Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, People's Republic of China.
School of Public Health of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Br J Nutr. 2023 Jul 28;130(2):276-283. doi: 10.1017/S0007114522000629. Epub 2022 Feb 28.
Prospective cohort studies linking organ meat consumption and non-alcoholic fatty liver disease (NAFLD) are limited, especially in Asian populations. This study aimed to prospectively investigate the association between organ meat consumption and risk of NAFLD in a general Chinese adult population. This prospective cohort study included a total of 15 568 adults who were free of liver disease, CVD and cancer at baseline. Dietary information was collected at baseline using a validated FFQ. NAFLD was diagnosed by abdominal ultrasound after excluding other causes related to chronic liver disease. Cox proportional regression models were used to assess the association between organ meat consumption and risk of NAFLD. During a median of 4·2 years of follow-up, we identified 3604 incident NAFLD cases. After adjusting for demographic characteristics, lifestyle factors, vegetable, fruit, soft drink, seafood and red meat consumption, the multivariable hazard ratios (95 % CI) for incident NAFLD across consumption of organ meat were 1·00 (reference) for almost never, 1·04 (0·94, 1·15) for tertile 1, 1·08 (0·99, 1·19) for tertile 2 and 1·11 (1·01, 1·22) for tertile 3, respectively ( < 0·05). Such association did not differ substantially in the sensitivity analysis. Our study indicates that organ meat consumption was related to a modestly higher risk of NAFLD among Chinese adults. Further investigations are needed to confirm this finding.
前瞻性队列研究将器官肉消费与非酒精性脂肪性肝病(NAFLD)联系起来的研究有限,特别是在亚洲人群中。本研究旨在前瞻性调查普通中国成年人中器官肉消费与 NAFLD 风险之间的关系。这项前瞻性队列研究共纳入了 15568 名在基线时无肝病、心血管疾病和癌症的成年人。使用经过验证的 FFQ 在基线时收集饮食信息。排除与慢性肝病相关的其他原因后,通过腹部超声诊断 NAFLD。使用 Cox 比例风险回归模型评估器官肉消费与 NAFLD 风险之间的关系。在中位 4.2 年的随访期间,我们发现了 3604 例新发 NAFLD 病例。在校正人口统计学特征、生活方式因素、蔬菜、水果、软饮料、海鲜和红肉消费后,器官肉消费与新发 NAFLD 的多变量风险比(95%CI)分别为几乎从不(1.00[参考])、第 1 三分位(1.04[0.94,1.15])、第 2 三分位(1.08[0.99,1.19])和第 3 三分位(1.11[1.01,1.22])(<0.05)。敏感性分析表明,这种关联没有太大差异。我们的研究表明,器官肉消费与中国成年人的 NAFLD 风险略有升高有关。需要进一步的研究来证实这一发现。