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Nutritional assessments of patients with non-alcoholic fatty liver disease.

Abstract

BACKGROUND

Obesity is not only associated with nonalcoholic fatty liver disease (NAFLD) but it also adversely affects the progression of other liver diseases. There are limited data regarding the dietary habits of patients with chronic liver disease.

METHODS

Nutrition surveys containing 13 different food groups were mailed. Nutrition scores were calculated based on weekly servings. Foods were also divided into USDA food pyramid categories with conversion of each group into calories expended. Clinico-demographic data were available. NAFLD patients were compared to patients with chronic viral hepatitis.

RESULTS

A total of 233 subjects were included: age 52.5 +/- 10.0 years, Body mass index (BMI) 28.1 +/- 6.5, MS 24.2%, 31.8% NAFLD, 48.1% hepatitis C virus (HCV), and 20.2% hepatitis B virus (HBV). Six nutrition indices were different among the groups. NAFLD and HCV consumed more low-nutrient food (p = 0.0037 and 0.0011) and more high-sodium food than HBV (p = 0.0052 and 0.0161). Multivariate analysis showed that NAFLD and HCV consumed more high-fat sources of meat/protein than HBV (p = 0.0887 and 0.0626). NAFLD patients consumed less calories from fruits compared to HCV and HBV patients (p = 0.0273 and 0.0023). Nine nutrition indices differed according to BMI. Univariate analysis showed that obese/overweight patients consumed more high-fat sources of meat/protein (p = 0.0078 and 0.0149) and more high-sodium foods (p = 0.0089 and 0.0062) compared to the normal-weight patients. In multivariate analysis, normal-weight patients consumed more fruits than obese (p = 0.0307). Overweight patients also consumed more calories of meat and oil than normal-weight patients (p = 0.0185 and 0.0287).

CONCLUSION

NAFLD and HCV patients have similar dietary habits. Patients with HBV have the healthiest dietary habits. Specific dietary interventions should focus on decreasing intake of low-nutrient and high-sodium food, as well as high-fat sources of meat/protein.

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  • Authors+Show Affiliations

    ,

    Center for Liver Diseases, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042, USA.

    , , , , , ,

    Source

    Obesity surgery 20:2 2010 Feb pg 154-60

    MeSH

    Analysis of Variance
    Body Mass Index
    Diet Surveys
    Dietary Fats
    Dietary Proteins
    Fatty Liver
    Feeding Behavior
    Female
    Food Preferences
    Fruit
    Hepatitis B, Chronic
    Hepatitis C, Chronic
    Humans
    Male
    Metabolic Syndrome
    Middle Aged
    Nutrition Assessment
    Nutritional Status
    Obesity
    Risk Assessment
    Risk Factors
    Vegetables

    Pub Type(s)

    Comparative Study
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18560947

    Citation

    Kim, Chin Hee, et al. "Nutritional Assessments of Patients With Non-alcoholic Fatty Liver Disease." Obesity Surgery, vol. 20, no. 2, 2010, pp. 154-60.
    Kim CH, Kallman JB, Bai C, et al. Nutritional assessments of patients with non-alcoholic fatty liver disease. Obes Surg. 2010;20(2):154-60.
    Kim, C. H., Kallman, J. B., Bai, C., Pawloski, L., Gewa, C., Arsalla, A., ... Younossi, Z. M. (2010). Nutritional assessments of patients with non-alcoholic fatty liver disease. Obesity Surgery, 20(2), pp. 154-60. doi:10.1007/s11695-008-9549-0.
    Kim CH, et al. Nutritional Assessments of Patients With Non-alcoholic Fatty Liver Disease. Obes Surg. 2010;20(2):154-60. PubMed PMID: 18560947.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Nutritional assessments of patients with non-alcoholic fatty liver disease. AU - Kim,Chin Hee, AU - Kallman,Jillian B, AU - Bai,Chunhong, AU - Pawloski,Lisa, AU - Gewa,Constance, AU - Arsalla,Aimal, AU - Sabatella,Mary Ellen, AU - Younossi,Zobair M, Y1 - 2008/06/17/ PY - 2008/04/14/received PY - 2008/04/30/accepted PY - 2008/6/19/pubmed PY - 2010/4/10/medline PY - 2008/6/19/entrez SP - 154 EP - 60 JF - Obesity surgery JO - Obes Surg VL - 20 IS - 2 N2 - BACKGROUND: Obesity is not only associated with nonalcoholic fatty liver disease (NAFLD) but it also adversely affects the progression of other liver diseases. There are limited data regarding the dietary habits of patients with chronic liver disease. METHODS: Nutrition surveys containing 13 different food groups were mailed. Nutrition scores were calculated based on weekly servings. Foods were also divided into USDA food pyramid categories with conversion of each group into calories expended. Clinico-demographic data were available. NAFLD patients were compared to patients with chronic viral hepatitis. RESULTS: A total of 233 subjects were included: age 52.5 +/- 10.0 years, Body mass index (BMI) 28.1 +/- 6.5, MS 24.2%, 31.8% NAFLD, 48.1% hepatitis C virus (HCV), and 20.2% hepatitis B virus (HBV). Six nutrition indices were different among the groups. NAFLD and HCV consumed more low-nutrient food (p = 0.0037 and 0.0011) and more high-sodium food than HBV (p = 0.0052 and 0.0161). Multivariate analysis showed that NAFLD and HCV consumed more high-fat sources of meat/protein than HBV (p = 0.0887 and 0.0626). NAFLD patients consumed less calories from fruits compared to HCV and HBV patients (p = 0.0273 and 0.0023). Nine nutrition indices differed according to BMI. Univariate analysis showed that obese/overweight patients consumed more high-fat sources of meat/protein (p = 0.0078 and 0.0149) and more high-sodium foods (p = 0.0089 and 0.0062) compared to the normal-weight patients. In multivariate analysis, normal-weight patients consumed more fruits than obese (p = 0.0307). Overweight patients also consumed more calories of meat and oil than normal-weight patients (p = 0.0185 and 0.0287). CONCLUSION: NAFLD and HCV patients have similar dietary habits. Patients with HBV have the healthiest dietary habits. Specific dietary interventions should focus on decreasing intake of low-nutrient and high-sodium food, as well as high-fat sources of meat/protein. SN - 1708-0428 UR - https://www.unboundmedicine.com/medline/citation/18560947/Nutritional_assessments_of_patients_with_non_alcoholic_fatty_liver_disease_ L2 - https://dx.doi.org/10.1007/s11695-008-9549-0 DB - PRIME DP - Unbound Medicine ER -