghunath, M</creatorcontrib><title>A case-control study on nutritional risk factors in non-alcoholic fatty liver disease in Indian population</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/Objectives: Non-alcoholic fatty liver disease (NAFLD) is considered an integral part of metabolic syndrome (MS). We aimed to explore the inter-relations of MS and dietary composition in subjects with and without hepatic steatosis and to identify the nutritional risk factors contributing to NAFLD. Subjects/Methods: In all 98 subjects with steatosis and 102 controls were selected for the study after screening 260 consecutive healthy individuals. Anthropometric and nutritional information, biochemical data and clinical profile were analyzed. Prevalence of MS was determined based on the consensus statement for diagnosis of MS for Asian Indians. Multiple logistic regression analysis was done to predict the dietary risk factors in NAFLD. Results: Prevalence of MS was 44.9% among NAFLD cases and 25.5% among controls ( P =0.003). Subjects with NAFLD had significantly higher values of body mass index (BMI), waist circumference (WC), percent body fat, total cholesterol, triglycerides and blood pressure than controls. The total calorie intake, percent of carbohydrate and fat intake of NAFLD cases was significantly higher than controls. Multiple logistic regression analysis showed BMI (odds ratio 6.03 (95% confidence interval 3.26–11.14)), WC (5.49 (2.59–11.57)) and percent dietary fat intake (2.51 (1.99–3.31)) as independent nutritional risk factors in NAFLD. Conclusions: In this study, there is a high prevalence of MS among subjects with steatosis and metabolic disorders were closely related to NAFLD. BMI, WC and percent fat intake are independent dietary risk factors in NAFLD. 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Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Internal Medicine</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic Diseases</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - complications</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Metabolic syndrome X</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Non-alcoholic Fatty Liver Disease</subject><subject>Nutrition Assessment</subject><subject>Nutrition research</subject><subject>Obesity - diagnosis</subject><subject>Obesity - epidemiology</subject><subject>original-article</subject><subject>Other diseases. 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We aimed to explore the inter-relations of MS and dietary composition in subjects with and without hepatic steatosis and to identify the nutritional risk factors contributing to NAFLD. Subjects/Methods: In all 98 subjects with steatosis and 102 controls were selected for the study after screening 260 consecutive healthy individuals. Anthropometric and nutritional information, biochemical data and clinical profile were analyzed. Prevalence of MS was determined based on the consensus statement for diagnosis of MS for Asian Indians. Multiple logistic regression analysis was done to predict the dietary risk factors in NAFLD. Results: Prevalence of MS was 44.9% among NAFLD cases and 25.5% among controls ( P =0.003). Subjects with NAFLD had significantly higher values of body mass index (BMI), waist circumference (WC), percent body fat, total cholesterol, triglycerides and blood pressure than controls. The total calorie intake, percent of carbohydrate and fat intake of NAFLD cases was significantly higher than controls. Multiple logistic regression analysis showed BMI (odds ratio 6.03 (95% confidence interval 3.26–11.14)), WC (5.49 (2.59–11.57)) and percent dietary fat intake (2.51 (1.99–3.31)) as independent nutritional risk factors in NAFLD. Conclusions: In this study, there is a high prevalence of MS among subjects with steatosis and metabolic disorders were closely related to NAFLD. BMI, WC and percent fat intake are independent dietary risk factors in NAFLD. Decreased nutritional intake with restricted fat may constitute an important therapy in subjects with NAFLD.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>21346716</pmid><doi>10.1038/ejcn.2011.3</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/499
692/699/1503/1607/2750
692/699/2743/2037
692/700/478/174
Adipose Tissue - metabolism
Adult
Anthropometry
Biological and medical sciences
Blood pressure
Body Composition
Body fat
Body Mass Index
Body size
Carbohydrates
Case-Control Studies
Cholesterol
Cholesterol - blood
Clinical Nutrition
Confidence intervals
Development and progression
Diet
Dietary intake
Epidemiology
Fatty liver
Fatty Liver - complications
Fatty Liver - epidemiology
Feeding Behavior
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
India - epidemiology
Internal Medicine
Liver
Liver diseases
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Metabolic disorders
Metabolic syndrome
Metabolic Syndrome - complications
Metabolic Syndrome - epidemiology
Metabolic syndrome X
Metabolism
Middle Aged
Miscellaneous
Non-alcoholic Fatty Liver Disease
Nutrition Assessment
Nutrition research
Obesity - diagnosis
Obesity - epidemiology
original-article
Other diseases. Semiology
Other metabolic disorders
Prevalence
Public Health
Regression analysis
Risk analysis
Risk Factors
Risk management
Statistical analysis
Steatosis
Triglycerides
Triglycerides - blood
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Waist Circumference
title A case-control study on nutritional risk factors in non-alcoholic fatty liver disease in Indian population
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