Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China.
Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China.
Eur J Clin Nutr. 2020 Mar;74(3):491-499. doi: 10.1038/s41430-019-0497-7. Epub 2019 Sep 2.
BACKGROUND/OBJECTIVES: Many studies have suggested that probiotics may be applied as a therapeutic agent for non-alcoholic fatty liver disease (NAFLD). However, the effects of frequent yogurt consumption (as a natural probiotic source) on NAFLD remain poorly understood. This study was to examine the association of habitual yogurt consumption with newly diagnosed NAFLD in the general adult population.
SUBJECT/METHODS: Overall, 24,389 adults were included in this cross-sectional study. Yogurt consumption was estimated by using a validated self-administered food frequency questionnaire. NAFLD was diagnosed by abdominal ultrasonography. We used logistic regression models to assess the association between yogurt consumption categories and newly diagnosed NAFLD.
The multivariable odds ratios with 95% confidence interval of newly diagnosed NAFLD were 1.00 (0.88, 1.14) for 1 time/week, 0.91 (0.81, 1.02) for 2-3 times/week, and 0.86 (0.76, 0.98) for ≥4 times/week (P for trend = 0.01), compared with those who consumed <1 time/week yogurt. The inverse association was observed in a sensitivity analysis.
Higher yogurt consumption was inversely associated with the prevalence of newly diagnosed NAFLD. These results are needed to be confirmed in randomized controlled trials or prospective studies.
背景/目的:许多研究表明益生菌可能被应用于非酒精性脂肪性肝病(NAFLD)的治疗。然而,经常食用酸奶(作为一种天然益生菌来源)对 NAFLD 的影响仍知之甚少。本研究旨在探讨习惯性食用酸奶与普通成年人群中新诊断的 NAFLD 之间的关系。
方法/对象:本研究共纳入 24389 名成年人进行横断面研究。通过验证后的自我管理食物频率问卷来评估酸奶的食用情况。NAFLD 通过腹部超声诊断。我们使用逻辑回归模型来评估酸奶食用类别与新诊断的 NAFLD 之间的关联。
多变量比值比及其 95%置信区间显示,每周食用 1 次、每周食用 2-3 次和每周食用≥4 次的新诊断为 NAFLD 的比值比分别为 1.00(0.88,1.14)、0.91(0.81,1.02)和 0.86(0.76,0.98)(趋势 P 值=0.01),与每周食用酸奶<1 次的人相比。在敏感性分析中观察到了相反的关联。
酸奶的食用量与新诊断的 NAFLD 的患病率呈负相关。这些结果需要在随机对照试验或前瞻性研究中进一步证实。