Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 27, 2020British Journal Of NutritionOpen Access

Higher flavonoid intake is associated with a lower progression risk of non-alcoholic fatty liver disease in adults: a prospective study

View Full Paper
Ask AI
Bookmark
Share

Key result

Higher total dietary flavonoid intake was associated with a significantly lower risk of non-alcoholic fatty liver disease progression (RR 0.71) compared to the lowest intake quintile over 3 years.

Why the study?

Flavonoid-rich foods show benefits against NAFLD in short-term trials, but whether usual dietary flavonoid intake benefits patients with NAFLD was uncertain.

Does higher dietary flavonoid intake reduce the risk of NAFLD progression in adults?

Population

2694 adults from the Guangzhou Nutrition and Health Study

Comparison

Higher vs lower habitual dietary intake of flavonoids

Design

Prospective study

Follow-up

3 years

Authors

QZQing-wei ZhongHong Kong Polytechnic UniversityYWYanyan WuNanjing Brain HospitalFXFeng XiongSouthern University of Science and Technology

Discussion

Loading...

Member takes

Implication

Higher flavonoid intake was associated with lower NAFLD progression risk; hypothesis-generating and requires RCTs before any practice change.

Study Design

Type

Cohort (n=2,694)

Structured PICO

Does higher dietary flavonoid intake reduce the risk of NAFLD progression in adults?

P
Population
2,694 middle-aged and elderly Chinese adults aged 40-80 years, followed for approximately 3 years to assess the association between dietary flavonoid intake and non-alcoholic fatty liver disease progression.
E
Exposure
Higher habitual dietary intake of flavonoids (total and subclasses including flavanones, flavan-3-ols, flavonols, flavones, isoflavones, and anthocyanins) assessed via a 79-item food frequency questionnaire.
C
Comparator
Lower habitual dietary intake of flavonoids (lowest quintile).
O
Outcome
Risk of progression in non-alcoholic fatty liver disease (NAFLD) evaluated by abdominal ultrasonography over 3 years.surrogate

Main Result

Relative Risk: 0.71 (95% CI 0.54–0.93)

p-value: p=0.012

Higher habitual dietary intake of flavonoids is associated with a significantly lower risk of NAFLD progression in middle-aged and elderly Chinese adults, potentially mediated by improvements in insulin resistance and serum cholesterol.

Limitations

  • Food frequency questionnaire cannot capture all potential sources of flavonoids (e.g., tea was excluded)
  • Flavonoid content of foods can vary depending on climate, growth factors, and storage, leading to measurement error
  • Different metabolism and bioavailability of dietary flavonoids in individuals
  • Ultrasound method for NAFLD evaluation has lower precision and accuracy than liver biopsy
  • Residual confounding cannot be excluded in an observational study

Cite This Study

Zhong et al. (2020) conducted a cohort in Non-alcoholic fatty liver disease (NAFLD) (n=2,694). Higher dietary flavonoid intake vs. Lowest quintile of dietary flavonoid intake was evaluated on Progression (worsening) of NAFLD status (RR 0.71, 95% CI 0.54-0.93, p=0.012). Higher total dietary flavonoid intake was associated with a significantly lower risk of non-alcoholic fatty liver disease progression (RR 0.71) compared to the lowest intake quintile over 3 years.

synapsesocial.com/papers/6a9f6b262c4b2bcfa3f3cac4https://doi.org/10.1017/s0007114520002846
View Full Paper
Ask AI
Bookmark
Share