1. Adherence to the dietary approaches to stop hypertension diet and non‐alcoholic fatty liver disease.
- Author
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Sun, Yuanyuan, Chen, Shuohua, Zhao, Xinyu, Wang, Yanhong, Lan, Yanqi, Jiang, Xiaozhong, Gao, Xiang, Wu, Shouling, and Wang, Li
- Subjects
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DASH diet , *NON-alcoholic fatty liver disease , *SOFT drinks , *HIGH density lipoproteins , *BABY foods , *LOGISTIC regression analysis , *DIET - Abstract
Background and Aims: The evidence of the relationship between dietary approaches to stop hypertension (DASH) and non‐alcoholic fatty liver disease (NAFLD) is limited. Thus, we conducted a cohort‐based case‐control study to examine whether adherence to the DASH diet was associated with lower NAFLD risk in China. Methods: We included 11 888 participants (2529 incident NAFLD and 9359 non‐NAFLD) from the Kailuan cohort with no history of hepatitis B/C infection and alcohol drinking. DASH score was calculated based on the energy‐adjusted consumption of vegetables, fruits, dairy, beans, grains, meats, fat, sodium and beverage, collected by a validated food frequency questionnaire. We used Logistic regression analysis to determine the NAFLD's risk according to the DASH score. Results: Higher DASH score was associated with lower risk of NAFLD. Compared with the lowest quintile of DASH score, the highest DASH quintile had a lower risk of occurring NAFLD, with odds ratio (OR) of 0.82 (95% confidence interval [CI]: 0.70‐0.96) in the multivariate model. Stratified analysis showed that the inverse association was only observed in women (OR = 0.67, 95% CI: 0.48‐0.94), and participants with overweight/obesity (OR = 0.79, 95% CI: 0.66‐0.94), fasting blood glucose <6.1 mmol/L (OR = 0.80, 95%: 0.67‐0.96), low density lipoprotein ≥3.4 mmol/L (OR = 0.71, 95% CI: 0.53‐0.96), high density lipoprotein ≥1.0 mmol/L (OR = 0.81, 95% CI: 0.69‐0.96), ALT < 40 U/L (OR = 0.79, 95% CI:0.67‐0.93) and C‐reactive protein ≥2.0 mg/L (OR = 0.56, 95% CI: 0.40‐0.78). Conclusions: Adherence to the DASH diet was inversely associated with a lower risk of NAFLD in the Chinese population. DASH diet should be highly recommended, especially for women and people with overweight/obesity and a high CRP level. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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