Comparison of Nutritional Behaviors and Body Mass Index in Patients with and without Non-Alcoholic Fatty Liver Diseases

Ali-Asghar Kolahi, Rakhshaneh Pakdaman, Mohammad Mivehchi, Pooneh Dehghan

Abstract


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Abstract

Background and Objective: The prevalence of non-alcoholic fatty liver Disease (NAFLD) and its complications in adults are increasing. Nutritional habits and its consequent obesity are major risk factors for developing the disease. The aim of this study was comparing nutritional habits and body mass index in two groups of participants with and without NAFLD.

Materials and Methods: This case control study was performed with participation of 170 people aged 20-55, who referred to the department of sonography in the Taleghani teaching hospital of Tehran. The sampling method was convenience sampling. Data collected by interview with the individuals. Socio-demographic characteristics, reason for referring, and nutritional habits were determined. Anthropometric measurements and liver ultrasound were also performed. Data were analyzed by using t-test for comparing the means between 2 groups and chi-square test for determining the relationship between the variables. P-values of 0.05 or less were considered statistically significant.

Results: The group with the disease significantly consumed more high-fat dairy products than the group without the disease (42% vs. 23%) (P=0.013). The mean (SD) for weekly consumption of fruits in the group with the disease was significantly higher than that in the group without the disease 11.6(6.7) vs. 8.2(5.5) unit (P=0.001). The mean (SD) for BMI of the group with the disease was higher than that of the group without the disease 32.8(6.6) vs. 24.4(3) respectively (P<0.001).  Unexpectedly, the mean (SD) for weekly consumption of fast foods in the group without fatty liver with 0.8(0.9) was two times more than that in the affected group with 0.4(0.8) (P=0.012).              

Conclusion: The prevalence of obesity and some unhealthy eating habits in patients with NAFLD and those at risk, requires designing and implementing educational interventions for increasing individuals’ awareness and improving their attitude towards healthy eating behaviors. 


Keywords


Non-Alcoholic Fatty Liver Disease, Nutritional Behavior, Body Mass Index, Obesity

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References


Zelber-Sagi S, Lotan R, Shlomai A, Webb M, Harrari G, Buch A, NitzanKaluskiD, Halpern Z, Oren R. Predictors for incidence and remission of NAFLD in thegeneral population during a seven-year prospective follow-up. J Hepatol. 2012;56(5):1145-51.

Lankarani KB, Ghaffarpasand F, Mahmoodi M, Lotfi M, Zamiri N, Heydari ST,Fallahzadeh MK, Maharlouei N, Babaeinejad M, Mehravar S, Geramizadeh B. Nonalcoholic fatty liver disease in southern Iran: a population based study. HepatMon. 2013 May 23;13(5):e9248.

Zelber-Sagi S, Ratziu V, Oren R. Nutrition and physical activity in NAFLD: an overview of the epidemiological evidence. World J Gastroenterol. 2011;17(29):3377-89.

Fan JG, Saibara T, Chitturi S, Kim BI, Sung JJ, Chutaputti A; Asia-Pacific Working Party for NAFLD.What are the risk factors and settings for non-alcoholic fatty liver diseases in Asia-Pacific? J GastroenterolHepatol. 2007;22(6):794-800.

Hossein-Panah F, Sadeghi L, Rambod M, Foroutan M, Naseri M. Assessing predicting factors in non-alcoholic fatty liver disease (NAFLD) in type 2 diabetes. Pejouhesh. 2006; 30 (1):9-15.(Full Text in Persian)

Adibi A, Kelishadi R, Beihaghi A, Salehi H, Talaei M. Sonographic fatty liver in overweight and obese children, a cross sectional study in Isfahan. Endokrynol Pol. 2009 Jan-Feb;60(1):14-9. 19224500.

Moghimi-Dehkordi B, Safaee A, Vahedi M, Pourhoseingholi MA, Pourhoseingholi A, Zali MR. The Prevalence of Obesity and its Associated Demographic Factors in Tehran, Iran. Journal of Health & Development. 2012;1(1):22-30. (Full Text in Persian)

Kim CH, Kallman JB, Bai C, Pawloski L, Gewa C, Arsalla A, Sabatella ME, Younossi ZM. Nutritional assessments of patients with non-alcoholic fatty liver disease. Obes Surg. 2010 Feb;20(2):154-60.

Carvalhana S, Machado MV, Cortez-Pinto H. Improving dietary patterns in patients with nonalcoholic fatty liver disease. CurrOpinClinNutrMetab Care.2012;15(5):468-73. Review. 22878240.

Esteghamati A, Noshad S, Nazeri A, Khalilzadeh O, Khalili M, Nakhjavani M.Patterns of fruit and vegetable consumption among Iranian adults: a SuRFNCD-2007 study. Br J Nutr. 2012;108(1):177-81.

Seo HS, Lee SK, Nam S. Factors influencing fast food consumption behaviors of middle-school students in Seoul: an application of theory of planned behaviors. Nutr Res Pract. 2011;5(2):169-78.

Fan JG, Cao HX. Role of diet and nutritional management in non-alcoholic fattyliver disease. J GastroenterolHepatol. 2013 Dec;28Suppl 4:81-7.

Ferolla SM, Ferrari TC, Lima ML, Reis TO, Tavares-Jr WC, Couto OF, Vidigal PV, Fausto MA, Couto CA. Dietary patterns in Brazilian patients with nonalcoholicfatty liver disease: a cross-sectional study. Clinics (Sao Paulo). 2013;68(1):11-7.

Savadkoohi F, HosseiniTabatabaei MT, Shahabi Nezhad S. The frequency of fatty liver in sonography of patients without liver diseases background and its correlation with blood cholesterol and triglyceride.Zahedan Journal of Research in Medical Sciences (Tabibe Shargh) 2003; 5 (3):177-83.(Full Text in Persian)

Assy N. Nutritional recommendations for patients with non-alcoholic fattyliver diseases. World J Gastroenterol. 2011;17(29):3375-6.

Lahsaee S, Ghazizade A, Yazdanpanah M, Enhesari A, Malekzadeh R. Assessment of NAFLD cases and its correlation to BMI and metabolic syndrome in healthy blooddonors in Kerman. Gastroenterol Hepatol Bed Bench. 2012;5(4):183-9.

Jun DW. The role of diet in non-alcoholic fatty liver disease. Korean J Gastroenterol. 2013;61(5):243-51.

Maddah, M., Ahani, N., Hossaini, H., &Karandish, M. Predictors of non-alcoholic fatty liver in a group of non-obese and non-diabetic Iranian adults. Mediterranean Journal of Nutrition and Metabolism. 2012; 5(1):49-51.


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