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Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018
BACKGROUND: Metabolic associated fatty liver disease (MAFLD) has become the most common liver disease globally, yet no new drugs have been approved for clinical treatment. Therefore, we investigated the relationship between dietary intake of soy-derived daidzein and MAFLD, to find potentially effect...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968739/ https://www.ncbi.nlm.nih.gov/pubmed/36860686 http://dx.doi.org/10.3389/fnut.2023.1113789 |
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author | Yang, Zheng Gong, Daoqing He, Xinxiang Huang, Fei Sun, Yi Hu, Qinming |
author_facet | Yang, Zheng Gong, Daoqing He, Xinxiang Huang, Fei Sun, Yi Hu, Qinming |
author_sort | Yang, Zheng |
collection | PubMed |
description | BACKGROUND: Metabolic associated fatty liver disease (MAFLD) has become the most common liver disease globally, yet no new drugs have been approved for clinical treatment. Therefore, we investigated the relationship between dietary intake of soy-derived daidzein and MAFLD, to find potentially effective treatments. METHODS: We conducted a cross-sectional study using data from 1,476 participants in National Health and Nutrition Examination Survey (NHANES) from 2017 to 2018 and their associated daidzein intake from the flavonoid database in the USDA Food and Nutrient Database for Dietary Studies (FNDDS). We investigated the relationship between MAFLD status, controlled attenuation parameter (CAP), AST/Platelet Ratio Index (APRI), Fibrosis-4 Index (FIB-4), liver stiffness measurement (LSM), nonalcoholic fatty liver disease (NAFLD) fibrosis score (NFS), hepatic steatosis index (HSI), fatty liver index (FLI), and daidzein intake by adjusting for confounding variables using binary logistic regression models and linear regression models. RESULTS: In the multivariable-adjusted model II, there was a negative association between daidzein intake and the incidence of MAFLD (OR for Q4 versus Q1 was 0.65, 95% confidence interval [CI] = 0.46–0.91, p = 0.0114, p for trend was 0.0190). CAP was also negatively associated with daidzein intake, β = −0.37, 95% CI: −0.63 to −0.12, p = 0.0046 in model II after adjusting for age, sex, race, marital status, education level, family income-to-poverty ratio (PIR), smoking, and alcohol consumption. Stratified by quartiles of daidzein intake, trend analysis of the relationship between daidzein intake and CAP remained significant (p for trend = 0.0054). In addition, we also found that HSI, FLI, and NFS were negatively correlated with daidzein intake. LSM was negatively related to daidzein intake but had no statistical significance. The correlation between APRI, FIB-4, and daidzein intake was not strong (although p < 0.05, β values were all 0). CONCLUSION: We found that MAFLD prevalence, CAP, HSI, and FLI, all decreased with increased daidzein intake, suggesting that daidzein intake may improve hepatic steatosis. Therefore, dietary patterns of soy food or supplement consumption may be a valuable strategy to reduce the disease burden and the prevalence of MAFLD. |
format | Online Article Text |
id | pubmed-9968739 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99687392023-02-28 Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018 Yang, Zheng Gong, Daoqing He, Xinxiang Huang, Fei Sun, Yi Hu, Qinming Front Nutr Nutrition BACKGROUND: Metabolic associated fatty liver disease (MAFLD) has become the most common liver disease globally, yet no new drugs have been approved for clinical treatment. Therefore, we investigated the relationship between dietary intake of soy-derived daidzein and MAFLD, to find potentially effective treatments. METHODS: We conducted a cross-sectional study using data from 1,476 participants in National Health and Nutrition Examination Survey (NHANES) from 2017 to 2018 and their associated daidzein intake from the flavonoid database in the USDA Food and Nutrient Database for Dietary Studies (FNDDS). We investigated the relationship between MAFLD status, controlled attenuation parameter (CAP), AST/Platelet Ratio Index (APRI), Fibrosis-4 Index (FIB-4), liver stiffness measurement (LSM), nonalcoholic fatty liver disease (NAFLD) fibrosis score (NFS), hepatic steatosis index (HSI), fatty liver index (FLI), and daidzein intake by adjusting for confounding variables using binary logistic regression models and linear regression models. RESULTS: In the multivariable-adjusted model II, there was a negative association between daidzein intake and the incidence of MAFLD (OR for Q4 versus Q1 was 0.65, 95% confidence interval [CI] = 0.46–0.91, p = 0.0114, p for trend was 0.0190). CAP was also negatively associated with daidzein intake, β = −0.37, 95% CI: −0.63 to −0.12, p = 0.0046 in model II after adjusting for age, sex, race, marital status, education level, family income-to-poverty ratio (PIR), smoking, and alcohol consumption. Stratified by quartiles of daidzein intake, trend analysis of the relationship between daidzein intake and CAP remained significant (p for trend = 0.0054). In addition, we also found that HSI, FLI, and NFS were negatively correlated with daidzein intake. LSM was negatively related to daidzein intake but had no statistical significance. The correlation between APRI, FIB-4, and daidzein intake was not strong (although p < 0.05, β values were all 0). CONCLUSION: We found that MAFLD prevalence, CAP, HSI, and FLI, all decreased with increased daidzein intake, suggesting that daidzein intake may improve hepatic steatosis. Therefore, dietary patterns of soy food or supplement consumption may be a valuable strategy to reduce the disease burden and the prevalence of MAFLD. Frontiers Media S.A. 2023-02-13 /pmc/articles/PMC9968739/ /pubmed/36860686 http://dx.doi.org/10.3389/fnut.2023.1113789 Text en Copyright © 2023 Yang, Gong, He, Huang, Sun and Hu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Nutrition Yang, Zheng Gong, Daoqing He, Xinxiang Huang, Fei Sun, Yi Hu, Qinming Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018 |
title | Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018 |
title_full | Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018 |
title_fullStr | Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018 |
title_full_unstemmed | Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018 |
title_short | Association between daidzein intake and metabolic associated fatty liver disease: A cross-sectional study from NHANES 2017–2018 |
title_sort | association between daidzein intake and metabolic associated fatty liver disease: a cross-sectional study from nhanes 2017–2018 |
topic | Nutrition |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968739/ https://www.ncbi.nlm.nih.gov/pubmed/36860686 http://dx.doi.org/10.3389/fnut.2023.1113789 |
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