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Relationship between lifestyle factors and nutritional status and non-alcoholic fatty liver disease among a group of adult Jordanians
Authors:Reema Fayez Tayyem  Hanaa Mahmoud Al-Dayyat  Yaser Mohammed Rayyan
Affiliation:1. Department of Nutrition and Food Technology, Faculty of Agriculture, University of Jordan, Amman, Jordan;2. Department of Gastroenterology & Hepatology, School of Medicine, University of Jordan, Amman, Jordan
Abstract:

Background and Study Aims

Non-alcoholic fatty liver disease (NAFLD) is one of the most common chronic liver diseases worldwide. NAFLD may progress from simple steatosis to nonalcoholic steatohepatitis, cirrhosis and finally decompensated liver failure. This study aims at assessing the relationship between lifestyle factors and nutrients intake and the development of non-alcoholic fatty liver disease (NAFLD) in a group of Jordanian adults 30–60?years of age.

Patients and Methods

In this case-control study, a total of 120 Jordanian adults 30–60?years of age were recruited. Sixty NAFLD patients and 60 control subjects were enrolled. The diagnosis of NAFLD was made based on the basis of ultrasonography. Weight, height and waist circumference (WC) were measured and body mass index (BMI) was calculated. Nutrients intake and physical activity level were assessed using validated questionnaires.

Results

The results showed that patients with NAFLD had a higher significant difference in BMI, WC, and weight compared to controls (p?=?0.001). Physical activity level was significantly higher in control subjects than in cases (p?=?0.001). The metabolic parameters were significantly different both groups. The mean daily intakes of macronutrients were significantly higher in cases than in control subjects (p?=?0.001). A significant difference was detected in the daily intake of some vitamins and minerals among cases compared to control subjects (p?

Conclusion

The present study supports the findings of the presence of a relationship between macro- and micronutrients intake and some anthropometric and biochemical variables and NAFLD.
Keywords:NAFLD  Non-Alcoholic Fatty Liver Disease  T2DM  Type 2 Diabetes Mellitus  Physical activity  PA  BMI  Body Mass Index  WC  Waist Circumference  WHO  World Health Organization  FBG  Fast Blood Glucose  FBI  Fast Blood Insulin  TG  Triglycerides  HDL  High-density lipoprotein  LDL –C  Low-Density Lipoprotein Cholesterol  TC  Total Cholesterol  HOMA-IR  Homeostatic Model Assessment Insulin Resistance  IR  Insulin Resistance  PAR  Physical Activity Recall  METs  Metabolic Equivalents  SPSS  Statistical Package for Social Sciences  T1DM  Type 1 Diabetes Mellitus  NAFLD  Nutrients' intake  Biochemical parameters  Anthropometric measurments
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