Abstract

The aim of this study was to assess the association between dietary inflammatory index (DII) and non-invasive markers of liver status in adults. This cross-sectional study was performed on 8520 adults, recruited in Ravansar Non-Communicable Diseases (RaNCD) cohort study, western Iran. The DII score was calculated based on participants’ dietary intakes obtained from Food Frequency Questionnaire (FFQ). Fatty Liver Index (FLI) score was calculated by anthropometric measurements and some non-invasive markers of liver status. Linear regression models were applied to estimate the associations and adjust the possible confounding factors. A greater DII score was significantly associated with higher energy intake, body mass index (BMI), body fat mass (BFM), blood pressure, and FLI (P < 0.001). Participants with the highest DII score had a significantly higher consumption saturated fat, trans fat and red meat than those in the lowest quartile (P < 0.001). After adjustments of age and sex, participants in the highest quartile of the DII score had a greater risk of FLI (β: 0.742, 95% CI: 0.254, 0.601). More pro-inflammatory diet in participants was associated with a higher FLI. The DII score was positively associated with non-invasive liver markers. Thus, having an anti-inflammatory diet can help balance liver enzymes, reduce obesity, and decrease fatty liver.

Highlights

  • The aim of this study was to assess the association between dietary inflammatory index (DII) and noninvasive markers of liver status in adults

  • No significant differences were found in waist circumference (WC) and visceral fat area (VFA) across quartiles of the DII score (Table 1)

  • We found a positive association between Fatty Liver Index (FLI) and body mass index (BMI), WC and body fat mass (BFM) in crude and adjusted models

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Summary

Introduction

The aim of this study was to assess the association between dietary inflammatory index (DII) and noninvasive markers of liver status in adults. This cross-sectional study was performed on 8520 adults, recruited in Ravansar Non-Communicable Diseases (RaNCD) cohort study, western Iran. Employing different dietary indices is the common tool to study the association of diet quality and pathologic status including fatty liver ­disease[7]. The present work evaluated the associations of a validated DII, as a tool to assess the inflammatory capacity of the diet, with non-invasive liver markers in adults from the Ravansar NonCommunicable Diseases (RaNCD) cohort study

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