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Background and Aim: Obesity and metabolic conditions may be related to non‐alcoholic fatty liver disease (NAFLD). The study assesses the risk of NAFLD according to obesity and metabolic health status in a community‐based population. Methods: A total of 1651 subjects were recruited from the community. Individuals were categorized into four groups according to obesity status (defined as a body mass index ≥ 25 kg/m2) and metabolically healthy status: metabolically healthy nonobesity (MHNO), metabolically healthy obesity (MHO), metabolically unhealthy nonobesity (MUHNO), and metabolically unhealthy obesity (MUHO). NAFLD was diagnosed based on a semiquantitative ultrasonography measurement. Visceral fat was assessed through bioelectrical impedance analysis and is shown by tertile (T1, T2, and T3). A proportional odds model was used to assess the cumulative risk of NAFLD. Results: The NAFLD prevalence was 26.7%, 62.8%, 47.0%, and 76.7% in subjects with MHNO, MHO, MUHNO, and MUHO, respectively (P < 0.0001). After adjustment for age, sex, exercise habits, alcohol consumption, cigarette smoking, and visceral fat, the odds ratios for more severe NAFLD were 2.44 (95% confidence interval [CI]: 1.64–3.65), 2.75 (95% CI: 1.91–3.94), and 7.41 (95% CI: 4.94–11.12) in the MHO, MUHNO, and MUHO groups, respectively, compared with the MHNO group. In addition, the odds ratios for more severe NAFLD significantly increased with the increase in visceral fat level (T2 vs T1: 3.83, 95% CI: 2.65–5.53; T3 vs T1: 9.17, 95% CI: 5.33–15.79). Conclusion: Both obesity and metabolically unhealthy status were associated with a higher risk of NAFLD independent of visceral fat level. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusion Implications for the Profession Reporting Method Patient or Public Contribution To investigate the association of long‐term care nursing assistants' dual caregiving roles with mental health and to determine whether social support moderates this relationship.A cross‐sectional survey.We surveyed 962 certified long‐term care nursing assistants working in long‐term care and medical facilities across Taiwan from October 2022 to July 2023. ‘Dual caregiving roles’ denote the fulfilment of caregiving duties both at work and within families. Mental health was evaluated using the 5‐item Brief Symptom Rating Scale. Logistic regression analysis was utilized to investigate the association of dual caregiving roles and psychological job demands with poor mental health. Moreover, we explored whether family, colleague, and supervisor support moderated the association between dual caregiving roles and poor mental health.Among long‐term care nursing assistants, 15% had dual caregiving responsibilities. Individuals with both dual caregiving roles and high psychological job demands faced the highest risk of poor mental health compared to those without dual caregiving roles and low psychological job demands. Having dual caregiving roles was associated with poor mental health compared to workers without such roles. Additionally, support from family, colleagues, and supervisors mitigates the association between caregivers' dual caregiving roles and poor mental health.A substantial proportion of long‐term care nursing assistants had dual caregiving roles, leading to an additional mental health burden when combined with high psychological job demands. High social support attenuated this association.Long‐term care nursing assistants with dual caregiving roles had poorer mental health outcomes. Yet, support from family, colleagues, and supervisors mitigated these effects. These results emphasize the importance of enhancing social support to protect the mental well‐being of long‐term care nursing assistants managing both formal and informal caregiving duties.This study adheres to the STROBE guideline of reporting.No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]