Author:
Zhu Xingren,Qucuo Nima,Zhang Ning,Tang Dan,Hu Yifan,Xie Xiaofen,Zhao Xing,Meng Qiong,Chen Liling,Jiang Xiaoman,Zhuoma Duoji,Zeng Qibing,Xiao Xiong
Abstract
Abstract
Background
The prevalence of metabolic dysfunction-associated fatty liver disease (MAFLD) has been rising rapidly in western China. Diet acts as an effective therapy for MAFLD. However, there has been scarce research on the association between a posteriori diet patterns (DPs) and MAFLD in this region.
Method
We identified three a posteriori DPs which were “Sichuan Basin pattern” characterized by a high intake of fish/seafood, poultry, fresh fruit and vegetables, indicating a balanced and modern DP; the “Yunnan–Guizhou Plateau dietary pattern” characterized mainly by a high intake of animal oil and salt, indicating an agricultural and poor DP; and the “Qinghai–Tibet Plateau dietary pattern” characterized by a high intake of coarse grains, wheat products, tubers and tea, respectively, indicating a high-altitude DP. Then, we performed marginal structural models that combined logistic regression and inverse probability exposure weighting (IPEW) to examine the associations between MAFLD and these a posteriori DPs.
Result
We found the “Yunnan–Guizhou Plateau dietary pattern” revealed stronger positive association (OR = 1.50, 95% CI 1.40–1.60) with MAFLD than that of the “Qinghai–Tibet Plateau dietary pattern” (OR = 1.21, 95% CI 1.14–1.30). In contrast, the “Sichuan Basin dietary pattern” showed no significant association with MAFLD. In the further stratified analysis, we found those above associations were stronger in ethnic minorities and rural residents than their counterparts.
Conclusion
Our study implied the unfavourable effects of “Yunnan–Guizhou Plateau dietary pattern” on MAFLD and provided evidence that reducing the intake of oil and sodium may be optimal for MAFLD control in the multi-ethnic region in western China.
Funder
National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health,Food Science
Cited by
1 articles.
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